Meta-analysis of hearing outcomes of chronic otitis media surgery in the only hearing ear

2021 ◽  
Author(s):  
Levent Yücel ◽  
Bülent Satar ◽  
Muhittin Abdülkadir Serdar
Keyword(s):  
Otitis Media ◽  
Meta Analysis ◽  
Chronic Otitis Media ◽  
Hearing Outcomes

scholarly journals Hearing outcomes after mobile ear surgery for chronic otitis media in Greenland

2008 ◽  
Vol 67 (5) ◽  
pp. 452-460 ◽  
Author(s):  
Preben Homøe ◽  
Gohar Nikoghosyan ◽  
Christian Siim ◽  
Poul Bretlau
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Ear Surgery ◽  
Hearing Outcomes

scholarly journals A retrospective study comparing post-aural versus endaural approach for myringoplasty in cases of chronic otitis media

2019 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Supreet Singh Nayyar ◽  
Pawandeep Kaur
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Disease Free Survival ◽  
Mild Degree ◽  
Kaplan Meier ◽  
Significant Difference ◽  
Cosmetic Outcomes ◽  
One Year ◽  
Post Aural Approach ◽  
Hearing Outcomes

<p class="abstract"><strong>Background:</strong> Patients diagnosed with chronic otitis media mucosal disease with a mild degree of conductive hearing loss require myringoplasty as their treatment. Various approaches to myringoplasty are defined. The aim of the present study was to compare outcomes of the post-aural versus end aural approach for myringoplasty.</p><p class="abstract"><strong>Methods:</strong> A retrospective cohort study of 26 patients operated over a period of one year at tertiary otorhinolaryngology center.  </p><p class="abstract"><strong>Results:</strong> Distribution of approaches among post-aural and end aural was 11 and 15 patients respectively.<strong> </strong>Otorrhea was the presenting complaint in 65% (n=17) of patients. Preoperative mean pure-tone average (PTA) of all patients was 34.8 dBHL (range 28 to 40 dBHL) while postoperatively 3 months mean PTA was 21.63 and 25.13 dBHL for patients undergoing end aural and post-aural approaches respectively (p=0.008). The success rate in terms of no re-perforation was 76.9% overall, 81.81% for the end aural approach and 73.33% for the post-aural approach with no statistically significant difference (p=0.612). Disease-free survival, as calculated with Kaplan-Meier analysis, was 9.7 and 13.9 months respectively (p=0.807). Cosmetic outcome was analyzed using the scar cosmesis assessment and rating (SCAR) scale. Mean SCAR scale score in our series was 5.36 and 6.20 for patients with end aural and post-aural approaches respectively with no statistically significant difference.</p><p class="abstract"><strong>Conclusions:</strong> Both approaches, end aural and post-aural, are good approaches for the purpose of myringoplasty with no statistically significant difference between the two in terms of re-perforation rates or cosmetic outcomes. However, based on our study, the end aural approach has better hearing outcomes in terms of hearing improvement.</p><p> </p>

scholarly journals Prediction of hearing outcomes in chronic otitis media patients underwent tympanoplasty using ossiculoplasty outcome parameter staging or middle ear risk indices

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0252812
Author(s):  
Da Jung Jung ◽  
Hyun Ju Lee ◽  
Ji Song Hong ◽  
Dong Gyu Kim ◽  
Jae Yeon Mun ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Risk Group ◽  
Risk Index ◽  
Chronic Otitis Media ◽  
Outcome Parameter ◽  
Korean Society ◽  
Risk Indices ◽  
The Mean ◽  
Hearing Outcomes

