A Comparative study on Management of Chronic Suppurative Otitis Media with Sinusitis With and Without Fess

INTRODUCTION Chronic otitis media (COM) is considered as a major otological problem. Chronic otitis media is defined as ―persistent inflammation of the mucoperiosteal lining of the middle ear cleft. Permanent changes like perforation, retraction, atelectasis and tympanosclerosis in tympanic membrane are common in COM. The Chronic otitis media is one of the major cause of hearing loss in developing countries. Globally, nearly 65 to 330 million people are affected with Chronic otitis media and causing around 28,000 mortality yearly. The prevalence of Chronic otitis media is around 2 to 4 % in South East Asia where as in India, 6 % suffer from the same. The major risk factors for the development of COM is malnutrition, passive exposure to smoking, low socioeconomic status etc. Chronic sinusitis acts as an infective focus which can result in the development of chronic suppurative otitis media. Literature have shown that inter relationship occurs between them. OBJECTIVES: 1. To study the effect of Functional Endoscopic Sinus Surgery in patients affected with Chronic Suppurative Otitis Media with Chronic rhinosinusitis. 2. To analyse the association of nasal and paranasal sinus pathologies with Chronic suppurative otitis media. 3. To study the surgical outcome of mucosal type of Chronic Suppurative Otitis Media after Functional Endoscopic Sinus Surgery. MATERIAL AND METHODS: Study Design: This study was a prospective study. Study Setting: This study was conducted in Upgraded Institute of Otorhinolaryngology, Chennai. Study Duration: The study will for 13 months from June 2020 to September 2021 after the approval of hospital ethical committee. Study population: Totally 40 patients were included in the study. Sampling was obtained through convenient sampling. Inclusion criteria: ● Age >10 to