Comparison between the angle of Eustachian tube in patients with chronic suppurative otitis media and normal ears based on computed tomography scan of temporal bones in Haji Adam Malik general hospital Medan

Masita, Sarah; Zahara, Devira; Aboet, Askaroellah

doi:10.1088/1755-1315/125/1/012228

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…In conditions of repeated inflammation, there is an increased risk of retraction, adhesion, and perforation of the tympanic membrane, in the process of cholesteatoma formation. 12 This study found that the narrow diameter of the Eustachian tube caused more abnormalities in the tympanic cavity compared to the wide diameter of the Eustachian tube. This was in accordance with Shan et al 5 , that narrower diameter of the Eustachian tube causes more abnormalities of the tympanic cavity than wider diameter.…”

Section: Discussionmentioning

confidence: 70%

Relationship mastoid pneumatization and eustachian tube shape with tympanic cavity in chronic otitis media

Herjanto,

Naftali,

Santosa

et al. 2023

Oto Rhino Laryn Indones

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Background: Chronic suppurative otitis media (CSOM) is one of the causes of morbidity and mortality in developing countries. The worldwide prevalence of CSOM according to WHO is estimated at 330 million people. Pneumatic type mastoid pneumatization, narrow Eustachian tube angle, and narrow Eustachian tube diameter in the diseased ear can result in cholesteatoma formation. Objective: This study aimed to determine the relationship between mastoid pneumatization, Eustachian tube angle and diameter with tympanic cavity abnormalities in CSOM patients. Methods: This was a retrospective analysis study using cross sectional method. The data were taken from the patient’s medical records at Dr. Kariadi Hospital, Semarang, from January 2020 to June 2021. Subjects were CSOM sufferers. Mastoid multisliced computed tomography (MSCT) scan examination was carried out in the Radiology Section, using the AW Volume Share 5 application, to assess the type of mastoid pneumatization, Eustachian tube angle, Eustachian tube diameter, and tympanic cavity abnormalities in the form of cholesteatoma, granulation, and erosion of the ossicles. Statistical analysis using Chi Square test, and multivariate test. Result: There were 90 subjects with CSOM, 44 (48.9%) had tympanic cavity abnormalities and 46 (51.1%) without tympanic cavity abnormalities. Sclerotic mastoid pneumatization was more than pneumatic (p=0.001), narrow Eustachian tube angle (p=0.041), and narrow Eustachian tube diameter (p=<0.001). Logistic regression results showed that mastoid pneumatization had a dominant relationship to abnormalities in the tympanic cavity. Conclusion: There was a relationship between sclerotic mastoid pneumatization, narrow Eustachian tube angle, and narrow Eustachian tube diameter with abnormalities in the tympanic cavity. ABSTRAKLatar belakang: Otitis media supuratif kronik (OMSK) merupakan salah satu penyebab morbiditas serta mortalitas di negara berkembang. Prevalensi OMSK menurut WHO di seluruh dunia diperkirakan 330 juta orang. Pneumatisasi mastoid tipe pneumatik, sudut tuba Eustachius yang sempit, dan diameter tuba Eustachius yang lebih sempit pada telinga yang sakit dapat menyebabkan terjadinya kolesteatoma. Tujuan: Penelitian bertujuan untuk mengetahui hubungan pneumatisasi mastoid, sudut dan diameter tuba Eustachius dengan kelainan kavum timpani pada penderita OMSK. Metode: Merupakan penelitian analisis retrospektif menggunakan metode cross sectional. Data diambil dari rekam medis pasien di RSUP Dr.Kariadi Semarang, dari Januari 2020 sampai Juni 2021. Subjek adalah penderita OMSK. Pemeriksaan multisliced computed tomography (MSCT) scan mastoid dilakukan di Bagian Radiologi, dengan aplikasi AW Volume Share 5, untuk menilai jenis pneumatisasi mastoid, sudut tuba Eustachius, diameter tuba Eustachius, dan kelainan kavum timpani berupa kolesteatoma, granulasi, dan erosi pada osikula. Analisis statistik menggunakan uji Chi Square, dan uji multivariat. Hasil: Didapatkan 90 subjek penderita OMSK, adanya kelainan kavum timpani 44 (48,9%) dan yang tidak adanya kelainan kavum timpani 46 (51,1%). Pneumatisasi mastoid sklerotik lebih banyak daripada pneumatik (p=0,001), sudut tuba Eustachius sempit (p=0,041), dan diameter tuba Eustachius pendek (p=<0,001. Hasil regresi logistik menunjukan bahwa pneumatisasi mastoid memiliki hubungan yang dominan terhadap kelainan pada kavum timpani. Kesimpulan: Terdapat hubungan antara pneumatisasi mastoid sklerotik, sudut tuba Eustachius sempit, dan diameter tuba Eustachius kecil dengan kelainan pada kavum timpani.

