Audit of specialist registrar training in tympanomastoid surgery for chronic otitis media

2005 ◽  
Vol 120 (3) ◽  
pp. 193-199 ◽  
Author(s):  
S Mahendran ◽  
A M D Bennett ◽  
S E M Jones ◽  
B A Young ◽  
P R Prinsley
Keyword(s):  
Otitis Media ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
East Anglia ◽  
Training Tool ◽  
Specialist Registrar ◽  
Microsoft Access ◽  
Training Scheme ◽  
Minimum Interval ◽  
Training Programmes

Background: A prospective audit of specialist registrars' (SRs') training in tympanomastoid surgery for chronic otitis media within the Anglia Regional Training Scheme is described. This audit recorded the surgical activity of the trainees and their contribution to operative procedures, and assessed the results of the procedures. This type of systematic approach to the audit of surgical training is important in light of the current shortened training programmes and increased accountability of trainers.Objectives: The study aimed to establish the levels of exposure to, supervision of and outcome of ear operations for chronic otitis media performed by ENT trainees in the East Anglia region.Method: A prospective, region-wide, minimum otology dataset-based proforma audit was undertaken, with compulsory SR participation. Proformas were completed at the time of operation (form one) and at a minimum interval of nine months post-operatively (form two). Data on form one included hospital, supervising consultant, name and training year of SR, contribution of SR (based on England Royal College of Surgeons guidelines interpreted by the SR), pre-operative audiology average (air conduction/bone conduction over 0.5, 1, 2 and 4 kHz), the pathology and the state of the ear at the time of surgery, and a breakdown of the procedure(s) undertaken. Form two recorded data relevant to form one as well as information regarding patient satisfaction and the operative result obtained, graded as ‘gold’ (no disease, dry ear and hearing average < 25 dB), ‘silver’ (two of these three) and ‘bronze’ (one of these three). All completed forms were analysed using Microsoft Access software.;>   Results: Completed copies of 409 form ones and 156 form twos were analysed. With advancing years, SRs' contributions to procedures increased without significant effect on the graded outcome, which appeared to be independent of SR year of training. Different regional hospitals were compared. Data collected also provided an otology training portfolio for SRs, forming part of their registrar in-training assessment (RITA).Conclusion: The East Anglia SR audit of SRs' training in tympanomastoid surgery for chronic otitis media was a powerful training tool. It demonstrated the safe progression of SR training in supervised ear surgery, with SRs' results being comparable to those for consultant-performed procedures.

Retrosigmoid implantation of an active bone conduction stimulator in a patient with chronic otitis media

2014 ◽  
Vol 41 (1) ◽  
pp. 84-87 ◽  
Author(s):  
Luis Lassaletta ◽  
Isabel Sanchez-Cuadrado ◽  
Elena Muñoz ◽  
Javier Gavilan
Keyword(s):  
Otitis Media ◽  
Bone Conduction ◽  
Chronic Otitis Media

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>

Hearing in Chronic Suppurative Otitis Media

1989 ◽  
Vol 98 (4) ◽  
pp. 245-250 ◽  
Author(s):  
George G. Browning ◽  
Stuart Gatehouse
Keyword(s):  
Inner Ear ◽  
Otitis Media ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Hearing Impairments ◽  
Suppurative Otitis Media ◽  
High Prevalence ◽  
Disease Damage ◽  
Contralateral Ear ◽  
Sound Conduction

In individuals with chronic otitis media, mixed hearing impairments are common but it is unclear whether the raised bone conduction thresholds are a reflection of the pathologic process affecting the inner ear or a combination of the high prevalence of sensorineural hearing impairments in the population along with the artificial elevation of bone conduction thresholds associated with a conductive defect. a total of 395 ears with chronic otitis media but without cholesteatoma were studied. In them, once the artificial elevation (Carhart effect) of the bone conduction thresholds, which occurs whenever there is an abnormality of the sound conduction mechanism, had been taken into account, there was no difference in the bone conduction thresholds compared with those in 920 control ears. In addition, in 100 instances, the contralateral ear was normal and there was no difference in the bone conduction thresholds between the diseased and the normal ears. Raised bone conduction thresholds in chronic otitis media are considerably likely to reflect both the Carhart effect and the high prevalence of sensorineural impairments, rather than disease damage to the inner ear.

Chronic Otitis Media With Cholesteatoma With Canal Fistula and Bone Conduction Threshold After Tympanoplasty With Mastoidectomy

2014 ◽  
Vol 35 (6) ◽  
pp. 981-988 ◽  
Author(s):  
Tadashi Kitahara ◽  
Takefumi Kamakura ◽  
Yumi Ohta ◽  
Tetsuo Morihana ◽  
Arata Horii ◽  
...  
Keyword(s):  
Otitis Media ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Bone Conduction Threshold

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.

