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

La actualidad más candente (20)

Complications of csom
Complications of csomComplications of csom
Complications of csom
 
Tonsillitis
TonsillitisTonsillitis
Tonsillitis
 
Secretory otitis media
Secretory otitis mediaSecretory otitis media
Secretory otitis media
 
Cholesteatoma
CholesteatomaCholesteatoma
Cholesteatoma
 
Chronic tonsillitis
Chronic  tonsillitisChronic  tonsillitis
Chronic tonsillitis
 
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
Chronic Suppurative Otitis MediaChronic Suppurative Otitis Media
Chronic Suppurative Otitis Media
 
Diseases of external ear
Diseases of external earDiseases of external ear
Diseases of external ear
 
Atrophic Rhinitis
Atrophic RhinitisAtrophic Rhinitis
Atrophic Rhinitis
 
Ent instruments
Ent instrumentsEnt instruments
Ent instruments
 
History taking in a case of CSOM with central perforation
History taking in a case of CSOM with central perforation History taking in a case of CSOM with central perforation
History taking in a case of CSOM with central perforation
 
Functional endoscopic sinus surgery
Functional endoscopic sinus surgeryFunctional endoscopic sinus surgery
Functional endoscopic sinus surgery
 
Septplasty
SeptplastySeptplasty
Septplasty
 
Deviated nasal septum
Deviated nasal septum Deviated nasal septum
Deviated nasal septum
 
Smr and septoplasty
Smr and septoplastySmr and septoplasty
Smr and septoplasty
 
Cholesteatoma
Cholesteatoma Cholesteatoma
Cholesteatoma
 
Adenoids
AdenoidsAdenoids
Adenoids
 
Acute tonsillitis
Acute tonsillitisAcute tonsillitis
Acute tonsillitis
 
Tympanoplasty
TympanoplastyTympanoplasty
Tympanoplasty
 
Chronic otitis media
Chronic otitis mediaChronic otitis media
Chronic otitis media
 

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 Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Nehru place Escorts
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxNiranjan Chavan
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...rajnisinghkjn
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.ANJALI
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
High Profile Call Girls Mavalli - 7001305949 | 24x7 Service Available Near Me
High Profile Call Girls Mavalli - 7001305949 | 24x7 Service Available Near MeHigh Profile Call Girls Mavalli - 7001305949 | 24x7 Service Available Near Me
High Profile Call Girls Mavalli - 7001305949 | 24x7 Service Available Near Menarwatsonia7
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 

Último (20)

Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptx
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
High Profile Call Girls Mavalli - 7001305949 | 24x7 Service Available Near Me
High Profile Call Girls Mavalli - 7001305949 | 24x7 Service Available Near MeHigh Profile Call Girls Mavalli - 7001305949 | 24x7 Service Available Near Me
High Profile Call Girls Mavalli - 7001305949 | 24x7 Service Available Near Me
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 

CSOM