Tinnitus in patients with chronic otitis media before and after middle ear surgery

2011 ◽  
Vol 268 (10) ◽  
pp. 1443-1448 ◽  
Author(s):  
Dong-Kee Kim ◽  
Shi-Nae Park ◽  
Min Ji Kim ◽  
Se Yun Lee ◽  
Kyoung-Ho Park ◽  
...  
2012 ◽  
Vol 126 (5) ◽  
pp. 470-474 ◽  
Author(s):  
C-C Huang ◽  
C-D Lin ◽  
C-Y Wang ◽  
J-H Chen ◽  
Y-T Shiao ◽  
...  

AbstractObjective:We investigated gustatory changes in patients with chronic otitis media, before and after middle-ear surgery.Methods:This prospective study included 38 patients with unilateral chronic otitis media. We used taste testing solutions to evaluate each patient's taste function. Intra-operative assessments of the chorda tympani nerve were also compared and analysed.Results:Patients with chronic otitis media had significantly worse ipsilateral perception of sour, bitter and salty tastes. In patients with good intra-operative preservation of the chorda tympani nerve, there was significant improvement in gustatory function one month post-operatively, compared with the pre-operative baseline. In patients who sustained intra-operative chorda tympani nerve injury, one month post-operative gustatory function was the same as the pre-operative baseline.Conclusion:Middle-ear surgery for chronic otitis media not only treats the ear but also improves gustatory function in the majority of patients. In patients with intra-operative injury to the chorda tympani nerve, post-operative taste decline is only temporary.


Author(s):  
Susen Lailach ◽  
Theresa Langanke ◽  
Thomas Zahnert ◽  
Susan Garthus-Niegel ◽  
Marcus Neudert

Abstract Purpose The aim of this study was to determine whether preoperative depressive symptoms influence health-related quality of life (HRQOL) after middle ear surgery in patients with chronic otitis media (COM). Methods This prospective clinical case study was conducted at a tertiary referral center. All 102 patients who had undergone middle ear surgery for COM were assessed clinically and by audiometric testing (pure tone audiometry) in pre- and postoperative settings. Disease-specific HRQOL was assessed by the validated chronic otitis media outcome test 15 (COMOT-15) and the Zurich chronic middle ear inventory (ZCMEI-21). General HRQOL was measured using the short form 36 (SF-36). Depressive symptoms were assessed using the patient health questionnaire (PHQ-D). The Charlson comorbidity index (CCI) was used to classify comorbidities. The middle ear status was determined using the ossiculoplasty outcome parameter staging (OOPS) index. Results After middle ear surgery, the total COMOT-15 and ZCMEI-21 scores improved significantly (p < 0.001). General HRQOL (total SF-36 score) was unaffected by surgery (p < 0.05). Patients without elevated depressive symptoms had significantly better total scores for the COMOT-15 (p < 0.01), ZCMEI-21 (p < 0.001), and for SF-36 (p < 0.001) postoperatively. The results of the multiple regression analyses show that, after adjusting for the OOPS, CCI, and hearing improvement, preoperative depressiveness was significantly associated with worse postoperative COMOT-15 and ZCMEI-21 outcome scores (β = 0.425 and β = 0.362, p < 0.001). Conclusion Preoperative depressiveness was an essential predictive factor for HRQOL in patients with COM. This should be considered during patient selection to provide more suitable preoperative counseling.


Author(s):  
Abhiniti . ◽  
Pawan Kumar Lal

Aim: aim to assess the eustachian tube function before and after tympanoplasty. Materials and methods: The present prospective comparative study was conducted in the Department of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar  India .Among 60 patients confirmed with the diagnosis of chronic otitis media. Preoperative PTA and eustachian tube function tests were taken. Patients were then subjected to ear surgery. Results: Majority of patients were young adults the mean age group was 28.16±6.61 years. Of these patients, 55.0% were males and 45.0% were females. Mean preoperative PTA was 40.32±3.41 and post operatively the PTA was 31.41±4.65 improved significantly (p<0.05). Conclusion: The prognosis of middle ear surgery has a direct correlation with the Eustachian tube functions, i.e. good Eustachian tube functions is essential for obtaining a good prognostic value and vice versa. Keywords: eustachian tube functions, pure tone audiometry, tympanoplasty, chronic otitis media


2020 ◽  
Vol 26 (3) ◽  
pp. 155
Author(s):  
KS Gangadhara Somayaji ◽  
Vijin Ravindran ◽  
Deviprasad Shetty

PEDIATRICS ◽  
1984 ◽  
Vol 74 (2) ◽  
pp. 236-240
Author(s):  
Richard H. Schwartz ◽  
Kenneth M. Grundfast ◽  
Bruce Feldman ◽  
Richard E. Linde ◽  
Karen L. Hermansen

Thirty-five cholesteatomas medial to intact eardrums were treated in 34 children between 1976 and 1982. Six (18%) children had never had a documented episode of otitis media. Seventeen (50%) children, in whom the lesion was diagnosed at an early stage, underwent simple excision of the cholesteatoma without the need for extensive middle ear surgery. Findings from postoperative audiograms were normal for all such children. Cholesteatoma has recurred in eight (23%) children to date. Most recurrences were diagnosed 15 months or less after surgery. Routine careful otoscopic examination is essential in order to discover cholesteatoma at an early stage and to avoid hearing loss and the need for extensive otomastoid surgery. In order to perform an accurate examination of the eardrum, a halogen-illuminated otoscope and pneumo-otoscopy should be used by the pediatrician routinely. Particular attention should be paid to the posterior-superior quadrant of the tympanic membrance where a cholesteatoma is usually located.


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