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Research Article

JCDR. 2022; 13(1): -

Assessment of risk factors of chronic suppurative otitis media in children

Dr. Shivendra Pandey, Dr. Puneet Maheshwari, Sonali Mahera, Jagriti Tholia.


Background: Chronic suppurative otitis media (CSOM) is a major health problem
throughout the world in underdeveloped and developing countries including India. The
present study was conducted to assess the risk factors of chronic suppurative otitis media in
Materials & Methods: 320 patients of chronic suppurative otitis media of age ranged 6-15
years of both genders were included. Otoscopic examination was done. Pure tone audiometry
was performed. Clinical risk factors and predisposing factors were recorded.
Results: There were 180 males and 140 females. Families with >5 children were seen in
32%, smoking father in 41%, illiterate mother in 21%, bathing in dirty pond water in 17%,
family history of ear discharge in 22% and living in congested houses in 15%.
Socioeconomic status (SES) was lower in 14%, upper‑lower in 46%, lower‑middle in 30%,
upper‑middle in 4%, high in 6%. Other risk factors were upper respiratory infection in 2%,
nasal allergy in 4%, chronic tonsillitis in 12% and sinusitis in 7%.
Conclusion: Common risk factors for CSOM in children were families with >5 children,
smoking father, illiterate mother, bathing in dirty pond water, family history of ear discharge
and living congested houses.

Key words: Chronic suppurative otitis media, Children, Smoking

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