A study conducted at the Children's Clinical University Hospital in Latvia focused on chronic suppurative otitis media (CSOM) among children from 2009 to 2016, revealing that a significant portion of patients experience recurrent episodes and require multiple surgical interventions. The data indicated that cholesteatoma was present in 25.8% of cases, significantly related to the type of CSOM, and most patients were young teenagers living outside of the capital, Riga. The findings suggest the necessity for improved monitoring and follow-up care for these patients by healthcare professionals.

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CHRONIC OTITIS MEDIA PATIENT
DATABASE DEVELOPMENT AND
APPROBATION
Authors: Liāna Džavadova, Karīna Jelagova
Rīga Stradiņš University, Latvia
Scientific research supervisor: Dr. med. Kitija Daina
Children’s Clinical University Hospital, Latvia

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 Chronic suppurative otitis media (CSOM) is a
common disease in children, often with recurrent
course and frequent physician visits.
 Currently there is no statistical data on the prevalence
of CSOM in Latvia.
Introduction

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 In Children's Clinical University Hospital there is no
diagnosis-specific database of patients with chronic
otitis media to monitor and register data.
 As a result, patient follow-up can be challenging.
Introduction

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 Summarize the latest data of patients with chronic
suppurative otitis media
 Explore the course of the disease
 Assess the prevalence of cholesteatoma among the
patients.
Aim

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 Retrospective descriptive study
 Children’s Clinical University Hospital
 January 1, 2009 to January 1, 2016
 Hospital archives and patient database Andromeda
 Diagnosis codes and surgical procedures. Patients up to
17 years of age were included.
 Data registration in Microsoft Office Excel
 SPSS Statistics software (Shapiro-Wilk test, Chi-Square
test, Fisher’s exact test, Independent Sample t-test.)
Materials and methods

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 Diagnosis
 Anamnesis
 Status localis
 Hospitalizations
»CT
»Audiometry
»Culture
 Surgical interventions
 Ambulatory visits
 Associated pathologies (adenoid hypertrophy,
cholesteatoma)
Materials and methods

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 124 patients
 Male 62.9% (n=78)
 Female 37.1% (n=46)
 Age 3 -17 (M = 12.31,
SD = ± 3.47 years)
 Median age was 13
years (IQR=10-15)
 25.8% (n=32) of
patients live in Riga,
74.2% (n=92) live
outside of Riga.
Results

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14.5% (n=18) patients were diagnosed with chronic tubotympanic
suppurative otitis media, 43.5% (n=54) chronic aticoantral
suppurative otitis media, 41.9% (n=52) other chronic suppurative
otitis media.
There was not a significant association between gender and type
of CSOM. (x2=0.19, df=2, p=0.9).

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 Cholesteatoma was found in 25.8% (n=32) of cases. There
was a significant association between cholesteatoma and the
type of CSOM (p=0.005, Fisher's exact test)
26%
74%

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 Surgical interventions
including
mastoidantrotomy,
tympanoplasty and radical
ear operation were
performed in 90 cases
(72.6%).
 The mode of surgical
treatments was 1 treatment
per patient.
 The median of surgical
treatments per patient was
2 treatments (IQR=1-3).
Results

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 There was a significant difference between number of surgeries for
patients with cholesteatoma (M=3; SD=±1.85) and patients without
cholesteatoma (M=2.20; SD=±1.93), t(122)=2.05; p=0.043).
Mean
number of
surgical
treatments

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 The mode of hospitalizations
due to chronic suppurative
otitis media was 1 episode.
 The median of hospitalization
episodes was 3 episodes
(IQR=1-5).
 There was not a significant
difference between number of
hospitalizations for Riga
residents (M=3.63 SD=±2.42)
and non-residents (M=3.38
SD=±2.68) t(122)=0.46;
p=0.65.
Results

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 Chronic suppurative otitis media has a recurrent
course, causing relapses, frequent hospitalizations
and multiple surgical interventions.
 Cholesteatoma is one of the factors contributing to
higher number of surgeries.
 The majority of chronic otitis media patients are young
teenagers, most of them live outside of Riga,
therefore, monitoring and regular follow-ups by
otorhinolaryngologists are necessary.
Conclusion

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References

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