Study of pathology of ossicles in non-cholesteatomatous chronic suppurative otitis media, its repair and outcome

Background: If the ears have perforation of long standing durations, even without cholesteatomas, they remain infected. Three times as many operations were performed in the United States in 1978 for this disease as were performed for cholesteatoma. The objective of the study was to study of pathology of ossicles in non-cholesteatomatous chronic suppurative otitis media, its repair and outcome. Methods: This is a clinical study of patients presented to outpatient, department of Vijayanagar Institute of Medical Sciences, Bellary during the period of November 2004 to November 2005 with non-cholesteatomatous chronic suppurative otitis media. This study is aimed to study the various ossicular abnormalities encountered in non-cholesteatomatous chronic suppurative otitis media and their reconstruction techniques. Results: 12 ears (40%) had central and 18 ears (60%) had subtotal perforation. The average hearing loss in patients with isolated erosion of lenticular process of incus was 50.72±6.95 dB. In our study, autologous incus was used for ossicular reconstruction in 14 (46.67%) patients and homologous septal cartilage in 10 (33.33%) cases. Twenty-nine of the 30 cases underwent myringostapediopexy (type IIIb tympanoplasty) with the ossicular graft as short columella between the tympanic membrane graft and the stapes superstructure. Conclusions: Excellent results were noted only with the autologous incus graft. 28.57% of the total patients with autologous incus graft showed excellent post-operative results. Good results were found for autologous incus, homologous septal cartilage and teflon PORP, with percentage of 28.57, 50 and 25% respectively.

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

MVP Journal of Medical Sciences ◽

10.18311/mvpjms/2015/v2/i1/790 ◽

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. Aims and Objectives: 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. Materials and Methods: 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. Result: 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. Conclusion: 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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Correlation between Intraoperative Ossicular Status and Conductive Hearing Loss Degree among Chronic Suppurative Otitis Media Patients in Dr Mohammad Hoesin General Hospital Palembang

BioScientia Medicina ◽

10.32539/bsm.v5i4.409 ◽

2021 ◽

Vol 5 (4) ◽

pp. 1187-1198

Author(s):

Rizandiny ◽

Ahmad Hifni ◽

Erial Bahar ◽

Abla Ghanie

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Conductive Hearing Loss ◽

Hearing Threshold ◽

Chronic Suppurative Otitis Media ◽

Observational Research ◽

Strong Positive Correlation ◽

Suppurative Otitis Media ◽

Positive Correlation ◽

Conductive Hearing

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.

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CHRONIC SUPPURATIVE OTITIS MEDIA AND SENSORINEURAL HEARING LOSS

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2015/1674 ◽

2015 ◽

Vol 4 (67) ◽

pp. 11595-11599

Author(s):

Naveen Kumar A G ◽

Ravikeerthi G

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Sensorineural Hearing ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media

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Development of an ear cap in chronic suppurative otitis media using additive manufacturing and TRIZ

Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine ◽

10.1177/0954411918780126 ◽

2018 ◽

Vol 232 (7) ◽

pp. 733-738 ◽

Cited By ~ 1

Author(s):

Mahesh B Mawale ◽

Abhaykumar Kuthe ◽

Anupama M Mawale ◽

Sandeep W Dahake

Keyword(s):

Hearing Loss ◽

Additive Manufacturing ◽

Otitis Media ◽

Middle Ear ◽

Prevalence Rate ◽

Chronic Otitis Media ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

Collaborative Tool ◽

Middle Ear Infection

The prevalence rate of chronic suppurative otitis media is high and its treatment continues to be a challenge for the otorhinolaryngologists. Due to middle ear infection, there may be pain, hearing loss and spontaneous rupture of the eardrum which results in perforation. Infections can cause a hole in the eardrum as a side effect of otitis media. The patients suffering from ear perforation or having a hole in eardrum require preventing entry of water in the ear. This article describes the development of ear cap using additive manufacturing and TRIZ (a collaborative tool) to prevent the entry of water in the ear during chronic otitis media.

