Learning Disabilities and Conductive Hearing Loss Involving Otitis Media

Background: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the mucosa and periosteum of the middle ear and mastoid cavity that defined as a perforated tympanic membrane with persistent drainage for more than 2 months. Preoperative hearing threshold and air bone gap (ABG) assessment are expected to predict the ossicular status which can only be ascertained intraoperatively. This study aimed to determine the correlation between intra-operative ossicular status and the degree of conductive hearing loss assessed based on the hearing threshold and average ABG among CSOM patients in RSUP Dr. Mohammad Hoesin Palembang. Methods: Observational research using a cross sectional design. The data were collected using medical record on 64 subjects with a diagnosis of CSOM who underwent mastoidectomy surgery at Dr. Mohammad Hoesin Hospital Palembang for the period of March 2019 to June 2021. Results: From 64 samples conducted in the study, the average ossicular status score in CSOM patients was 1.84 ± 1.48, with the highest group scoring 0 being the malleus incus and intact stapes as many as 21 patients (31.3%). There was a strong positive correlation between hearing threshold scores and intra-operative ossicular status scores (p<0.005, R=0.5) and there was a strong positive correlation between ABG scores and intra-operative ossicular status scores (p <0.005, R=0.6). From the linear regression test, the most influential in predicting intra-operative ossicular status scores were gender, hearing threshold value, ABG value, and the presence of cholesteatoma Conclusions: There is a significant relationship between intra-operative ossicular status and the degree of conductive hearing loss in CSOM patients.

Download Full-text

Assess the hearing of contralateral ear in patients with unilateral chronic squamosal otitis media

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20201680 ◽

2020 ◽

Vol 6 (5) ◽

pp. 886

Author(s):

Raphella Khan ◽

Anirudh Kasliwal

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Conductive Hearing Loss ◽

Sensorineural Hearing ◽

Retraction Pocket ◽

Mixed Hearing Loss ◽

Contralateral Ear ◽

The Right ◽

Conductive Hearing

Background: Chronic squamosal otitis media can occur due to many conditions affecting the middle ear. Most common sign of developing a chronic squamosal otitis media is formation of a retraction pocket in the tympanic membrane leading to further development of a cholesteatoma and if not treated properly, may lead to development of dangerous complication in the affected ear. These etiological factors may also affect the other ear. It is therefore very necessary to assess and diagnose the contralateral ear, so that the disease can be intervened and treated at the right time, to prevent any deterioration in hearing of the contralateral ear.Methods: The prospective study was done in 100 patients with unilateral chronic squamosal otitis media, where the contra lateral ear was examined and assessed for any hearing loss. Results: We found hearing loss in the contra lateral ear ranging from mild conductive hearing loss to sensorineural hearing loss with the maximum patients with mild conductive hearing loss (42%) and lowest in sensorineural hearing loss (1%). Conclusions: In our study, 76 patients were seen with conductive hearing loss. Out of that, 42% patients were seen with mild conductive hearing loss, 30% with moderate conductive hearing loss and 4% with severe conductive hearing loss. 20% patients were seen with normal hearing. 3% patients were seen with mixed hearing loss and only 1% patient was seen with sensorineural hearing loss in contralateral ear.

Download Full-text

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

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1127 ◽

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.

Download Full-text

Neuroendocrine Adenoma of the Middle Ear (NAME)

Ear Nose & Throat Journal ◽

10.1177/014556130908800412 ◽

2009 ◽

Vol 88 (4) ◽

pp. 874-879 ◽

Cited By ~ 8

Author(s):

Karen Leong ◽

Marian M. Haber ◽

Venu Divi ◽

Robert T. Sataloff

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Middle Ear ◽

Conductive Hearing Loss ◽

Carcinoid Tumors ◽

Rare Tumor ◽

Pathologic Findings ◽

History Of ◽

Conductive Hearing ◽

Recurrent Otitis Media

Neuroendocrine adenoma of the middle ear (NAME) is a rare tumor. We report a case of NAME, the clinical and pathologic findings of which illustrate the biologic behavior of adenomatous tumors of the middle ear and their relationship with rare carcinoid tumors of the middle ear. A 29-year-old man presented with a history of recurrent otitis media, right conductive hearing loss, and aural fullness. The tumor was removed in its entirety. Otolaryngologists should be familiar with this unusual but important entity.

