Otitis media as a cause of significant hearing loss among Nigerians

Olusesi, Abiodun Daud

doi:10.1016/j.ijporl.2008.02.008

Cited by 18 publications

(19 citation statements)

References 15 publications

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“…Patient Symptom Score Patient Symptom Score Fig. 1 Comparison of preoperative (1), day 10 postoperative (2), and week 6 postoperative hearing scores for 51 ears that had tympanoplasty with or without mastoidectomy (symptom scores is on y-axis)…”

Section: Resultsmentioning

confidence: 99%

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Subjective and objective outcomes of tympanoplasty surgery at National Hospital Abuja, Nigeria 2005–2009

Olusesi

Opaluwah

Hassan

2010

Eur Arch Otorhinolaryngol

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The objective of this study is to determine the subjective and objective outcomes of tympanoplasty surgery carried out in patients with otitis media and to identify factors responsible for these outcomes. The study setting is tertiary care urban referral hospital in a developing economy and the study methodology is a prospective analysis of patients with diagnosis of chronic suppurative otitis media that had tympanoplasty with or without mastoidectomy between May 2005 and September 2009 at National Hospital Abuja. Subjects were evaluated for age, sex, size and site of perforation, status of operated ear(s) (dry/discharging), status of the contralateral ear, surgical technique, subjective and objective pre-operative and post-operative hearing scores, average post-operative follow-up time, and post-operative complications, and results were statistically analyzed. A total of 45 patients (51 ears) were operated. Age distribution was 8-52 years. Type 1 tympanoplasty was done in 41 patients and Type 3 in 4 patients. Seven of the patient had concomitant mastoid surgery (cortical mastoidectomy). 3/51 of the cases had discharging ears at surgery. 16/45 of the patients (19/51 ears) had cartilage graft tympanoplasty, while 29/45 (32 ears) had temporalis fascia tympanoplasty. 15/16 of the cartilage group as well as 26/29 of the fascia group reported subjective hearing improvement, whilst the actual graft take was 12/16 of the cartilage group and 23/29 of the fascia group. Objective hearing improvement was observed in all of the cartilage as well as 26/29 of the fascia group. This study confirms success of tympanoplasty among Nigerians, and recommends that subjective hearing assessment should form part of indicators for success following tympanoplasty.

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Section: Resultsmentioning

confidence: 99%

“…A sequel of CSOM in Africans is significant hearing loss which according to studies is seen in 9.1 to 60% of CSOM [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Subjective and objective outcomes of tympanoplasty surgery at National Hospital Abuja, Nigeria 2005–2009

Olusesi

Opaluwah

Hassan

2010

Eur Arch Otorhinolaryngol

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“…[1234567] It is characterized by long-standing ear discharge through a persistent perforation of the tympanic membrane. [78910] CSOM is believed to develop in early childhood, often following poorly managed acute otitis media, with potential of spilling over into adulthood, accounting for recurrent episodes of chronic discharging ears that can last for many years.…”

Section: Introductionmentioning

confidence: 99%

A survey of the burden of management of chronic suppurative otitis media in a developing Country

Orji

2013

Ann Med Health Sci Res

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Background:Although the prevalence of chronic suppurative otitis media (CSOM) is much higher in developing counties, most surgical treatment techniques are not easily accessible in many poor resource countries.Aim:The survey aims to examine the extent to which health care facilities in Nigeria are equipped to address the management challenges of CSOM.Subjects and Methods:Online questionnaires were sent and received from otolaryngologists practicing in across Nigerian public health institutions to evaluate the institutional practice concerning management of CSOM. Information enquired include: Proportion of CSOM among the ear, nose and throat (ENT) patient load, routinely applied treatments and challenges facing availability of standard treatment options. Data were analyzed with Statistical Package for the Social Sciences version 15 (Chicago Illinois, USA), and presented descriptively.Results:Responses were returned from 17 otolaryngologists (68% [17/25]) practicing in institutions across the six geopolitical zones with a mean duration of otolaryngology services of 22.4 (14.8) years. The CSOM patients constitute an average of 25.3% (13.1) of ENT patient load, with an average of 31 (15.3) % having significant hearing loss. Surgery have never been tried in 41% (7/17) of the institutions due to lack of facilities and/or expertise. Among institutions that offer surgery, 40% (4/10) offer only cortical mastoidectomy and only 30% (3/10) offer type 1 tympanoplasty. Achievements of permanent dry ears were reported more in institutions that offer surgery. Unaffordable cost of hearing aid and lack of expertise for tympanoplasty are the major challenging factors for rehabilitation of CSOM induced hearing loss.Conclusion:Considering the enormity of CSOM in Nigeria, and the fact that > 40% (7/17) of the public health institutions still lack facilities and/or expertise for surgical treatments for CSOM, public otolaryngological centers should not only be adequately equipped for tympanomastoid surgeries, attention should be focused on further training of experts in the operative techniques from within and outside the country.

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“…Otitis media is the single most common cause of childhood hearing impairment in low-income countries, where middle ear disorders tend to be more prevalent than in high-income countries [5,6]. Of these, otitis media with effusion (OME) is amongst the most prevalent, as it is linked to poverty and malnutrition [7,8].…”

Section: Introductionmentioning

confidence: 99%

Hearing impairment in otitis media with effusion: A cross-sectional study based in Pokhara, Nepal

Bagshaw

Wall

Dowswell

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Otitis media as a cause of significant hearing loss among Nigerians

Cited by 18 publications

References 15 publications

Subjective and objective outcomes of tympanoplasty surgery at National Hospital Abuja, Nigeria 2005–2009

Subjective and objective outcomes of tympanoplasty surgery at National Hospital Abuja, Nigeria 2005–2009

A survey of the burden of management of chronic suppurative otitis media in a developing Country

Hearing impairment in otitis media with effusion: A cross-sectional study based in Pokhara, Nepal

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