SlideShare una empresa de Scribd logo
1 de 36
Chronic suppurative otitis media Dr. T. Balasubramanian M.S. D.L.O.
Definition ,[object Object],[object Object],[object Object]
Tubotympanic disease ,[object Object],[object Object],[object Object],[object Object]
Why is Tubotympanic disease safe? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiology ,[object Object],[object Object],[object Object],[object Object]
Microbiology ,[object Object],[object Object],[object Object],[object Object],Always number your slides
Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stages of Tubotympanic disease ,[object Object],[object Object],[object Object],[object Object]
Acute stage ,[object Object],[object Object],[object Object],[object Object]
Inactive stage ,[object Object],[object Object],[object Object],[object Object]
Quiescent stage ,[object Object],[object Object],[object Object],[object Object]
Healed stage ,[object Object],[object Object],[object Object]
Tuning fork tests ,[object Object],[object Object],[object Object]
Pure tone audiometry ,[object Object],[object Object],[object Object],[object Object]
Conservative management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Role of systemic drugs ,[object Object],[object Object],[object Object],[object Object]
Precautions ,[object Object],[object Object],[object Object]
Surgical management ,[object Object],[object Object],[object Object]
Tympanoplasty ,[object Object]
Components of tympanoplasty ,[object Object],[object Object],[object Object],[object Object]
Canalplasty ,[object Object],[object Object],[object Object],[object Object],[object Object]
Meatoplasty ,[object Object],[object Object]
Ossiculoplasty ,[object Object],[object Object],[object Object],[object Object]
Aims of tympanoplasty ,[object Object],[object Object],[object Object],[object Object]
Preop investigations ,[object Object],[object Object],[object Object],[object Object]
Trans canal surgical approach ,[object Object],[object Object],[object Object]
End aural approach ,[object Object],[object Object],[object Object],[object Object]
Endaural view of ear drum
Post aural approach ,[object Object],[object Object],[object Object]
Ideal Tympanic membrane grafts ,[object Object],[object Object],[object Object]
Why temporalis fascia is favoured? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of grafting techniques ,[object Object],[object Object],[object Object]
Underlay technique ,[object Object],[object Object],[object Object]
Overlay technique ,[object Object],[object Object],[object Object]
Underlay technique
Thankyou

Más contenido relacionado

La actualidad más candente

Chronic otitis media
Chronic otitis mediaChronic otitis media
Chronic otitis mediaAjay Manickam
 
Dns (Deviated Nasal Septum) | SurgicoMed.com
Dns (Deviated Nasal Septum) | SurgicoMed.comDns (Deviated Nasal Septum) | SurgicoMed.com
Dns (Deviated Nasal Septum) | SurgicoMed.comMukhdoom BaharAli
 
Chronic suppurative otitis media attico-antral disease (CSOM AA)
Chronic suppurative otitis media attico-antral disease (CSOM AA)Chronic suppurative otitis media attico-antral disease (CSOM AA)
Chronic suppurative otitis media attico-antral disease (CSOM AA)Dr Krishna Koirala
 
History taking & examination in ENT
History taking & examination in ENTHistory taking & examination in ENT
History taking & examination in ENTDr. Ritesh mahajan
 
Cholesteatoma
Cholesteatoma Cholesteatoma
Cholesteatoma Razal M
 
Deviated nasal septum
Deviated nasal septum Deviated nasal septum
Deviated nasal septum Laxmi Shah
 
Tympanoplasty; Indications, types, anesthesia, surgical procedure.
Tympanoplasty; Indications, types, anesthesia, surgical procedure.Tympanoplasty; Indications, types, anesthesia, surgical procedure.
Tympanoplasty; Indications, types, anesthesia, surgical procedure.Prasanna Datta
 
Acute and chronic rhinitis
Acute and chronic rhinitisAcute and chronic rhinitis
Acute and chronic rhinitisVinay Bhat
 
Acute suppurative otitis media
Acute suppurative otitis media Acute suppurative otitis media
Acute suppurative otitis media Dr Krishna Koirala
 
Examination of nose and pns
Examination of nose and pnsExamination of nose and pns
Examination of nose and pnsManpreet Nanda
 
Chronic suppurative otitis media
Chronic suppurative otitis mediaChronic suppurative otitis media
Chronic suppurative otitis mediaGitanjali Kumari
 
Allergic rhinitis - presentation
Allergic rhinitis - presentationAllergic rhinitis - presentation
Allergic rhinitis - presentationsarita pandey
 

La actualidad más candente (20)

Chronic otitis media
Chronic otitis mediaChronic otitis media
Chronic otitis media
 
Dns (Deviated Nasal Septum) | SurgicoMed.com
Dns (Deviated Nasal Septum) | SurgicoMed.comDns (Deviated Nasal Septum) | SurgicoMed.com
Dns (Deviated Nasal Septum) | SurgicoMed.com
 
Chronic suppurative otitis media attico-antral disease (CSOM AA)
Chronic suppurative otitis media attico-antral disease (CSOM AA)Chronic suppurative otitis media attico-antral disease (CSOM AA)
Chronic suppurative otitis media attico-antral disease (CSOM AA)
 