Download Full-text

Acute otitis media and Covid-19 symptoms: a case report

Auditory and Vestibular Research ◽

10.18502/avr.v30i4.7452 ◽

2021 ◽

Author(s):

Fatemeh Moghadasi Boroujeni ◽

Mehdi Ghadiri ◽

Farzaneh Saberi ◽

Hamed Hashemi-Dezaki

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Conductive Hearing Loss ◽

Acute Otitis Media ◽

Shortness Of Breath ◽

Muscular Pain ◽

Medical Tests ◽

The World ◽

The Common ◽

Conductive Hearing

Background: In December 2019, the first Coronavirus disease 2019 (Covid-19) case was observed in Wuhan, China, and afterward, the world has been exposed to an ongoing pandemic. The Covid-19 has different symptoms, such as fever, coughing, shortness of breath, muscular pain, headache, diarrhea, nose running, and a sore throat. However, the symptoms of Covid-19 are not limited to these ones. The Case: The present study reports a 39-year-old female patient complaining of earache and hearing loss with no other Covid-19 symptoms. The medical tests and diagnoses finally inferred that she was suffering from the Covid-19. Conclusion: In addition to the common symptoms of Covid 19, acute otitis media can be considered as another symptom of this disease. Keywords: Acute otitis media; Covid-19; conductive hearing loss

Download Full-text

Evaluating the Frequency of Ear Problems in Patients with Cleft Lip and Palate

Journal of Iranian Medical Council ◽

10.18502/jimc.v4i1.5742 ◽

2021 ◽

Author(s):

Fatemeh Mirashrafi ◽

Babak Saedi ◽

Mahtab Rabbani Anari ◽

Gholamreza Garmaroudi ◽

Roja Toosi ◽

...

Keyword(s):

Hearing Loss ◽

Cleft Palate ◽

Otitis Media ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Conductive Hearing Loss ◽

Otitis Media With Effusion ◽

Pure Tone Audiometry ◽

Hearing Disorders ◽

Conductive Hearing

Background: Orofacial cleft is one of the most common congenital malformations of craniofacial region. Otitis media with effusion causing conductive hearing loss is a considerable challenge for many children with cleft lip and palate. The aim of this study was to evaluate the prevalence of hearing disorders and associated malformations in these patients. Methods: The research population consisted of patients with cleft palate, between years 2012 and 2014, who were referred to Children’s Medical Center and Vali-e-Asr hospital in Tehran, Iran. Otoscopic examination, tympanometry, pure tone audiometry and echocardiography were performed for each patient. Results: Among patients with cleft palate, 73% suffered from hearing disorders. There was no relationship between prevalence of hearing loss and sex, presence of other congenital anomalies and degree of cleft, but middle ear diseases were significantly higher in children younger than 2 years. Among patients with cleft lip or palate, 10% suffered from cleft lip, 63% suffered from cleft palate and 27% suffered from cleft lip and palate. There was at least one congenital anomaly in 53% of patients. Conclusion: This study demonstrates high prevalence of otitis media with effusion and conductive hearing loss in patients with cleft. However, audiologic problems are alleviated when patients become older.

Download Full-text

EFFECT OF CHRONIC OTITIS MEDIA ON LANGUAGE AND SPEECH DEVELOPMENT

PEDIATRICS ◽

10.1542/peds.43.5.833 ◽

1969 ◽

Vol 43 (5) ◽

pp. 833-839 ◽

Cited By ~ 1

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.

Download Full-text