Results, Hearing Rehabilitation, and Follow-up with Magnetic Resonance Imaging after Tympanomastoid Exenteration, Obliteration, and External Canal Overclosure for Severe Chronic Otitis Media

2007 ◽  
Vol 116 (9) ◽  
pp. 705-711 ◽  
Author(s):  
Katrien Ketelslagers ◽  
Thomas Somers ◽  
Bert De Foer ◽  
Andrzej Zarowski ◽  
Erwin Offeciers
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hearing Loss ◽  
Magnetic Resonance ◽  
Otitis Media ◽  
Cochlear Implantation ◽  
Conductive Hearing Loss ◽  
Chronic Otitis Media ◽  
Resonance Imaging ◽  
Conductive Hearing

Objectives: We sought to evaluate the results, auditory rehabilitation, and follow-up with magnetic resonance imaging (MRI) after tympanomastoid exenteration with obliteration of the mastoid cavity and overclosure of the external ear canal in patients with severe chronic otitis media that was resistant to medical therapy and conventional surgery and was associated with a profound sensorineural or severe conductive hearing loss. Methods: Twenty-nine patients were analyzed and underwent this surgical technique. Twelve patients had, during the same or later stage, either cochlear implantation, fixture implantation for a bone-anchored hearing aid, or middle ear implantation. For follow-up control of the obliterated cavity, delayed gadolinium-enhanced, T1-weighted MRI in combination with non-echo planar imaging diffusion weighted sequences were used. Results: No patient had recurrent otorrhea after an average follow-up period of 4.75 years. One patient had a residual cholesteatoma as shown by new MRI techniques, and this was successfully resected. One patient developed complications 6 months after 1-stage tympanomastoid exenteration and cochlear implantation. Conclusions: This technique is very useful in selected patients with severe chronic otitis media that is resistant to medical therapy and surgery and is associated with a profound sensorineural or severe conductive hearing loss. New sequences in MRI are used for postoperative follow-up of these obliterated cavities and seem reliable for the detection of residual or recurrent cholesteatoma. Middle ear implantation and cochlear implantation can be relatively safely performed in these patients in a second stage.

scholarly journals Cephalometric and Audiological Assessment of Eustachian Tube in Down Syndrome and Chronic Otitis Media

2013 ◽  
Vol 5 (3) ◽  
pp. 133-138
Author(s):  
Sunali Khanna ◽  
R Rangasayee
Keyword(s):  
Hearing Loss ◽  
Down Syndrome ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Conductive Hearing Loss ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Predisposing Factor ◽  
Lateral Cephalometry ◽  
Conductive Hearing

ABSTRACT Objective Cephalometric assessment of Eustachian tube (ET) parameters and audiological evaluation in Down syndrome (DS) and Chronic Otitis Media (COM) and comparison with controls. The ET length, Total Cranial Base (TCB), Posterior Upper Facial Height (PUFH), Maxillary Depth (MD), s-ba (sella-basion) to Palatal Line (PL) and s-ba to ET length were considered. Materials and methods The study comprised of 75 subjects of both sexes in the age range of 7 to 20 years. Digital lateral cephalometry was performed for DS, COM and controls (n = 25). Pure tone audiometry (PTA) and immittance audiometry (IA) was performed to assess audiological status. Results ET length, PUFH, TCB and MD was found to be significantly reduced in DS and COM. s-ba to PL and s-ba to ET was significantly reduced in DS and COM. The s-ba to PL and s-ba to ET length angle in moderate and severe CHL (Conductive Hearing Loss) was decreased significantly. The s-ba to ET length was significantly decreased in patients with B and C tympanogram. Conclusion Aberration in the dimension of the region of the ET can be considered as a predisposing factor for otitis media and conductive hearing loss in DS. How to cite this article Khanna S, Rangasayee R. Cephalometric and Audiological Assessment of Eustachian Tube in Down Syndrome and Chronic Otitis Media. Int J Otorhinolaryngol Clin 2013;5(3):133-138.

