Causes of Persistent Otorrhea after Mastoidectomy

Otitis media is one of the most common disease entities present since prehistoric times. Its dangers& complications have been recognized and described by Hippocrates as cited in Cawthorne acute pain of the ear, with continued strong fever, is to be dreaded, for there is danger that the man may become delirious and die. Since then there has been a quest to understand the underlying pathology and clinical course of the disease so that optimum treatment guidelines can be decided regarding the management of patients. Aims& Objectives The aim of the present study is to observe the factors responsible for this persistent ear discharge after mastoidectomy so that we can give guidelines for the future so as to avoid this problem. Materials and methods In the present study, the patients were selected from those presenting in the department of SKIMS Medical College, Dept. of ENT& Head& neck Surgery for follow up after Mastoidectomy, during the period of AUG 2015 to AUG 2017. The 100 cases were examined, out of which 40 cases with persistent otorrhea were selected for the study. Observations Observations were made in relation to age, sex incidence, economic status, aural discharge, type of procedure done& findings at Otomicroscopic examination. CONCLUSIONIn conclusion, persistant Otorrhea after mastoid surgery was more common due to infected aircells, inadequate surgical procedure. We emphasize the importance of an adequate mastoidectomy in achieving good results when managing cholesteatoma. Mastoidectomy, Otorrhea.