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Section: Discussionmentioning

confidence: 70%

Relationship mastoid pneumatization and eustachian tube shape with tympanic cavity in chronic otitis media

Herjanto,

Naftali,

Santosa

et al. 2023

Oto Rhino Laryn Indones

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“…Elibol and Baran ( 12 ) and Yang et al ( 16 ) found a relationship between a chronic ear disease and a narrower auditory tube angle. Masita et al ( 17 ) found that the auditory tube angle was lowest in patients with cholesteatoma, followed by those with chronic otitis media mesotympanalis and highest in those without middle ear diseases.…”

Section: Discussionmentioning

confidence: 99%

The Rate of Eustachian Tube Dysfunction in Adult Patients With Chronic Inflammatory Middle Ear Disease Is Low

et al. 2023

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Objective: To assess the rate of dilatory (chronic obstructive) eustachian tube dysfunction (ETD) in adult patients scheduled for surgery for chronic inflammatory middle ear disease. Patients: We included adult patients with chronic inflammatory middle ear disease (chronic suppurative otitis media, adhesive otitis media [middle ear atelectasis], cholesteatoma). We excluded patients with pathologies that do not stem from ETD (e.g., noninflammatory chronic middle ear disease [e.g., otosclerosis], tumors, solely external auditory canal conditions), patients scheduled for implantable electronic hearing devices independent of disease, patients with otitis media with effusion and scheduled paracentesis or ventilation tubes only, patients with previous radiotherapy or previous balloon eustachian tuboplasty, and children and patients unable to complete questionnaires. Intervention(s): We evaluated ETD with Valsalva maneuver and in case of negative or unclear Valsalva with the eustachian tube score (ETS). A negative Valsalva maneuver and an ETS score of 5 or lower were used to define dilatory (chronic obstructive) ETD.Main Outcome Measure(s): Rate of ETD in the included patients.Results: From a total of 482 consecutive patients, 350 patients had positive Valsalva maneuver or ETS score higher than 5. From the 193 patients with negative or unclear Valsalva maneuver, 77 patients had an ETS score of 5 or lower, and 55 rejected further diagnostics with ETS. Conclusions: Based on a large cohort of adult patients with chronic inflammatory middle ear disease scheduled for middle ear surgery, the majority (82%) seems to have no dilatory (chronic obstructive) ETD that can be detected with current routine clinical methods and tubomanometry. Common pathophysiological explanations should be questioned critically, especially in the context of communication with patients.

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“…5 Several risk factors are associated with its pathogenesis including recurrent upper respiratory tract infections, nasal allergy, recurrent tonsillitis, adenoiditis, etc. Children have a smaller and horizontal eustachian tube, which makes them prone to suffer from middle ear inflammation, 6 because of ascending infections of the nose and throat. Socioeconomic factors also have a strong impact on the pathogenesis of the disease involving lowincome families, residency in rural areas, low level of parents' education, lack of hygiene, overcrowded housing, living in nuclear families, and exposure to passive smoking.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors Associated with Chronic Suppurative Otitis Media in Children.

Ashok Kumar,

Sana Muhammad Sadiq,

Junaid Hussain

et al. 2023

j Muhammad Med Coll

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Abstract: Introduction: Chronic suppurative otitis media is one of the foremost infections that cause disabling hearing loss among children in underdeveloped countries, ultimately leading to speech delay and a negative impact on children's intellect and mental health. Objective: To identify the risk factors associated with chronic suppurative otitis media, for early detection of disease and prevention of its complications. Methodology: It prospective study was conducted at the Department of Ear, Nose, and Throat, Suleman Roshan Medical College, Tando Adam, Sindh, from January 2022 to July 2022. All the children ≤ 15 years with a history of chronically discharging ears were included after parental consent. A detailed history was taken and a comprehensive ENT examination was done. Patients with co-existing external ear infections, congenital anomalies, and a history of previous ear surgery were excluded. Results: A total of 396 children participated with male preponderance. The majority of the patients were residents of rural areas. The unilateral and mucosal diseases were more prevailed. The commonest communal co morbidity was a nasal allergy. Other risk factors included rural area residency, the low literacy rate of parents, particularly mothers, and high exposure to passive smoking. Conclusion: The occurrence of chronic suppurative otitis media is highly curable by spreading public education about child health care especially the institution of hygienic living conditions and avoidance of exposure to possible allergens especially tobacco smoke. Keywords: Eustachian tube, Chronic suppurative otitis media, hearing impairment.

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Comparison between the angle of Eustachian tube in patients with chronic suppurative otitis media and normal ears based on computed tomography scan of temporal bones in Haji Adam Malik general hospital Medan

Cited by 4 publications

References 3 publications

Relationship mastoid pneumatization and eustachian tube shape with tympanic cavity in chronic otitis media

Relationship mastoid pneumatization and eustachian tube shape with tympanic cavity in chronic otitis media

The Rate of Eustachian Tube Dysfunction in Adult Patients With Chronic Inflammatory Middle Ear Disease Is Low

Risk Factors Associated with Chronic Suppurative Otitis Media in Children.

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