Ent instruments
Ent instrumentsEnt instruments
Ent instruments
 
Nasal polyps
Nasal polypsNasal polyps
Nasal polyps
 
History taking & examination in ENT
History taking & examination in ENTHistory taking & examination in ENT
History taking & examination in ENT
 
Cholesteatoma
Cholesteatoma Cholesteatoma
Cholesteatoma
 
Nasal obstruction
Nasal obstructionNasal obstruction
Nasal obstruction
 
Deviated nasal septum
Deviated nasal septum Deviated nasal septum
Deviated nasal septum
 
Chronic tonsillitis
Chronic  tonsillitisChronic  tonsillitis
Chronic tonsillitis
 
Tympanoplasty; Indications, types, anesthesia, surgical procedure.
Tympanoplasty; Indications, types, anesthesia, surgical procedure.Tympanoplasty; Indications, types, anesthesia, surgical procedure.
Tympanoplasty; Indications, types, anesthesia, surgical procedure.
 
Acute and chronic rhinitis
Acute and chronic rhinitisAcute and chronic rhinitis
Acute and chronic rhinitis
 
Secretory otitis media
Secretory otitis mediaSecretory otitis media
Secretory otitis media
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Acute suppurative otitis media
Acute suppurative otitis media Acute suppurative otitis media
Acute suppurative otitis media
 
Examination of nose and pns
Examination of nose and pnsExamination of nose and pns
Examination of nose and pns
 
Atrophic Rhinitis
Atrophic RhinitisAtrophic Rhinitis
Atrophic Rhinitis
 
Chronic suppurative otitis media
Chronic suppurative otitis mediaChronic suppurative otitis media
Chronic suppurative otitis media
 
Allergic rhinitis - presentation
Allergic rhinitis - presentationAllergic rhinitis - presentation
Allergic rhinitis - presentation
 
Examination of throat
Examination of throatExamination of throat
Examination of throat
 

Similar a CSOM

Otitis Media ppt .pptx
Otitis Media ppt .pptxOtitis Media ppt .pptx
Otitis Media ppt .pptxBeerDilacshe1
 
Csom mucosal
Csom mucosalCsom mucosal
Csom mucosalamit jha
 
DISORDERS OF EUSTACHIAN TUBE.pptx
DISORDERS OF EUSTACHIAN TUBE.pptxDISORDERS OF EUSTACHIAN TUBE.pptx
DISORDERS OF EUSTACHIAN TUBE.pptxKarishmaMishra13
 
Tympanic membrane perforation seminar pdf.!
Tympanic membrane perforation seminar pdf.!Tympanic membrane perforation seminar pdf.!
Tympanic membrane perforation seminar pdf.!Abhay Solanki
 
Maxillary sinus and develoment
Maxillary sinus and develomentMaxillary sinus and develoment
Maxillary sinus and develomentvasanramkumar
 
7. TYMPAMOPLASTY, OCR, STAPEDOTOMY PRESENTATION.pptx
7. TYMPAMOPLASTY,  OCR, STAPEDOTOMY PRESENTATION.pptx7. TYMPAMOPLASTY,  OCR, STAPEDOTOMY PRESENTATION.pptx
7. TYMPAMOPLASTY, OCR, STAPEDOTOMY PRESENTATION.pptxAmos Brighton
 
otittismedia-200825060054-230321082330-b4b9dde2.pdf
otittismedia-200825060054-230321082330-b4b9dde2.pdfotittismedia-200825060054-230321082330-b4b9dde2.pdf
otittismedia-200825060054-230321082330-b4b9dde2.pdfssuser8f10bd
 
ear surgery ppt.pptx
ear surgery ppt.pptxear surgery ppt.pptx
ear surgery ppt.pptxnr_amilah
 
Chronic Suppurative Otitis Media: Tubotympanic Type (CSOM TT)
 Chronic Suppurative Otitis Media: Tubotympanic Type (CSOM TT) Chronic Suppurative Otitis Media: Tubotympanic Type (CSOM TT)
Chronic Suppurative Otitis Media: Tubotympanic Type (CSOM TT)Dr Krishna Koirala
 
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) DoctorsENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) DoctorsSanjay Verma
 

Similar a CSOM (20)

Otitis Media ppt .pptx
Otitis Media ppt .pptxOtitis Media ppt .pptx
Otitis Media ppt .pptx
 
Ear problems
Ear problemsEar problems
Ear problems
 
Csom mucosal
Csom mucosalCsom mucosal
Csom mucosal
 
DISORDERS OF EUSTACHIAN TUBE.pptx
DISORDERS OF EUSTACHIAN TUBE.pptxDISORDERS OF EUSTACHIAN TUBE.pptx
DISORDERS OF EUSTACHIAN TUBE.pptx
 
Tympanic membrane perforation seminar pdf.!
Tympanic membrane perforation seminar pdf.!Tympanic membrane perforation seminar pdf.!
Tympanic membrane perforation seminar pdf.!
 
