scholarly journals Association of hearing loss with depression, anxiety and stress in patients suffering from Chronic Suppurative Otitis Media

2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Shafaque Mehboob Khan ◽  
Tariq Rafi ◽  
Naveed Ahmed ◽  
Mehjabeen Mehjabeen
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Local Population ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Chronic Suppurative Otitis Media ◽  
Care Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Significant Difference

Objective: To study the correlation of hearing loss with depression, anxiety and stress in patients suffering from chronic suppurative otitis media in local population of Pakistan. Methods: This is a cross-sectional study conducted from May to September 2018 at tertiary care hospital of Karachi. One hundred and twenty patients of chronic suppurative otitis media were divided into three groups: Group-1 (maintained on ciprofloxacin), Group-2 (maintained on co-amoxicillin) and Group-3 (did not subject to the treatment).The measurement of hearing loss was carried out by pure tone audiometry (PTA) and the depression, anxiety and stress were scored taking depression, anxiety and stress scale (DASS) as tool. To observe the effect of hearing loss on different groups one way ANOVA was applied and Spearman correlation was used to find correlation of depression with hearing loss. Results: There was no significant difference found for hearing loss and severity among the groups treated with ciprofloxacin, co-amoxicillin and not maintained on antibiotic therapy. Positive correlations found between hearing loss and depression, anxiety and stress in patients of the three groups. Conclusion: Depression induced by hearing loss as a result of CSOM in patients need to be monitored during and after treatment and scored so that can be treated by counseling and antidepressant (if required). Information regarding this topic on population of Pakistan will be helpful for health care takers and policy makers to manage mental stress with hearing loss in CSOM. How to cite this:Mehboob S, Rafi SMT, Ahmed N, Mehjabeen. Association of hearing loss with depression, anxiety and stress in patients suffering from Chronic Suppurative Otitis Media. Pak J Med Sci. 2019;35(2):---------. doi: https://doi.org/10.12669/pjms.35.2.152 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Correlation between degree of hearing loss and intraoperative findings in tubotympanic type of chronic suppurative otitis media

2018 ◽  
Vol 4 (2) ◽  
pp. 537 ◽  
Author(s):  
Ravi Dudda ◽  
Sowmya Tumkur Rangaiah ◽  
M. Hanumantha Prasad ◽  
Nagavara Kalegowda Balaji
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Ossicular Chain ◽  
Chronic Suppurative Otitis Media ◽  
Hearing Improvement ◽  
Suppurative Otitis Media ◽  
Significant Difference

<p class="abstract"><strong>Background:</strong> The aim of tympanoplasty done for tubotympanic type of chronic suppurative otitis media (CSOM) should not only be to achieve a dry ear, but also to give hearing improvement to the patient. Aim of this study was to determine the correlation between size and site of tympanic membrane perforation with degree of hearing loss and correlation between ossicular chain status and degree of hearing loss on pure tone audiometry.</p><p class="abstract"><strong>Methods:</strong> Patients with tubotympanic CSOM with hearing loss upto 60 dBHL undergoing tympanoplasty were examined to know the site and size of tympanic membrane(TM) perforation. Intraoperative findings pertaining to middle ear and ossicles were noted.  </p><p class="abstract"><strong>Results:</strong> Out of 52 patients of tubotympanic type of CSOM, hearing loss was least (31.18±7.46 dBHL) in small perforations of the TM and highest in subtotal perforations (48.74±7.83 dBHL) which was statistically significant. Hearing loss was significantly more in posterior perforation (46.61±7.02 dBHL) than in anterior perforation of TM (32.65±8.77 dBHL).<strong> </strong>There was a statistically significant difference in pure tone average hearing loss between intact ossicle group (32.87±9.77 dBHL)<strong> </strong>and eroded ossicle group (43.39±9.60dBHL). Difference in air bone gap was also significant between intact ossicle group (24.09±9.56 dB) and eroded ossicle group (31.02±9.83 dB). Multiple ossicles were eroded in nineteen patients with incus being the most commonly eroded ossicle.</p><p><strong>Conclusions:</strong> In this study, hearing loss increased with increased size of TM perforation and also with posterior perforation. Incus was found to be the most commonly eroded ossicle. Multiple ossicles were seen eroded most commonly when hearing loss was moderate. The surgeon will be better equipped to do ossiculoplasty in view of these preoperative findings and also to counsel the patient better about their expectation of hearing improvement following surgery. </p>

