Matanda R N, Muyunga K C, Sabue M J, Creten W, Van de Heyning P
Service d'Oto-Rhino-Laryngologie, Cliniques Universitaires de Kinshasa, Université de Kinshasa. B.P. 123 Kinshasa XI. République Démocratique du Congo.
B-ENT. 2005;1(2):57-62.
During the five-year period from 1998 to 2002, the ENT department of the University Clinic of Kinshasa treated 343 patients suffering from chronic suppurative otitis media (CSOM) and complications. Two hundred and seven patients had simple, 28 had cholesteatomatous form of CSOM, and 108 patients presented with intratemporal or intracranial complications. Roughly half of the patient group consisted of children younger than 10 years. The simple form of CSOM affects men and women equally, but the cholesteatomatous form was more prevalent among men. Otorrhoea and hearing loss were the major presenting symptoms. Hearing loss was moderate to severe in 2/3 and slight in 1/3 of the audiometrically tested ears. A mastoidectomy was performed on 55% of the patients. Roughly 1/3 of the patients presented with complications, the majority of which (69) were subperiostal abscesses. Complications other than subperiostal abscesses were associated with a high morbitidy and a few patients even died. Our data suggest that the prevalence of CSOM in the Kinshasa area is at least 4% and, in fact, has not declined over the last 20 years.
在1998年至2002年的五年期间，金沙萨大学诊所耳鼻喉科治疗了343例慢性化脓性中耳炎（CSOM）及并发症患者。其中207例为单纯性CSOM，28例为胆脂瘤型CSOM，108例伴有颞内或颅内并发症。患者组中约一半为10岁以下儿童。单纯性CSOM在男性和女性中的发病率相同，但胆脂瘤型在男性中更为普遍。耳漏和听力损失是主要症状。听力测试中，三分之二的耳朵听力损失为中度至重度，三分之一为轻度。55%的患者接受了乳突切除术。约三分之一的患者出现并发症，其中大多数（69例）为骨膜下脓肿。除骨膜下脓肿外的并发症与高死亡率相关，甚至有少数患者死亡。我们的数据表明，金沙萨地区CSOM的患病率至少为4%，事实上，在过去20年中并未下降。