Purpose Ossiculoplasty outcome parameter staging (OOPS) and middle ear risk index (MERI) are the most commonly used indices for predicting prognosis of patients with chronic otitis media (COM). This study aimed to verify the efficiency of OOPS and MERI scores in predicting outcomes of patients with COM who underwent tympanoplasty. Methods We retrospectively reviewed the data of patients who underwent tympanoplasty (n = 526). OOPS, and MERI scores were collected. Hearing data were measured 1 day preoperatively, and 3 and 12 months postoperatively. Operation success was defined according to the Korean Society of Otology guidelines. Results For calculation of success, the ROC values of MERI were 0.551 at 12 months. ROC values of OOPS were 0.637 at 12 months. There were no significant differences in hearing variables among the three groups according to MERI. There were significantly favorable outcomes in hearing variables in the low-risk group in OOPS. The mean OOPS score was greater in patients with success than those with non-success. Otorrhea, ossicle status, and status of mucosa as variables in both indices were associated with success. The type of mastoidectomy as a variable in OOPS alone was associated with success. Absence of hypertension, presence of ossiculoplasty, and use of incus as ossiculoplasty material were associated with poor success rate. Conclusion Compared with MERI, the OOPS index was more closely associated with the hearing outcomes, which may be due to the extent of inflammation in the OOPS index.

scholarly journals Artificial intelligence to classify ear disease from otoscopy: A systematic review and meta-analysis

2021 ◽  
Author(s):  
Al-Rahim Habib ◽  
Majid Kajbafzadeh ◽  
Zubair Hasan ◽  
Eugene Wong ◽  
Hasantha Gunasekera ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Neural Networks ◽  
Otitis Media ◽  
Convolutional Neural Networks ◽  
Otitis Media With Effusion ◽  
Meta Analysis ◽  
Acute Otitis Media ◽  
Chronic Otitis Media ◽  
Ground Truth ◽  
Support Vector

Objective: To summarize the accuracy of artificial intelligence (AI) computer vision algorithms to classify ear disease from otoscopy. Methods: Using the PRISMA guidelines, nine online databases were searched for articles that used AI methods (convolutional neural networks, artificial neural networks, support vector machines, decision trees, k-nearest neighbors) to classify otoscopic images. Diagnostic classes of interest: normal tympanic membrane, acute otitis media (AOM), otitis media with effusion (OME), chronic otitis media (COM) with or without perforation, cholesteatoma, and canal obstruction. Main Outcome Measures: Accuracy to correctly classify otoscopic images compared to otolaryngologists (ground-truth). The Quality Assessment of Diagnostic Accuracy Studies Version 2 tool was used to assess the quality of methodology and risk of bias. Results: Thirty-nine articles were included. Algorithms achieved 90.7% (95%CI: 90.1 – 91.3%) accuracy to difference between normal or abnormal otoscopy images in 14 studies. The most common multi-classification algorithm (3 or more diagnostic classes) achieved 97.6% (95%CI: 97.3.- 97.9%) accuracy to differentiate between normal, AOM and OME in 3 studies. Compared to manual classification, AI algorithms outperformed human assessors to classify otoscopy images achieving 93.4% (95%CI: 90.5 – 96.4%) versus 73.2% (95%CI: 67.9 – 78.5%) accuracy in 3 studies. Convolutional neural networks achieved the highest accuracy compared to other classification methods. Conclusion: AI can classify ear disease from otoscopy. A concerted effort is required to establish a comprehensive and reliable otoscopy database for algorithm training. An AI-supported otoscopy system may assist health care workers, trainees, and primary care practitioners with less otology experience identify ear disease.

Clinical Characteristics of Bilateral Chronic Otitis Media

2014 ◽  
Vol 57 (12) ◽  
pp. 821 ◽  
Author(s):  
Jisung Kim ◽  
Soo Kyoung Park ◽  
Jae Hong Park ◽  
Dong Wook Lee ◽  
Young-Seok Choi ◽  
...  
Keyword(s):  
Otitis Media ◽  
Clinical Characteristics ◽  
Chronic Otitis Media

A study of relationship between preoperative hearing and intraoperative findings in squamosal type of chronic otitis media

2019 ◽  
Vol 9 (3) ◽  
pp. 106-110
Author(s):  
Ajit Lokare ◽  
◽  
Mukund Jadhav ◽  
Koustubh Khandake ◽  
◽  
...  
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media
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