Colligation of Hearing Loss and Chronic Otitis Media

2021 ◽  
Vol 15 (8) ◽  
pp. 1817-1819
Author(s):  
Bakht Aziz ◽  
Nasir Riaz ◽  
Ateeq ur rehman ◽  
Mohammad Irshad Malik ◽  
Kashif Iqbal Malik
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Sampling Technique ◽  
Chronic Suppurative Otitis Media ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Suppurative Otitis Media

Background: Permanent perforation in the eardrum with persistent drainage from middle ear for more than six weeks is labelled as chronic suppurative otitis media. The major disability of long standing chronic suppurative otitis media presents as disability in hearing thresholds both in young children and adults. The disease has a fewer prevalence in urban regions and mostly is found in the rural population. Aim: To identifying the Prevalence of hearing loss which is sensorineural in patients having middle ear chronic infection (CSOM). Study design & setting: Cross-sectional survey conducted in the department of ENT, Jinnah Hospital Duration/date of the study: 01st February 2020 to 31STJuly 2020 Methods: A Total number of 180 patients were included as a sample in the study. Keeping the level of confidence to 95% and keeping the margin of error to minimum to 5%. These statistics were generated keeping the frequency level of hearing in these patients to minial of 16%. The sampling technique would be non probability type of sampling with a purpose. Results: The results of the study concluded that patients of both sex ranged between first decade and fifth decade. A total of 180 patients had 114 male gender and 66 female gender patients. Patients having chronic middle ear disease were segregated into CSOM (tubo tympanic) with 137 patients and CSOM (attico antral) with 43 patients. The primary indicator of hearing loss in these patients however showed 23 patients having a hearing loss of sensori neural type and 157 patients did not have any sensori neural hearing loss. Conclusions: This research study draws a conclusion that majority cases of chronic middle ear infection is usually the safe type (Tubo tympanic) while a very fewer of these patients of CSOM would have (Attico antral) or dangerous type of CSOM. The major variable of the research, in the form of hearing loss which was sensori neural in patients presenting with CSOM was (12.8%). This percentage is much lower when compared with conductive hearing loss in CSOM. Keywords: Otitis media of chronic type with suppuration, pure tone audiometry, sensory neural hearing loss

scholarly journals SENSORINEURAL HEARING LOSS IN CHRONIC OTITIS MEDIA: A CROSS SECTIONAL DESCRIPTIVE STUDY AT TERTIARY CARE HOSPITAL

2020 ◽  
Vol 28 (4) ◽  
pp. 361-363
Author(s):  
Sajid Ali ◽  
Muhammad Junaid ◽  
Arif Raza Khan ◽  
Aftab Ahmad Khan ◽  
Naik Muhammad ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Descriptive Study ◽  
Sensorineural Hearing ◽  
Sample Size Determination ◽  
Chronic Suppurative Otitis Media ◽  
Care Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media

OBJECTIVE: To determine the frequency of sensorineural hearing loss in chronic suppurative otitis media. MATERIAL AND METHODS: A cross sectional descriptive study was done at department of ENT-B, Hayatabad Medical Complex (HMC), Peshawar, from March 2016 to September 2016. In this study a total of 174 patients were observed by using 95% confidence interval and 5% margin of error with expected frequency of sensorineural hearing loss 13% among cases with chronic suppurative otitis media with the help of WHO formula for sample size determination.  More over consecutive (non-probability) sampling technique was used for sample collection. RESULTS: In this study mean age was 26 years with standard deviation ± 11.62. Forty five percent patients were male while 55% patients were female. More over the incidence of sensorineural hearing loss was found to be 18% in patients with chronic suppurative otitis media. CONCLUSION: The incidence of sensorineural hearing loss was found to be 18% in patients with chronic suppurative otitis media.   KEY WORDS: Bacteriology, antibiotic sensitivity, chronic suppurative otitis media, sensory neural hearing loss

scholarly journals An association of sensorineural hearing loss in mucosal type of chronic suppurative otitis media

2018 ◽  
Vol 4 (3) ◽  
pp. 712
Author(s):  
Santosh Malashetti ◽  
Prabhu Khavasi ◽  
Prasen Reddy ◽  
Karra Bhargavi
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otitis Media ◽  
Tertiary Care ◽  
Bone Conduction ◽  
Chronic Otitis Media ◽  
Sensorineural Hearing ◽  
Chronic Suppurative Otitis Media ◽  
Care Hospital ◽  
Suppurative Otitis Media

