Outcome of mobile ear surgery for chronic otitis media in remote areas

2008 ◽  
Vol 139 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Preben Homøe ◽  
Christian Siim ◽  
Poul Bretlau
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Ear Surgery ◽  
Remote Areas

scholarly journals Mobile, one stage, bilateral ear surgery for chronic otitis media patients in remote areas

2009 ◽  
Vol 123 (10) ◽  
pp. 1108-1113 ◽  
Author(s):  
P Homøe ◽  
H C Florian Sørensen ◽  
M Tos
Keyword(s):  
Otitis Media ◽  
Pure Tone ◽  
Chronic Otitis Media ◽  
Ear Surgery ◽  
Suppurative Otitis Media ◽  
Remote Areas ◽  
Pure Tone Average ◽  
One Stage ◽  
Air Conduction

AbstractObjectives:We evaluated the results of mobile, one stage, bilateral ear surgery conducted in Greenland, where chronic otitis media with and without suppuration is prevalent. The study aimed to increase the number of operations conducted and to reduce the cost of ear surgery in remote areas.Materials and methods:The study was longitudinal and prospective, with a two-year follow up. Seventeen East Greenlandic patients with bilateral chronic suppurative otitis media or chronic otitis media were selected. Their median age was 16 years; 53 per cent were female and 47 per cent male. Hearing was assessed using median air conduction pure tone average gain, and the ‘take rate’ (i.e. the percentage of total ears with a closed perforation) was evaluated.Results:All patients attended for follow up. Eighty-two per cent had at least one perforation closed, and the overall take rate was 65 per cent of the 34 ears. The median air conduction pure tone average gain after two years was 18 dB and 13 dB for the right and left ears, respectively. Fourteen patients (82 per cent) obtained an air conduction pure tone average hearing level of ≤25 dB in at least one ear. In total, 71 per cent of the patients were satisfied. There were no hearing hazards.Conclusions:The results of mobile, one stage, bilateral ear surgery conducted in Greenland for long-lasting chronic suppurative otitis media and chronic otitis media were acceptable and safe, and more ears underwent surgery at reduced cost compared with unilateral ear surgery.

scholarly journals Impact of depressive disorders on quality of life after middle ear surgery in patients with chronic otitis media

2020 ◽  
Author(s):  
Susen Lailach ◽  
Theresa Langanke ◽  
Thomas Zahnert ◽  
Susan Garthus-Niegel ◽  
Marcus Neudert
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Otitis Media ◽  
Middle Ear ◽  
Short Form ◽  
Chronic Otitis Media ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Sf 36

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.

Gustatory changes in patients with chronic otitis media, before and after middle-ear surgery

2012 ◽  
Vol 126 (5) ◽  
pp. 470-474 ◽  
Author(s):  
C-C Huang ◽  
C-D Lin ◽  
C-Y Wang ◽  
J-H Chen ◽  
Y-T Shiao ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
Middle Ear Surgery ◽  
Chorda Tympani ◽  
Chorda Tympani Nerve ◽  
Ear Surgery ◽  
Taste Testing ◽  
Gustatory Function ◽  
Before And After

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.

scholarly journals STUDY TO ASSESS THE EUSTACHIAN TUBE FUNCTION BEFORE AND AFTER TYMPANOPLASTY: A COMPARATIVE STUDY.

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Abhiniti . ◽  
Pawan Kumar Lal
Keyword(s):  
Comparative Study ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Middle Ear Surgery ◽  
Eustachian Tube Function ◽  
Ear Surgery ◽  
Before And After ◽  
Tube Function

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

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 The effect of preserved stapedial superstructure on hearing improvement

2019 ◽  
Vol 73 (6) ◽  
pp. 1-5
Author(s):  
Aleksandra Boroń ◽  
Agnieszka Wiatr ◽  
Jacek Składzień ◽  
Maciej Wiatr
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
The Other ◽  
Middle Ear Surgery ◽  
Reconstruction Method ◽  
Hearing Improvement ◽  
Ear Surgery ◽  
Extent Of Damage

