scholarly journals Higher Risk of Developing Sudden Sensorineural Hearing Loss in Patients With Chronic Otitis Media

2015 ◽  
Vol 141 (5) ◽  
pp. 429 ◽  
Author(s):  
Yung-Chang Yen ◽  
Charlene Lin ◽  
Shih-Feng Weng ◽  
Yung-Song Lin
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing

Surgery on “Only-Hearing” Ears with Chronic Suppurative Middle Ear Disease

1973 ◽  
Vol 82 (3) ◽  
pp. 290-296 ◽  
Author(s):  
Richard R. Gacek
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
Sensorineural Hearing ◽  
Surgical Removal ◽  
Wide Field ◽  
Conductive Loss ◽  
Middle Ear Disease

Since the risk of sensorineural hearing loss from persistent chronic otitis media and mastoiditis is greater than the risk to loss of labyrinthine function from carefully performed surgery, it is felt that the best treatment for chronic suppurative middle ear disease in an only-hearing ear is surgical removal of disease. Between the years 1961 to 1970 14 cases of chronic otitis media and mastoiditis in only-hearing ears were treated surgically at the Massachusetts Eye and Ear Infirmary. Five cases presented with resistant foul otorrhea, while five patients presented with increasing hearing loss and four with vertigo. The patients with hearing loss and vertigo were subjected to surgery at the earliest possible date. Wide-field surgical exposure of the mastoid and middle ear spaces with thorough removal of diseased tissue was carried out. Particular attention to avoid injury to the labyrinth, either directly or indirectly, must be kept in mind and it is recommended that surgery in only-hearing ears be performed by only the most experienced and capable otologic surgeon. All 14 ears have remained dry after surgery. Hearing was significantly improved in ten cases, while two were unchanged and two were made worse, as regards the conductive loss only. In all 14 cases postoperative discrimination scores were normal, so that even those cases that did not achieve serviceable hearing levels from surgery were able to use amplification. The results in this series confirm the feeling that carefully performed and timed surgery is effective in controlling chronic suppurative disease, while preserving function in only-hearing ears.

Acute otitis media associated bilateral sudden hearing loss: case report and literature review

2017 ◽  
Vol 131 (S2) ◽  
pp. S57-S61 ◽  
Author(s):  
A Smith ◽  
I Gutteridge ◽  
D Elliott ◽  
M Cronin
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Acute Otitis Media ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Definitive Treatment ◽  
Published Evidence ◽  
Increased Risk

AbstractBackground:Sudden sensorineural hearing loss is a rare otological condition with potential for dire outcomes including permanent hearing loss. Although the majority of cases are deemed idiopathic, bilateral sudden sensorineural hearing loss represents a rare subset typically related to systemic conditions, with higher morbidity and mortality. A controversial association with acute otitis media has been reported, with few bilateral cases published in the literature.Case report:A very rare case of bilateral sudden sensorineural hearing loss associated with acute otitis media is described, with a review of the literature.Conclusion:The limited evidence available suggests that acute otitis media with tinnitus and/or bacterial pathology may have an increased risk of sudden sensorineural hearing loss, which is consistent with the case described. Although there is no sufficiently powered published evidence to provide definitive treatment guidelines, the literature reviewed suggests that early myringotomy and antibiotics may greatly improve treatment outcomes.

scholarly journals Sensorineural hearing loss in chronic otitis media: analysis of an overlooked entity!

2019 ◽  
Vol 5 (5) ◽  
pp. 1355
Author(s):  
Kishore C. Shetty ◽  
Samatha K. Jayaramaiah ◽  
Biniyam Kolathingal ◽  
Shravan Alva
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Public Health Problem ◽  
Media Analysis ◽  
Sensorineural Hearing ◽  
Major Public Health Problem ◽  
Cross Sectional

<p class="abstract"><strong>Background:</strong> In developing countries, hearing loss continues to be the major public health problem. Among the various causes of hearing loss, chronic otitis media (COM) is one of the commonest. In COM, the presence of sensorineural hearing loss is well established. Our study intends to determine the prevalence of sensorineural hearing loss in chronic otitis media.</p><p class="abstract"><strong>Methods:</strong> This was a cross sectional descriptive study of 151 subjects between the age group of 10 and 60 years. Patients having unilateral chronic otitis media of both mucosal and squamosal types were selected. All patients were evaluated clinically and audiologically. The type, duration of disease and type of perforation is correlated with degree of sensorineural hearing loss. Interaural differences in bone conduction thresholds at 500 Hz, 1 kHz, 2 kHz and 4 kHz were also noted.  </p><p><strong>Results:</strong> A statistically significant correlation was noted between type of disease and perforation with hearing loss. A significant interaural difference was noted across the speech frequencies. Sensorineural hearing loss of 19.1% was seen.</p><p><strong>Conclusions:</strong> Significant sensorineural hearing loss is seen in chronic otitis media which was greater in squamosal disease. Statistically significant correlation was noted between type of disease and type of perforation with hearing loss.</p>

The Surgical Management of Labyrinthine Fistulae in Chronic Otitis Media with Cholesteatoma

1974 ◽  
Vol 83 (1_suppl) ◽  
pp. 1-19 ◽  
Author(s):  
Richard R. Gacek
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Surgical Management ◽  
Semicircular Canal ◽  
Chronic Otitis Media ◽  
Semicircular Canals ◽  
Sensorineural Hearing ◽  
Large Area ◽  
Bony Labyrinth

The author's series of 168 consecutive cases of chronic otitis media from the years 1965 to 1972 were reviewed with regard to the occurrence and management of pathological fistulae in the bony labyrinth. Fourteen cases (incidence 8.3%), of which nine involved only the semicircular canals and five involved primarily the cochlear wall occasionally associated with a semicircular canal fistula, were examined particularly in terms of postoperative sensorineural hearing loss following removal of cholesteatoma matrix from the fistula. The results indicated that the matrix can be removed with reasonable safety from most small semicircular canal fistulae. Only when the cholesteatoma matrix is firmly adherent to a large area of membranous semicircular canal is removal not recommended. When the cholesteatoma was removed from three cochlear fistulae, sensorineural hearing loss resulted. In two cases with cochlear fistula, hearing was preserved when the cholesteatoma matrix was not removed from the fistulized area. These results have been used to formulate guidelines for the surgical management of pathological fistulae of the bony labyrinth.

Ototoxicity of ear drops in patients suffering from chronic otitis media

1989 ◽  
Vol 103 (1) ◽  
pp. 46-50 ◽  
Author(s):  
L. Podoshin ◽  
M. Fradis ◽  
J. Ben David
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Medical Center ◽  
Local Treatment ◽  
Chronic Otitis Media ◽  
Polymyxin B ◽  
Sensorineural Hearing ◽  
Control Group ◽  
Ear Drops

AbstractThe sensorineural hearing loss in 150 patients with chronic otitis media who were treated in the Haifa Medical Center (Rothschild) during a ten year period was studied. There were 124 patients treated with a mixture containing neomycin, polymyxin B and dexamethasone and a control group of 26 patients with dexamethasone only.All patients were followed up for a period of 1–2 years. Patients with hearing loss due to factors such as previous ear surgery, family history, exposure to noise etc., have been excluded.The conclusions reached were that there is a relationship between the period of disease and the sensorineural hearing loss and that the local treatment with a mixture containing neomycin + polymyxin B appears to contribute to the worsening of the sensorineural hearing loss in patients with chronic otitis media.Our numbers are small and further studies must be done, but the fact that currently used ear drops may produce a sensorineural hearing loss should not be ignored.

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