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media of mucosal variety is one of the most common cause of conductive hearing loss worldwide. Sensorinueral hearing loss is rare but well established complication of chronic suppurative otitis media of squamosal variety. We made an attempt to view the sensorineural hearing loss in mucosal type of chronic otitis media and keeping objectives and aims as follows occurrence of sensorinueral hearing loss in mucosal type of chronic suppurative otitis media; relation of sensorinueral component with age, gender and duration in mucosal type of chronic suppurative otitis media.</p><p class="abstract"><strong>Methods:</strong> A total of 105 cases of mucosal type of CSOM were studied retrospectively for the pattern of hearing impairement on the basis of pure tone audiogram in a Tertiary care hospital. Relation 0f sensorinueral hearing loss with with age, gender and duration in mucosal type of CSOM is compared and tabulated with various studies.  </p><p class="abstract"><strong>Results:</strong> Out of total 105 cases of CSOM of mucosal variety 30 (28.57%) had sensorinueral hearing loss affecting 13 males and 17 females with males to females ratio of 1:1.3.Mean bone conduction thresholds in males at 1 kh, 2 kh and 4 kh is 30.38%, 38.46% and 46.15% respectively and Mean bone conduction thresholds in females at 1 kh, 2 kh and 4 kh is 30.88%, 35% and 44.41% respectively.</p><p class="abstract"><strong>Conclusions:</strong> Significant sensorinueral hearing loss was seen in our study. Age, gender and duration didn’t have any impact on degree of sensorinueral hearing loss.</p>

scholarly journals “The Study of Bacteriological Agents of Chronic Suppurative Otitis Media Aerobic Culture and Antibiotic Sensitivity Testing Pattern at a Tertiary Care Hospital in and around Rajamundry: A cross-sectional study”

2021 ◽  
Vol 7 (4) ◽  
pp. 207-214
Author(s):  
Dr. Neelima Pantagada ◽  
◽  
Dr. Praveen Kavoori ◽  
Keyword(s):  
Otitis Media ◽  
Tertiary Care ◽  
Antibiotic Sensitivity ◽  
Cross Sectional Study ◽  
Chronic Suppurative Otitis Media ◽  
Care Hospital ◽  
Sectional Study ◽  
Sensitivity Testing ◽  
Cross Sectional ◽  
Suppurative Otitis Media

Introduction: Chronic suppurative otitis media is a chronic infection of the middle ear and mastoidcavity which if not treated leads to partial or total loss of hearing and even life-threateningcomplications like meningitis and Intracranial abscess. Hence it is important to treat the persistentear discharge in CSOM according to the antimicrobial sensitivity of the organism isolated. Methods:This is a prospective cross-sectional study done in 135 clinically diagnosed patients of CSOM at GSLmedical college and General Hospital, Rajamundry, Andhra Pradesh from May 2019 to October 2019.Sterile swabs were used to collect pus from discharging ear and were inoculated onto Blood andMacConkey agar for 24-48 hrs, and identification of organisms was done by using standardbiochemical reactions and antibiotic sensitivity testing done by using modified Kirby- Bauer methodas per CLSI guidelines. Results: A total of 156 strains were isolated from 135 patients in thepresent study of which Pseudomonas aeruginosa and Staphylococcus aureus were amongst the mostisolated pathogens in culture. Imipenem showed the most sensitivity against Pseudomonas,subsequently levofloxacin and piperacillin. Linezolid was the most sensitive versus Staphylococcusensued by ciprofloxacin and cloxacillin. Conclusions: In the present study of Chronic suppurativeotitis media patients, Pseudomonas and Staphylococcus were highly prevalent and showed increasedresistance to beta-lactams and commonly used antimicrobial drugs. Antimicrobials like imipenem,piperacillin, and quinolones are effective against most cases of chronic suppurative otitis media

scholarly journals Comparative study of biofilm formation in tubotympanic and atticoantral ear disease

