Sensorineural hearing loss in patients with chronic otitis media

Costa, Sady Selaimen da; Rosito, Letícia Petersen Schmidt; Dornelles, Cristina

doi:10.1007/s00405-008-0739-0

Cited by 83 publications

(51 citation statements)

References 10 publications

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“…This study shows that chronic otitis media is associated with a decrease in cochlear function. (10) In our study some patients showed better bone conduction in the diseased ear, this agrees with finding of Dumich et al (1983). (6) CONCLUSION: The majority of patients with chronic suppurative otitis media had little difference in bone conduction between diseased and control ear, clinically significant sensorineural hearing loss is uncommon.…”

Section: Durationsupporting

confidence: 83%

Chronic Suppurative Otitis Media and Sensorineural Hearing Loss

G¹,

Ravikeerthi²

2015

jemds

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BACKGROUND: Chronic suppurative otitis media is a common disease affecting young age group, it is typically a persistent disease, often capable of causing severe destruction and irreversible sequelae and clinically manifest with deafness and discharge. OBJECTIVES: To evaluate the degree of sensorineural hearing loss component in patients with chronic suppurative otitis media with and without pathological sequelae, which necessitate early detection as it increase in severity with time. METHODS: A prospective study of 140 patients with unilateral chronic suppurative otitis media was evaluated otologically and audiologically for bone conduction hearing loss in the diseased ear throughout one year. The patients mean age was 26.5±0.5 years ranging from 10-45 years and the mean duration of the illness were 6.9±2.5 years ranging from 1-30 years. RESULTS: Eighty-eight and a half percent of the patients with unilateral chronic suppurative otitis media had some loss of cochlear function. CONCLUSION: Most patients had a difference of less than 10db in bone conduction between diseased and uninvolved ears. The range difference between diseased and uninvolved ears was wider at the higher frequencies, related mainly to the duration of the disease and its pathological sequelae such as cholesteatoma and or granulation tissue.

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Section: Durationsupporting

confidence: 83%

Chronic Suppurative Otitis Media and Sensorineural Hearing Loss

G¹,

Ravikeerthi²

2015

jemds

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“…[4][5][6] It is generally believed that the passage of inflammatory mediators through the round window membrane into the scala tympani induced inner ear damage and SNHL. [7,8] MacArthur et al [9] suggested another point of view, that the inner ear could manifest a direct inflammatory response to COM resulting in SNHL.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of inner ear changes as result of chronic otitis media and its surgery