Cochlear implantation in chronic otitis media

2004 ◽  
Vol 118 (1) ◽  
pp. 3-7 ◽  
Author(s):  
A. Incesulu ◽  
S. Kocaturk ◽  
M. Vural
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Cochlear Implantation ◽  
Surgical Procedure ◽  
Disease Process ◽  
Chronic Otitis Media ◽  
Profound Hearing Loss ◽  
Potential Risks ◽  
Radical Cavity

Patients with chronic otitis media (COM) may have profound sensorineural hearing loss either due to the disease process or secondary to a surgical procedure. Some patients who are candidates for cochlear implantation may have COM coincidentally. The patients in this group need special attention when cochlear implantation is applied. The aim of this study is to evaluate the potential risks and complications in patients with COM.Cochlear implantation was performed in six patients with COM or an infected radical cavity and profound hearing loss. Five of them underwent a two-stage operation, and one had a single-stage operation. Cochlear implantation was performed in all patients without complications. The follow-up period was uneventful.Although such patients have some potential risks, when certain surgical rules are followed very strictly cochlear implantation can be successfully performed in patients with COM.

EFFECT OF CHRONIC OTITIS MEDIA ON LANGUAGE AND SPEECH DEVELOPMENT

PEDIATRICS ◽  
1969 ◽  
Vol 43 (5) ◽  
pp. 833-839 ◽  
Author(s):  
Vanja A. Holm ◽  
LuVern H. Kunze
Keyword(s):  
Hearing Loss ◽  
Language Development ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Chronic Otitis Media ◽  
Speech Development ◽  
Socioeconomic Background ◽  
Verbal Language ◽  
Conductive Hearing ◽  
Experimental Group

Two groups of children were compared in order to determine the effect on language and speech development of the fluctuating conductive hearing loss which accompanies chronic otitis media. The experimental group consisted of 16 children, aged 5 to 9 years, with chronic otitis media and with hearing fluctuations documented by audiograms. The control group was matched for age, sex, and socioeconomic background. The language performances of the groups were compared by means of the Illinois Test of Psycholinguistic Abilities, the Peabody Picture Vocabulary Test, the Templin-Darley Picture Articulation Screening Test, and the Mecham Verbal Language Development Scale. The result shows that the experimental group was delayed to a statistically significant degree in all language skills requiring the receiving or processing of auditory stimuli or the production of verbal responses. No significant differences were found in tests measuring primarily visual and motor skills. This would suggest that the fluctuating hearing loss accompanying chronic otitis media was the cause of the delay in language development found in the experimental group. Physicians, parents, and educators need to be aware of the implication of this language handicap, as it might affect performance. Further studies are needed to evaluate the influence on permanent language ability by the periodic lack of sensory stimulation experienced during conductive hearing loss due to frequent episodes of otitis media.

scholarly journals Relationship between tympanic membrane perforation and conductive hearing loss in patients with chronic otitis media

2017 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Amjed H. Ali ◽  
Isam M. Alshareda
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Surface Area ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Chronic Otitis Media ◽  
Tympanic Membrane Perforation ◽  
P Value ◽  
Membrane Perforation ◽  
Conductive Hearing

<p class="abstract"><strong>Background:</strong> Study performed to evaluate relationship between surface area of tympanic membrane perforation and degree of hearing loss and the effect of perforation site on that relationship in patients with chronic otitis media<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> Seventy-five perforated tympanic membranes from 63 patients aged between 14-45 years with inactive mucosal chronic otitis media included in this study. Rigid endoscope (0 degree) used to take an image for each perforation that analyzed by Autodesk Design Review 2013 program. Degree of hearing loss assessed by pure tone audiometry. Surface area of perforation classified into four groups according to its percentage. Perforation site categorized into three groups regarding its relation to handle of malleus. Data analysis carried out with SPSS program version 17<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> We studied 34 females and 29 males with different surface area and site of perforations. It observed that with increment of surface area of tympanic membrane perforation, the degree of conductive hearing loss increases (P value=0.000). This relationship expressed in a logarithmic equation. The mean hearing loss of posterior perforation was 1.7±0.5 dB for each 1% of perforation but in anterior perforation was 1.5±0.6 dB for each 1% of perforation (p value 0.185)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In chronic otitis media, there is a quantitative logarithmic relationship between surface area of tympanic membrane perforation and degree of conductive hearing loss. The site of perforation does not play a significant role in determining degree of conductive hearing loss<span lang="EN-IN">.</span></p>

Susac syndrome: outcome of unilateral cochlear implantation

2011 ◽  
Vol 125 (8) ◽  
pp. 856-858 ◽  
Author(s):  
N Grover ◽  
O J H Whiteside ◽  
J D Ramsden
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hearing Loss ◽  
Magnetic Resonance ◽  
Cochlear Implantation ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Ophthalmological Examination ◽  
Resonance Imaging ◽  
Susac Syndrome ◽  
Retinal Artery