2021 ◽  
Author(s):  
Sanjay Kumar Saroj ◽  
Rajesh Kumar ◽  
Sushil Kumar Aggarwal ◽  
Tuhina Banerjee ◽  
Ashvanee Kumar Chaudhary ◽  
...  
Keyword(s):  
Otitis Media ◽  
Biofilm Formation ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Uttar Pradesh ◽  
Chronic Suppurative Otitis Media ◽  
Care Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Common Organism

<p class="abstract"><strong>Background:</strong> Biofilm is an organized bacterial community that may be homogeneous or heterogeneous. It plays a significant role in the pathogenesis of chronic rhinosinusitis, chronic tonsillitis and chronic suppurative otitis media. Biofilms may explain the recurrence and recalcitrant episodes of otorrhea in chronic otitis media (COM). The objective of this study was to detect biofilm formation in chronic suppurative otitis media and compare the pattern of biofilm formation in tubotympanic and atticoantral ear diseases.</p><p class="abstract"><strong>Methods:</strong> This was a prospective cross sectional study at a tertiary care hospital in Varanasi, Uttar Pradesh, India. Patients included in the study ranged from 10 to 65 years of age from  both the sexes and varying socioeconomic status. Samples were collected using sterile precautions in cases of tubotympanic as well as atticoantral COM. The collected samples were directly inoculated onto MacConkey and blood agar media. LisaScan® EM microtitter plate reader was used to identify the presence of biofilm.</p><p class="abstract"><strong>Results:</strong> The most common organism was <em>P. aeruginosa</em> and <em>S. aureus</em> followed by <em>Moraxella catarrhalis</em> whereas in cases with tubotympanic COM, most common organism was <em>S. aureus</em>. We found that, in atticoantral type of COM biofilm formation was significantly more common as compared to that in tubotympanic type of COM.</p><p class="abstract"><strong>Conclusions:</strong> Biofilm formation in COM is even higher when atticoantral disease is present.</p>

scholarly journals Correlation of the Puretone Audiometry Findings with Intraoperative Findings in Patients with Chronic Suppurative Otitis Media

2015 ◽  
Vol 2 (1) ◽  
pp. 4
Author(s):  
Devashri Uday Patil ◽  
Kiran S. Burse ◽  
Shreeya Kulkarni ◽  
Vandana Sancheti ◽  
Chaitanya Bharadwaj
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Ossicular Chain ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Number Of Patients ◽  
Operative Findings ◽  
Air Conduction

Chronic suppurative otitis media is one of the common otological conditions in India for which patients seek advice from an otorhinolaryngologist. Chronic suppurative otitis media is recurrent and progressive disease which is characterized with tympanic membrane perforation and suppurative discharge. Pure tone audiometry is the most common test used to evaluate auditory sensitivity. Since hearing loss is a common complication of chronic suppurative otitis media, we designed this study to evaluate preoperative pure tone audiometry findings in patients with chronic suppurative otitis media and its correlation with the intra-operative findings. <strong>Aims and Objectives:</strong> 1] To assess the intra-operative findings in patients with chronic suppurative otitis media. 2] To evaluate the correlation between the preoperative pure tone audiometry findings and intra-operative findings in patients with chronic suppurative otitis media. 3] To assess the type of hearing loss and degree of hearing loss in patients with chronic suppurative otitis media. <strong>Materials and Methods:</strong> This is an Observational study carried over a period of 3 years from August 2011 to August 2013. Total number of patients included in this study was 100. <strong>Result:</strong> Out of 100 patients studied 69 % of patients had Tubo-Tympanic type of CSOM, 31 % of patients had Attico-antral type of CSOM. In patients of Safe CSOM; Central perforation was seen in maximum cases 46.4 %, anterior central perforations was seen in 8.7 % cases, posterior central perforations seen in 20.2 % cases, and subtotal perforations seen in 24.63 % cases. In patients of Unsafe CSOM posterosuperior cholesteatoma was seen in maximum cases 67.74 %, and attic cholesteatoma was seen in 32.2 % cases. In safe CSOM patients all ossicles were intact and mobile whereas in unsafe CSOM patients only 4 patients had intact ossicular chain, while maximum patients had ossicular defect. <strong>Conclusion:</strong> Hearing loss depends on size of perforation. Hearing loss increases as the size of perforation increases. Average air conduction threshold and air bone gap did not differ significantly between various groups of ossicular defect. This shows us that neither air conduction nor air bone gap are reliable parameters on basis of which we can predict ossicular status preoperatively.

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