Cholesteatoma Medial to an Intact Tympanic Membrane in 34 Young Children

Thirty-five cholesteatomas medial to intact eardrums were treated in 34 children between 1976 and 1982. Six (18%) children had never had a documented episode of otitis media. Seventeen (50%) children, in whom the lesion was diagnosed at an early stage, underwent simple excision of the cholesteatoma without the need for extensive middle ear surgery. Findings from postoperative audiograms were normal for all such children. Cholesteatoma has recurred in eight (23%) children to date. Most recurrences were diagnosed 15 months or less after surgery. Routine careful otoscopic examination is essential in order to discover cholesteatoma at an early stage and to avoid hearing loss and the need for extensive otomastoid surgery. In order to perform an accurate examination of the eardrum, a halogen-illuminated otoscope and pneumo-otoscopy should be used by the pediatrician routinely. Particular attention should be paid to the posterior-superior quadrant of the tympanic membrance where a cholesteatoma is usually located.

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A cross sectional study to assess effects of mastoid drill on hearing levels in chronic suppurative otitis media cases in a tertiary care hospital in northern Maharashtra

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20170930 ◽

2017 ◽

Vol 3 (2) ◽

pp. 264

Author(s):

Amit Patil ◽

Poonam Khairnar

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Middle Ear ◽

Chronic Suppurative Otitis Media ◽

Middle Ear Surgery ◽

Government Medical College ◽

Ear Surgery ◽

Suppurative Otitis Media ◽

Medical College

Background: Chronic suppurative otitis media (CSOM) is most common middle ear disease that is encountered in daily practice. It is accepted that middle ear surgery carries a small risk of sensorineural hearing loss. The present study was done to assess the effects of mastoid drilling on hearing loss in operating ear and contralateral ear in cases of CSOM.Methods: 80 patients with CSOM (with or without complications) age group 15 - 60 years attended the ENT outpatient department of Government Medical College and Hospital after taking consent were selected for the study using universal sampling technique, between August 2014 to August 2016. Results: The study was conducted on 80 patients, aged between 15 to 60 years, who underwent ear surgery for CSOM at Government Medical College Hospital, from August 2014 to August 2016. We found no postoperative SNHL in 28 patients, while 52 patients (48 patients with temporary SNHL & 4 patients with permanent SNHL) had suffered from development of mild SNHL after middle ear surgery.Conclusions: Mastoid drilling used during ear surgery can cause mild sensorineural hearing loss in immediate postoperative period in operated ear.

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

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-020-06397-7 ◽

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.

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A Case of Aspergillus Otitis Media with Facial Paralysis after Middle Ear Surgery

Journal of Clinical Otolaryngology ◽

10.35420/jcohns.2012.23.2.253 ◽

2012 ◽

Vol 23 (2) ◽

pp. 253-257

Author(s):

Hwan Ho Lee

Keyword(s):

Otitis Media ◽

Facial Paralysis ◽

Middle Ear ◽

Middle Ear Surgery ◽

Ear Surgery

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Modification of auditory pathway functions in patients with hearing improvement after middle ear surgery

Otolaryngology ◽

10.1016/s0194-5998(98)70183-4 ◽

1998 ◽

Vol 119 (1) ◽

pp. 125-130 ◽

Cited By ~ 8

Author(s):

Juha-Pekka Vasama ◽

Jyrki P. Mäkelä ◽

Hans A. Ramsay

Keyword(s):

Hearing Loss ◽

Middle Ear ◽

Pure Tone ◽

Conductive Hearing Loss ◽

Adult Patients ◽

Middle Ear Surgery ◽

Ear Surgery ◽

Pure Tone Average ◽

The Mean ◽

Conductive Hearing

We recorded auditory-evoked magnetic responses with a whole-scalp 122-channel neuromagnetometer from seven adult patients with unilateral conductive hearing loss before and after middle ear surgery. The stimuli were 50-msec 1-kHz tone bursts, delivered to the healthy, nonoperated ear at interstimulus intervals of 1, 2, and 4 seconds. The mean preoperative pure-tone average in the affected ear was 57 dB hearing level; the mean postoperative pure-tone average was 17 dB. The 100-msec auditory-evoked response originating in the auditory cortex peaked, on average, 7 msecs earlier after than before surgery over the hemisphere contralateral to the stimulated ear and 2 msecs earlier over the ipsilateral hemisphere. The contralateral response strengths increased by 5% after surgery; ipsilateral strengths increased by 11%. The variation of the response latency and amplitude in the patients who underwent surgery was similar to that of seven control subjects. The postoperative source locations did not differ noticeably from preoperative ones. These findings suggest that temporary unilateral conductive hearing loss in adult patients modifies the function of the auditory neural pathway. (Otolaryngol Head Neck Surg 1998;119:125-30.)

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Sensorineural Hearing Loss Caused by Middle Ear Surgery.

