Analytical Study of Sensory Neural Hearing Loss in Csom With and Without Cholesteatoma

Samantaray, Kabikanta; Rout, Khageswar; Biswal, Rudra Narayan

doi:10.18410/jebmh/2016/681

Cited by 1 publication

(4 citation statements)

References 7 publications

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“…However, in relation to the BC threshold (the most essential parameter for determining SNHL), our study demonstrated that BC thresholds did not differ significantly between the CSOM with and without cholesteatoma groups (20). Detectable BC thresholds at all three frequencies did not show significant differences between the CSOM with and without cholesteatoma groups in our study; however, there were more patients with undetectable BC thresholds at all 3 frequencies in the CSOM with cholesteatoma group than the CSOM without cholesteatoma group.…”

Section: Discussioncontrasting

confidence: 64%

“…Additionally, 30 (75.00%) of the 40 affected ears had symptoms of ear discharge, 34 (85.00%) had tympanic membrane perforation, and 11 (27.50%) had sensed tinnitus. Female patients accounted for 48.72% [19] of the CSOM with cholesteatoma cohort, and male patients accounted for 51.28% [20]. The mean age of the CSOM with cholesteatoma cohort was 43.64 years.…”

Section: Resultsmentioning

confidence: 99%

“…SNHL can be observed in CSOM with and without cholesteatoma, and its prevalence ranges from 2.01% to 52.00% (1,2,11,20), showing different proportions of types of HL in CSOM with and without cholesteatoma. In the present study, the types of HL did not differ significantly between the two groups (P=0.226).…”

Section: Discussionmentioning

confidence: 98%

“…Additionally, in our study, sex, and the duration of disease were not found to be significantly associated with sensorineural damage. Jesic et al (15), Samantaray et al (20), de Azavedo et al (29), and Khatri et al (4) also reported that the duration of disease was not a risk factor for sensorineural damage. Conversely, other studies have found that the presence of cholesteatoma (10) and the duration of the disease (17) are risk factors, but that the degree of HL remains questionable (18,32).…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Sensorineural damage in chronic suppurative otitis media with and without cholesteatoma: a comparative study

Tang¹,

Lian²,

Zhang³

et al. 2022

Ann Transl Med

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Background: Chronic suppurative otitis media (CSOM) is a common otolaryngology disease, and cholesteatoma is the most aggressive type of CSOM. CSOM with and without cholesteatoma both result in a certain level of sensorineural damage, which can be categorized as air conduction (AC), bone conduction (BC), or air-bone gap (ABG), and AC, BC, and ABG are affected by many factors. Further analyses and comparisons of factors affecting sensorineural damage in CSOM with and without cholesteatoma were conducted in this study.Methods: A comparative study was conducted of 79 patients with CSOM (39 with cholesteatoma and 40 without cholesteatoma) whose diagnoses were mainly based on chronic middle ear infections and hearing loss (HL), typical computed tomography (CT) and surgical findings. Audiological evaluation included AC, BC and ABG, and sensorineural damage was defined as mixed and sensorineural HL (SNHL). Results:In relation to the types of HL, there were no significant differences between both groups. The CSOM with cholesteatoma group had significantly greater AC (P=0.000) and a significantly greater ABG (P>0.05) than the CSOM without cholesteatoma group, but BC did not differ significantly between both groups (P>0.05). The average AC-middle frequency (MF), AC-high frequency (HF), ABG-MF and ABG-HF of CSOM without cholesteatoma were smaller than these of CSOM with cholesteatoma (P<0.05). The degree of HL differed significantly between both groups (P=0.000). The CSOM with cholesteatoma group showed a higher level of HL than the CSOM without cholesteatoma group. The presence of cholesteatoma was presented a protective factor associated with sensorineural damage (P<0.05), while higher degrees of hearing and aging were risk factors (P<0.05), respectively.Conclusions: Our direct comparisons showed that HL progressed more rapidly in the CSOM with cholesteatoma group, which had higher frequencies in relation to AC, the ABG, and severity. However, in relation to BC, there were no significant differences between both groups, which was in line with the similar proportions of the types of HL in both groups. The logistic regression showed that the presence of cholesteatoma was a protective factor, and the degree of hearing and aging were risk factors associated with sensorineural damage.

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Section: Discussioncontrasting

confidence: 64%

Section: Resultsmentioning

confidence: 99%