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Complications and Sequelae of Chronic Suppurative Otitis Media

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894880970s210 ◽

1988 ◽

Vol 97 (2_suppl) ◽

pp. 38-40 ◽

Cited By ~ 13

Author(s):

Orval E. Brown ◽

William L. Meyerhoff

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Facial Paralysis ◽

Chronic Suppurative Otitis Media ◽

Lateral Sinus ◽

Suppurative Otitis Media ◽

Intracranial Complications ◽

Osseous Changes

Chronic suppurative otitis media is an infection of the ME space associated with irreversible tissue disease. This entity is generally seen clinically as ME infection associated with a nonhealing perforation of the TM. It has significant complications and sequelae. Otologic complications of C Supp OM include petrositis, facial paralysis, and labyrinthitis. Intracranial complications include lateral sinus thrombophlebitis, meningitis, and intracranial abscesses. Sequelae include osseous changes of the ME with associated hearing loss, cholesteatoma, and tympanosclerosis.

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A study of hearing improvement after myringoplasties in Bir Hospital, Kathmandu

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v6i4.6723 ◽

2012 ◽

Vol 6 (4) ◽

pp. 31-35 ◽

Cited By ~ 1

Author(s):

LK Yadav ◽

D Shrestha ◽

J Pradhananga

Keyword(s):

Otitis Media ◽

Chronic Suppurative Otitis Media ◽

Medical Sciences ◽

Hearing Improvement ◽

Ear Surgery ◽

Suppurative Otitis Media ◽

Pure Tone Audiogram ◽

Prime Concern ◽

Number Of Patients ◽

Air Conduction

Myringoplasty is one of the most common ear surgery performed for chronic suppurative otitis media tubo tympanic type. The prime concern for patients who are willing to undergo myringoplasty is hearing improvement. The aim of this study is to assess the improvement of hearing after myringoplasties for Chronic Suppurative Otitis Media tubo tympanic type. The total number of patients included in the study was 105. Myringoplasties were performed in 129 patients, and only those who had graft uptake i.e. 105, were selected for the study. Age of the patients varied from 13 to 45 years. Pure tone audiogram was done before the operation and four weeks after the operation, and air conduction thresholds were compared. It was found that 83% of the patients had some degree of hearing improvement after the operation. No significant complications were observed except that few patients complained of pain at the site of incision for harvesting the graft. Thus, this study shows that, patients can be assured that the chances of hearing improvement is acceptable and can undergo the operation without fearing complications. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 31-35 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6723

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Risk factors of sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media

American Journal of Otolaryngology ◽

10.1016/j.amjoto.2018.01.002 ◽

2018 ◽

Vol 39 (2) ◽

pp. 88-93 ◽

Cited By ~ 6

Author(s):

Abd Elrheem Ahmed Singer ◽

Osama G. Abdel-Naby Awad ◽

Rafeek Mohamed Abd El-Kader ◽

Ahmed Rabeh Mohamed

Keyword(s):

Risk Factors ◽

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Sensorineural Hearing ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media

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Hearing impairment in unilateral chronic suppurative otitis media

Kazan medical journal ◽

10.17816/kazmj70711 ◽

1986 ◽

Vol 67 (5) ◽

pp. 370-372

Author(s):

A. Ya. Nugumanov

Keyword(s):

Hearing Loss ◽

Hearing Impairment ◽

Otitis Media ◽

Mixed Type ◽

Chronic Suppurative Otitis Media ◽

Auditory Function ◽

Suppurative Otitis Media ◽

Long Time

When studying the auditory function of patients suffering from unilateral chronic purulent otitis media for a long time, we noticed that along with hearing reduction in the diseased ear of the mixed type, there was often hearing reduction in the opposite ear of the neurosensory hearing loss type. These changes were even more pronounced when chronic purulent otitis media was combined with labyrinthitis. In patients aged 50 years and older, hearing loss in the opposite ear, exceeding age thresholds, was more frequent.

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