Nippon Jibiinkoka Gakkai Kaiho ◽

10.3950/jibiinkoka.100.740 ◽

1997 ◽

Vol 100 (7) ◽

pp. 740-746 ◽

Cited By ~ 1

Author(s):

Masafumi Sakagami ◽

Hiroshi Ogasawara ◽

Michiko Node ◽

Toru Seo ◽

Yasuo Mishiro

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Middle Ear ◽

Sensorineural Hearing ◽

Middle Ear Surgery ◽

Ear Surgery

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

The Journal of Laryngology & Otology ◽

10.1017/s0022215112000497 ◽

2012 ◽

Vol 126 (5) ◽

pp. 470-474 ◽

Cited By ~ 12

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.

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A Correlative Study Between Size of Tympanic Membrane Perforation, Pure Tone Audiometry and Intraoperative Findings in Tympanoplasty

Bengal Journal of Otolaryngology and Head Neck Surgery ◽

10.47210/bjohns.2018.v26i1.155 ◽

2018 ◽

Vol 26 (1) ◽

pp. 43-47

Author(s):

Santosh U P ◽

Sridurga J ◽

Aravind D R

Keyword(s):

Hearing Loss ◽

Tympanic Membrane ◽

Otitis Media ◽

Middle Ear ◽

Pure Tone ◽

Chronic Otitis Media ◽

Pure Tone Audiometry ◽

Tympanic Membrane Perforation ◽

Membrane Perforation ◽

Operative Findings

Introduction Chronic otitis media (COM) is a most common and prevalent disease of the middle ear. COM has been defined as a longstanding inflammatory condition of middle ear and mastoid, associated with perforation of the tympanic membrane. Tympanoplasties are common surgeries performed for chronic otitis media in inactive mucosal type. Any otological surgery may involve a menace/ hazard of hearing loss post operatively. In this study, an attempt was made to correlate, size of tympanic membrane perforation, pure tone audiometry and intra-operative findings in tympanoplasties, results were analysed and conclusion drawn. Materials and Methods Forty patients attending ENT OPD with chronic otitis media (COM), inactive mucosal type, with conductive hearing loss undergoing tympanoplasties who were willing to participate in the study were selected. Ear was examined pre-operatively to assess the size of perforation and then, pure tone audiometry (PTA) was done to assess the type of hearing loss and its severity. During tympanoplasty, middle ear was inspected for ossicular status and any other pathology was noted. Later, the size of tympanic membrane perforation, pure tone audiometry and intra operative findings were correlated with each other and analysed. Result In small and medium sized perforation, PTA and intraoperative findings correlated with each other. Whereas, in large and subtotal perforation, there was no correlation. Conclusion In small and medium sized perforation, middle ear inspection may not be necessary. Whereas, in large and subtotal perforation it is necessary.

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Factors that have an influence on bone conduction thresholds changes after otosurgery in the patients operated on due to the perforation of the tympanic membrane with the preserved ossicular chain

Otolaryngologia Polska ◽

10.5604/01.3001.0010.2245 ◽

2017 ◽

Vol 71 (4) ◽

pp. 26-33

Author(s):

Maciej Wiatr ◽

Agnieszka Wiatr ◽

Sebastian Kocoń ◽

Jacek Składzień

Keyword(s):

Tympanic Membrane ◽

Middle Ear ◽

Negative Impact ◽

Positive Impact ◽

Round Window ◽

Bone Conduction ◽

Ossicular Chain ◽

Middle Ear Surgery ◽

Ear Surgery ◽

Study Objective

Introduction: The aim of the middle ear surgery is to eliminate abnormalities from the mucous, ensure the due airing of the postoperative cavity and reconstruct the sound-conducting system in the middle ear. Numerous reports can be found in literature on the changes to bone conduction as a consequence of middle ear surgery. Study objective: The aim of the work is to define the factors that affect bone conduction in the patients operated on due to the perforation of the tympanic membrane with the preserved and normal mobile ossicular chain. Material and method: A prospective analysis of patients operated on due to diseases of the middle ear in 2009–2012 was carried out. The cases of patients operated on for the first time due to chronic otitis media were taken into consideration. The analysis encompassed the patients who had undergone myringoplasty. The patients were divided into several groups taking into account the abnormalities of the mucous observed during otosurgery. Results: A significant improvement of bone conduction was observed in the patients with dry perforation, without other lesions in the middle ear. The appropriate pharmacological treatment before otosurgery in patients with permanent discharge from the ear resulted in significant bone conduction improvement. The elimination of granulation lesions turned out to be a positive factor for the future improvement of the function of the inner ear. Conclusions: The lack of abnormalities on the mucous of the middle ear (e.g. granulation,) and discharge has a positive impact on improvement of bone conduction after myringoplasty. Adhesions in the tympanic cavity, especially in the niche of the round window, have a negative impact on improvement of bone conduction in patients after myringoplasty.

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