Mechanism of Hearing Loss in Irradiated Ears: A Long-Term Longitudinal Study

2001 ◽  
Vol 110 (10) ◽  
pp. 904-906 ◽  
Author(s):  
Yi-Ho Young ◽  
Ying-Chih Lu
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Tube Function ◽  
The Mean ◽  
Air Conduction

A 10-year longitudinal follow-up study of hearing was conducted in patients with nasopharyngeal carcinoma (NPC) in order to elucidate the mechanism of hearing loss in irradiated ears. Ten NPC patients were subjected to a battery of audiological tests before irradiation and 6 months, 5 years, and 10 years after irradiation. The tests included pure tone audiometry, tympanometry, eustachian tube function testing, and myringotomy to confirm middle ear effusion. The prevalences of otitis media with effusion (OME) were 25%, 25%, 40%, and 25% at the 4 testing periods described above, respectively. The prevalences of chronic otitis media were 0%, 0%, 15%, and 25%, respectively. In myringotomized ears (n = 17), the mean hearing levels for both air conduction and bone conduction were preserved from the preirradiation period to 10 years after irradiation. In contrast, in grommeted ears (n = 3), the mean hearing levels for both air conduction and bone conduction deteriorated progressively from the preirradiation period to 10 years after irradiation. We conclude that hearing can be preserved in NPC patients 10 years after irradiation if middle ear inflammation is well controlled. We do not recommend grommet insertion in irradiated NPC patients with OME, as it may result in persistent otorrhea and hearing deterioration.

scholarly journals Effect of Incudostapedial Reconstruction Using Conchal Cartilage Interposition Graft on Hearing Outcome

2018 ◽  
Vol 23 (03) ◽  
pp. e262-e266
Author(s):  
Nazrin Hameed ◽  
Arun Alexander ◽  
Sunil Kumar Saxena ◽  
Sivaraman Ganesan ◽  
Jyotirmay S. Hegde
Keyword(s):  
Otitis Media ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
Chronic Suppurative Otitis Media ◽  
P Value ◽  
Suppurative Otitis Media ◽  
Interposition Graft ◽  
Conchal Cartilage ◽  
Incudostapedial Joint

Introduction Chronic otitis media is a widely prevalent condition in developing countries and is a cause of correctable hearing loss. The most frequent ossicular chain defect found during surgery for chronic otitis media has been a discontinuity of the incudostapedial joint. This study observes the effect of incudostapedial reconstruction using conchal cartilage on the hearing of the patient. Objectives To evaluate improvement in hearing by incudostapedial reconstruction using conchal cartilage interposition graft in tympanoplasty and to identify the independent factors associated with erosion of the long process of incus among patients with chronic suppurative otitis media tubotympanic type. Methods This study was conducted in the department of ear, nose and throat (ENT) amongst 22 patients with tubotympanic-type chronic suppurative otitis media who were found to have erosion of the long process during tympanoplasty. These patients underwent incudostapedial reconstruction using conchal cartilage. Their hearing was again reassessed at 12 weeks postsurgery, and the changes were observed. Results A statistically significant improvement in air conduction by 15.14 dB was found after undergoing incudostapedial reconstruction using conchal cartilage (p < 0.001). There was no statistically significant change in bone conduction (p value > 0.05). A total of 59.1% of patients in the study had an improvement in hearing ranging from 11 to 20 dB. It was also found that 50% of the patients had a postoperative hearing of 10 to 20 dB. Conclusion Conchal cartilage interposition graft effectively improved hearing when used for the reconstruction of the incudostapedial joint during tympanoplasty in patients of chronic suppurative otitis media.

scholarly journals Study of hearing impairment and chronic otitis media in school going children in Pokhara, Nepal

2017 ◽  
Vol 4 (2) ◽  
pp. 9-13
Author(s):  
Jayandra Byanju ◽  
Chhanchu Gopal Saha
Keyword(s):  
Hearing Impairment ◽  
Otitis Media ◽  
School Children ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Cross Sectional Study ◽  
Tympanic Membrane Perforation ◽  
Cross Sectional ◽  
Government School ◽  
Number Of Children

Introductions: Hearing loss and chronic otitis media among school-aged children in developing countries is reported to be a significant health problem. This problem in children influences the overall development of behavioral and communication skills. The main objective of this study was to study the hearing impairment and chronic otitis media in school going children in Pokhara. Methods: This was a cross sectional study done in Pokhara district, Kaski, Western Region Nepal in two private schools and one government school of Pokhara, selected randomly. All these children were interviewed for history taking and the examinations included tuning fork examination (Rinne’s, Weber’s and absolute bone conduction tests) and examination of the ear using otoscope. Results: A total of 215 school children were included in the study. The mean age was 12.04 (SD=1.108), male 48.4% and female 51.6%. Hearing impairment was found in 21.4% and chronic otitis media in 9.8%. Among hearing impairment, 71.7% had conductive and 28.3% had sensorineural type of hearing losses. Out of total number of children, 12.1% had tympanic membrane perforation. Conclusions: The prevalence of hearing impairment was seen in one fifth and chronic otitis media in one tenth of local school children of Pokhara city, Nepal. Country wide prevalence and causes for preventive measures should be studied.  

Sign in / Sign up

Export Citation Format

Share Document