OTITIS MEDIA
OTITIS MEDIAOTITIS MEDIA
OTITIS MEDIA
 
otitis media.pdf
otitis media.pdfotitis media.pdf
otitis media.pdf
 
Maxillary sinus and develoment
Maxillary sinus and develomentMaxillary sinus and develoment
Maxillary sinus and develoment
 
Otitis media
Otitis mediaOtitis media
Otitis media
 
7. TYMPAMOPLASTY, OCR, STAPEDOTOMY PRESENTATION.pptx
7. TYMPAMOPLASTY,  OCR, STAPEDOTOMY PRESENTATION.pptx7. TYMPAMOPLASTY,  OCR, STAPEDOTOMY PRESENTATION.pptx
7. TYMPAMOPLASTY, OCR, STAPEDOTOMY PRESENTATION.pptx
 
Otittis media
Otittis mediaOtittis media
Otittis media
 
otittismedia-200825060054-230321082330-b4b9dde2.pdf
otittismedia-200825060054-230321082330-b4b9dde2.pdfotittismedia-200825060054-230321082330-b4b9dde2.pdf
otittismedia-200825060054-230321082330-b4b9dde2.pdf
 
ear surgery ppt.pptx
ear surgery ppt.pptxear surgery ppt.pptx
ear surgery ppt.pptx
 
Hearrrrrrrr
HearrrrrrrrHearrrrrrrr
Hearrrrrrrr
 
3)mucosal com
3)mucosal com3)mucosal com
3)mucosal com
 
CSOM
CSOMCSOM
CSOM
 
Chronic Suppurative Otitis Media: Tubotympanic Type (CSOM TT)
 Chronic Suppurative Otitis Media: Tubotympanic Type (CSOM TT) Chronic Suppurative Otitis Media: Tubotympanic Type (CSOM TT)
Chronic Suppurative Otitis Media: Tubotympanic Type (CSOM TT)
 
Tympanic membrane perforation
Tympanic membrane perforationTympanic membrane perforation
Tympanic membrane perforation
 
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) DoctorsENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
 
Airway Management
Airway ManagementAirway Management
Airway Management
 

Más de Balasubramanian Thiagarajan

Minimizing bias in assessment of Medical Graduates
Minimizing bias in assessment of Medical GraduatesMinimizing bias in assessment of Medical Graduates
Minimizing bias in assessment of Medical GraduatesBalasubramanian Thiagarajan
 

Más de Balasubramanian Thiagarajan (20)

Facio maxillary trauma
Facio maxillary traumaFacio maxillary trauma
Facio maxillary trauma
 
Chronic otitis media
Chronic otitis mediaChronic otitis media
Chronic otitis media
 
Aom presention
Aom presentionAom presention
Aom presention
 
Physiology of vestibular system
Physiology of vestibular systemPhysiology of vestibular system
Physiology of vestibular system
 
Instruments used in Otolaryngology
Instruments used in OtolaryngologyInstruments used in Otolaryngology
Instruments used in Otolaryngology
 
History of surgery to improve hearing
History of surgery to improve hearingHistory of surgery to improve hearing
History of surgery to improve hearing
 
Minimizing bias in assessment of Medical Graduates
Minimizing bias in assessment of Medical GraduatesMinimizing bias in assessment of Medical Graduates
Minimizing bias in assessment of Medical Graduates
 
Hands on experience Open Journal Installation
Hands on experience Open Journal InstallationHands on experience Open Journal Installation
Hands on experience Open Journal Installation
 
Starting a journal the way to go
Starting a journal the way to goStarting a journal the way to go
Starting a journal the way to go
 
Granulomatous lesions of nose
Granulomatous lesions of noseGranulomatous lesions of nose
Granulomatous lesions of nose
 
Oropharyngeal tumorsslideshare
Oropharyngeal tumorsslideshareOropharyngeal tumorsslideshare
Oropharyngeal tumorsslideshare
 
Research methodology in otolological research
Research methodology in otolological researchResearch methodology in otolological research
Research methodology in otolological research
 
Gene therapy Otolaryngology
Gene therapy  OtolaryngologyGene therapy  Otolaryngology
Gene therapy Otolaryngology
 
Reducing Bleeding fess
Reducing Bleeding fessReducing Bleeding fess
Reducing Bleeding fess
 
Malignant tumors involving paranasal sinuses
Malignant tumors involving paranasal sinusesMalignant tumors involving paranasal sinuses
Malignant tumors involving paranasal sinuses
 
Voice disorders
Voice disordersVoice disorders
Voice disorders
 
Clinical otology
Clinical otologyClinical otology
Clinical otology
 
Pure tone audiometry
Pure tone audiometryPure tone audiometry
Pure tone audiometry
 
Thyroid nodule management
Thyroid nodule managementThyroid nodule management
Thyroid nodule management
 
Ent wiki a short introduction
Ent wiki a short introductionEnt wiki a short introduction
Ent wiki a short introduction
 

Último

Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Dipal Arora
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Anamika Rawat
 
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...karishmasinghjnh
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...adilkhan87451
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...parulsinha
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...khalifaescort01
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...chennailover
 

Último (20)

Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
 
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 

CSOM