AbstractObjective:Susac syndrome comprises a triad of vestibulocochlear dysfunction, retinopathy and multifocal encephalopathy, which is characterised pathophysiologically by microangiopathy of the ear, retina and brain. Diagnosis is confirmed by magnetic resonance imaging of the brain and ophthalmological examination, which reveals branch retinal artery occlusion. Hearing loss persists in 90 per cent of patients. We present a case of successful hearing rehabilitation by cochlear implantation in a young woman with this syndrome.Clinical presentation:A 36-year-old woman presented with neurological symptoms suggestive of encephalitis. She subsequently developed vestibulocochlear symptoms. The diagnosis was confirmed upon magnetic resonance imaging and fluorescein angiography, which showed multiple peripheral retinal arterial occlusions. Hearing loss was fluctuant but gradually progressive over nine months, to bilateral profound sensorineural hearing loss.Intervention:A left cochlear implant was placed, with a good outcome.Conclusion:In this Susac syndrome patient, the outcome of cochlear implantation was encouraging, notwithstanding the possible involvement of retrocochlear pathways.

Cephalometric and Audiological Assessment of Eustachian Tube in Down Syndrome and Chronic Otitis Media

2014 ◽  
Vol 6 (1) ◽  
pp. 1-6
Author(s):  
Sunali Khanna ◽  
R Rangasayee
Keyword(s):  
Hearing Loss ◽  
Down Syndrome ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Conductive Hearing Loss ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Predisposing Factor ◽  
Lateral Cephalometry ◽  
Conductive Hearing

ABSTRACT Objective Cephalometric assessment of Eustachian tube (ET) parameters and audiological evaluation in Down syndrome (DS) and Chronic Otitis Media (COM) and comparison with controls. The ET length, Total Cranial Base (TCB), Posterior Upper Facial Height (PUFH), Maxillary Depth (MD), s-ba (sella-basion) to Palatal Line (PL) and s-ba to ET length were considered. Materials and methods The study comprised of 75 subjects of both sexes in the age range of 7 to 20 years. Digital lateral cephalometry was performed for DS, COM and controls (n = 25). Pure tone audiometry (PTA) and immittance audiometry (IA) was performed to assess audiological status. Results ET length, PUFH, TCB and MD was found to be significantly reduced in DS and COM. s-ba to PL and s-ba to ET was significantly reduced in DS and COM. The s-ba to PL and s-ba to ET length angle in moderate and severe CHL (Conductive Hearing Loss) was decreased significantly. The s-ba to ET length was significantly decreased in patients with B and C tympanogram. Conclusion Aberration in the dimension of the region of the ET can be considered as a predisposing factor for otitis media and conductive hearing loss in DS.

Cochlear implantation after selective vestibular nerve section

2013 ◽  
Vol 127 (3) ◽  
pp. 311-313 ◽  
Author(s):  
C Martens ◽  
A Csillag ◽  
M Davies ◽  
P Fagan
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hearing Loss ◽  
Case Report ◽  
Magnetic Resonance ◽  
Cochlear Implantation ◽  
World Literature ◽  
Vestibular Nerve ◽  
Cochlear Nerve ◽  
Resonance Imaging ◽  
Nerve Section

AbstractIntroduction:Vestibular nerve section is a highly effective procedure for the control of vertigo in patients with Ménière's disease. However, hearing loss is a possible complication. If hearing loss occurs after vestibular nerve section, magnetic resonance imaging should make it possible to establish the presence or absence of an intact cochlear nerve.Method:Case report and review of the world literature concerning cochlear implantation after vestibular nerve section.Case report:We present a patient who developed subtotal hearing loss after vestibular nerve section. Magnetic resonance imaging was used to verify the presence of an intact cochlear nerve, enabling successful cochlear implantation.Conclusion:To our knowledge, this is the first reported case of cochlear implantation carried out after selective vestibular nerve section. Given recent advances in cochlear implantation, this case indicates that it is essential to make every effort to spare the cochlear nerve if vestibular nerve section is required. If hearing loss occurs after vestibular nerve section, magnetic resonance imaging should be undertaken to establish whether the cochlear nerve is intact.

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