Külekçi²,

Naiboğlu³

et al. 2015

Kulak Burun Bogaz Ihtis Derg

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Objectives: This study aims to evaluate whether chronic otitis media (COM) may cause inner ear damages or middle ear surgery may improve this damage with regard to sensorineural hearing loss (SNHL) and tinnitus and dizziness-related disability. Patients and Methods:An observational prospective study was performed on a series of 65 patients (41 males, 24 females; mean age 26.4±12.6; range 11 to 62 years) who were diagnosed with COM and were scheduled for surgical intervention at the Department of Otorhinolaryngology of the Haydarpasa Numune Education and Research Hospital. Patients were divided into two subgroups as tympanoplasty and mastoidectomy group according to the surgical procedure. Standard patient work-up included otomicroscopy, pure tone audiometry and completion of the Turkish translation of Dizziness Handicap Inventory (DHI) and Tinnitus Handicap Inventory (THI) before surgery and eight weeks after surgery. Results:We found higher bone conduction thresholds in the group of patients with mastoidectomy preoperatively. There was a statistically significant difference in the mean preoperative and postoperative THI and DHI scores between the groups (p<0.05). Conclusion:Our study results suggest that a successful surgery results in improved tinnitus and vertigo symptoms in patients with COM.Keywords: Chronic otitis media; tinnitus; vertigo. ÖZ Amaç:Bu çalışmada kronik otitis media (KOM)'nın iç kulak hasarına yol açıp açmadığı veya sensörinöral işitme kaybı, tinnitus ve baş dönmesi açısından, bu hasarın orta kulak cerrahisi ile düzelip düzelmediği değerlendirildi. Hastalar ve Yöntemler:Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Kulak Burun Boğaz Kliniği'nde KOM tanısı konulan ve cerrahi planlanan 65 hasta (41 erkek, 24 kadın; ort. yaş 26.4±12.6 yıl; dağılım 11-62 yıl) serili gözlemsel prospektif bir çalışma yapıldı. Hastalar cerrahi işleme göre timpanoplasti ve mastoidektomi grubu olarak iki alt gruba ayrıldı. Standart hasta değerlendirmesi cerrahi öncesi ve cerrahiden sekiz hafta sonra uygulanan otomikroskopi, saf ses odyometrisi, Baş Dönmesi Engellilik Envanteri (DHI) ve Tinnitus Engellilik Anketinin (THI) tamamlanmasını içerdi. Bulgular:Mastoidektomili hasta grubunda ameliyat öncesi kemik yolu işitme eşikleri daha yüksek bulundu. Ameliyat öncesi ve ameliyat sonrası THI ve DHI skorları açısından gruplar arasında istatistiksel olarak anlamlı bir fark görüldü (p<0.05).Sonuç: Çalışma sonuçlarımız, KOM hastalarının tinnitus ve vertigo semptomlarının başarılı bir cerrahi ile iyileşebileceğini göstermektedir.

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“…However, the relationship between sensorineural hearing loss (SNHL) and CSOM remains a controversial issue. For instance, some workers have consistently reported the presence of SNHL in patients with this condition [6][7][8][9][10]. On the contrary, some investigators have reiterated the fact that little or no such relationship exist [11,12].…”

Section: Introductionmentioning

confidence: 99%

Sensorineural Hearing Loss in Patients with Chronic Suppurative Otitis Media

Kolo

Salisu

Yaro

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Even though there are other complications of chronic suppurative otitis media, the aspect of hearing loss is often studied. Nevertheless, the occurrence of sensorineural hearing loss in patients with this disease is still controversial. This study aim (1) to assess the association between sensorineural hearing loss and chronic suppurative otitis media, (2) to investigate some clinical factors that might affect the sensorineural component in patients with this disease. This was a retrospective analysis of the clinical records and pure tone audiograms of patients with chronic suppurative otitis media in a Nigerian Tertiary Health Institution from January 2003 to December 2008. Sixty-nine patients with a mean age of 28.93 years; standard deviation of 18.593 were studied. They had an age range of 4-73 years. The duration of otorrhea ranged from 2 months to 20 years; with a mean of 6.11 years (standard deviation of 6.393). The mean bone conduction threshold in the diseased ear was 39.07 dB (standard deviation of 12.028), and 10.26 dB (standard deviation of 2.620) in the control ear (P \ 0.05). The mean bone conduction threshold differences between the diseased and control ears range from 21.69 to 34.52 dB across the frequencies 0.5, 1.0, 2.0, and 4.0 kHz. These differences tended to increase with increasing frequency and were all significant (P \ 0.05). In the diseased ears, there were no significant correlation between the age, duration of otorrhea, and the degree of SNHL (r = 0.186, P [ 0.05; r = 0.190, P [ 0.05 respectively). Patients with chronic suppurative otitis media had a significant degree of sensorineural hearing loss in this study. The higher frequencies were more affected; however, the patient's age and duration of otorrhea seem not to have any correlation with the degree of sensorineural hearing loss.

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Sensorineural hearing loss in patients with chronic otitis media

Cited by 83 publications

References 10 publications

Chronic Suppurative Otitis Media and Sensorineural Hearing Loss

Chronic Suppurative Otitis Media and Sensorineural Hearing Loss

Clinical evaluation of inner ear changes as result of chronic otitis media and its surgery

Sensorineural Hearing Loss in Patients with Chronic Suppurative Otitis Media

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