Introduction: Ossiculoplasty can be carried out in a number of ways, depending on the anatomical and functional conditions encountered during otosurgery and the experience of a given centre. The extent of damage to the ossicular chain determines the reconstruction method. Aim: The objective of the study was to analyse treatment effects in terms of postoperative hearing improvement in patients with chronic otitis media, with a particular emphasis on stapedial superstructure preservation. Material and method: The records of 294 consecutive patients undergoing their first ENT surgery due to chronic otitis media at the Department of Otolaryngology of Collegium Medicum, Jagiellonian University of Kraków in 2009–2013 were analysed. In order to assess the role of preserved stapedial superstructure, 96 patients were eligible for further analysis. Results: The analysis points to a significant hearing improvement after ossiculoplasty with the preserved stapedial superstructure as compared with the patients after footplate mobilisation. On the other hand, the research results point to significantly smaller hearing improvement in those patients, in whom only stapes was preserved, as compared with those, in whom a more extensive reconstruction of the ossicular chain was possible. Conclusions: The air-bone gap measured before otosurgery often fails to reflect the extent of abnormalities and cannot, therefore, be considered as the only prognostic factor for postoperative hearing improvement. Stapes preservation is crucial for hearing improvement after middle ear surgery.

scholarly journals A study of surgical outcomes of myringoplasty in active and inactive ears

2017 ◽  
Vol 4 (1) ◽  
pp. 148
Author(s):  
Vasim Ismail Patel ◽  
N. H. Kulkarni ◽  
Jyothi A. C. ◽  
ShriKrishna B. H.
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Group Differences ◽  
Hearing Improvement ◽  
Ear Surgery ◽  
Hearing Gain ◽  
Gain Rate ◽  
Graft Take ◽  
Cortical Mastoidectomy ◽  
Widespread Belief

<p class="abstract"><strong>Background:</strong> Chronic otitis media (COM) can present with inactive (dry) and active (wet) ear. It’s an accepted fact that an actively draining central perforation is not a contraindication for ear surgery. The discharging ear presents the otologists with the dilemma of operating on it or not, this is due to widespread belief that the success rate while doing ear surgeries on active ears is decidedly inferior. Hence the present study is intended to find the outcome of ear surgeries in inactive and active ear with objective to find the incidence of graft uptake and hearing improvement in both the groups.</p><p class="abstract"><strong>Methods:</strong> A total of 50 active ear (with mucoid discharge) and 52 inactive ears (not discharging at least 3 month before surgery) with mucosal chronic otitis media underwent myringoplasty with cortical mastoidectomy. Graft take and hearing gain rates 3 and 6 months after surgery were calculated for both groups and compared.  </p><p class="abstract"><strong>Results:</strong> The graft take rate was 90% for the active ear group and 94% for the inactive ear group. The hearing gain rate was 90% for the active ear group and 94% for the inactive ear group. Differences were found to be statistically insignificant for both graft intake (p=0.461) and hearing gain (p=0.543).</p><p><strong>Conclusions:</strong> The success of myringoplasty is not adversely affected by the presence of mucoid ear discharge at time of surgery, and outcomes are comparable to those of the opration done for inactive ears. </p>

Early complications of surgery for chronic otitis media

1999 ◽  
Vol 113 (9) ◽  
pp. 803-810 ◽  
Author(s):  
P. J. D. Dawes
Keyword(s):  
Otitis Media ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Chorda Tympani ◽  
Threshold Elevation ◽  
Early Complications ◽  
Ear Surgery ◽  
Bone Conduction Threshold ◽  
Operative Complications ◽  
Complications Of Surgery

AbstractThis audit report details early post-operative complications following surgery for chronic otitis media. One hundred and forty-five cases were assessed. There were no facial nerve palsies, a bone conduction threshold elevation occurred in 4.6 per cent of cases. A wound infection occurred in six per cent of cases as did BIPP allergy. Twenty-six per cent of patients reported symptoms consistent with chorda tympani trauma. Short-lived symptoms of jaw discomfort were reported by 46 per cent of patients and imbalance or vertigo by 10 per cent of patients. The findings are compared with other published reports of complications following ear surgery.

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