scholarly journals Effect of interlay tympanoplasty on anterior tympanomeatal angle and pure tone audiometry at one month, six month and one year follow up

2019 ◽  
Vol 5 (6) ◽  
pp. 1570
Author(s):  
Abdul Rehman Khan ◽  
Farzana Siddiqui
Keyword(s):  
Hearing Loss ◽  
Pure Tone ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Functional Results ◽  
Tympanic Membrane Perforations ◽  
Subtotal Perforation ◽  
One Year ◽  
Age Range

<p class="abstract"><strong>Background:</strong> The aim of the study was to determine the effect of interlay tympanoplasty on anterior tympanomeatal angle and on puretone average at 1 month, 6 month and 1 year follow up.</p><p class="abstract"><strong>Methods:</strong> This study was done at department of Otorhinolaryngology, RMRI, Bareilly, India, a tertiary-care Teaching hospital. A total number of 187 patients (86 females, 101 males) were included in this study from April 2014 to March 2018. Age range of selected patients was 15 years to 62 years, 133 patients were having subtotal perforation and remaining having perforation in the anterior half extending upto the annulus.  </p><p class="abstract"><strong>Results:</strong> The anterior tympanomeatal angle blunting and pure tone audiometry (PTA) at the due follow up time was assessed and results were analyzed in terms of angle of blunting and hearing loss detected by PTA. Anterior tympanomeatal angle (ATA) blunting was categorized in three groups as follows &lt;90<sup>o</sup>,90-120<sup>o </sup>and &gt;120<sup>o</sup>. Only 3 patients were having &gt;120<sup>o </sup>ATA after one year and mean hearing loss (air bone gap) was significantly less after 1 year follow up. There were only 3 patients with remnant perforation, after 1 year of surgery out of 187 cases, with 98.4% success rate.</p><p class="p1"><strong>Conclusions:</strong> Interlay tympanoplasty was significantly effective in repairing anterior and subtotal tympanic membrane perforations with avoidance of blunting at the anterior tympanomeatal angle and achieved good functional results. </p>

Can self assessment of communication predict hearing loss?

2006 ◽  
Vol 121 (5) ◽  
pp. 435-437 ◽  
Author(s):  
S Vij ◽  
A N Nagarkar ◽  
P Jindal
Keyword(s):  
Hearing Loss ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Normal Subjects ◽  
Medical Intervention ◽  
Self Assessment ◽  
Correlation And Regression Analysis ◽  
Pearson Coefficient ◽  
Age Range ◽  
Conductive Hearing

A total of 120 subjects with hearing loss (75 men, 45 women), within the age range 18–70 years (mean, 38 years), and 15 normal subjects were administered a modified Hindi adaptation of the ‘self assessment of communication’ hearing loss inventory. The study aimed to determine whether there was any correlation between subjects' average pure tone thresholds and their inventory scores. Data was analysed using the Pearson coefficient of correlation and regression analysis. A negative correlation was obtained stating that the greater the hearing loss, the lower the inventory score. An equation could also be derived for the bilateral symmetrical sensorineural hearing loss group and the bilateral symmetrical conductive hearing loss group to enable calculation of patients' average hearing loss from their inventory scores, in the absence of an audiogram. This could aid rehabilitation in cases with either type of hearing loss (in which no medical intervention was required) when pure tone audiometry is not possible.

Auditory function in early syphilis A follow up study

1984 ◽  
Vol 98 (6) ◽  
pp. 567-572 ◽  
Author(s):  
Ulf Rosenhall Gun-Briti Löwhagen ◽  
Gösta Roupe
Keyword(s):  
Hearing Loss ◽  
Auditory System ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Auditory Brainstem ◽  
Vascular Involvement ◽  
Auditory Function ◽  
Follow Up Study ◽  
Before And After

Abstract Twenty-six patients with secondary or early latent sypilis were examined by auditory brainstem reponse (ABR) audiometry and by pure tone audiometry before and after treatment. Normalization was registered in four of seven patients with pathological ABR before treatment, while in three patients the ABR abnormalities remained after treatment. Thirteen patients exhibited a sensorineural hearing-loss before treatment. In two patients this hearing-loss improved after treatment and a syphilitic etiology seems plausible. The reversible lesions in the auditory system may be related to asymptomatic syphilitic meningitis. Permanent ABR abnormalities might reflect syphilitic vascular involvement in the brainstem.

scholarly journals Sensorineural Hearing Loss as a Sequelae of Radiotherapy and Chemotherapy in Head and Neck Cancer - An Observational Study from Maharashtra, India

2021 ◽  
Vol 10 (33) ◽  
pp. 2740-2744
Author(s):  
Sanket Chandrashekhar Prabhune ◽  
Abhay D. Havle ◽  
Swapna Ajay Shedge ◽  
Khaleel Basha Mannuru ◽  
Lakshmi Sravya Yarlagadda ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Head And Neck Cancer ◽  
Sensorineural Hearing Loss ◽  
Head And Neck ◽  
Neck Cancer ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Sensorineural Hearing ◽  
Group A

BACKGROUND Radiotherapy is a very well-known treatment modality for head and neck cancers besides surgery. The cochlea and its neuroepithelium are sensitive to ionizing radiation and resultant damage as it remains in the field of irradiation, the chemotherapy also has a similar effect leading to sensorineural hearing loss (SNHL). To minimize the adverse effects of hearing the advent of technology like intensitymodulated radiotherapy (IMRT) using smaller doses of radiation is now available with good control of the disease. The intended concomitant uses of chemotherapeutic agent cisplatin for increasing the sensitivity of radiation may induce ototoxicity. Both of these modalities result in a pronounced effect on highfrequency sensorineural hearing loss. We wanted to determine and compare sensorineural hearing loss amongst cases of head and neck cancer treated by radiotherapy, chemotherapy either alone or in a combination of both. METHODS All clinically diagnosed patients of head and neck cancer requiring treatment using radiotherapy or chemotherapy alone or in combination having a normal hearing on pure tone audiometry (PTA) were enrolled in the study. All enrolled cases were divided into three groups namely A, B and C based on treatment received like radiotherapy, chemotherapy and combination respectively and their effect on hearing was compared. Hearing acuity was assessed by doing PTA before and after completion of treatment and at 6 months follow up in every case. RESULTS In groups A, B and C SNHL was noted at higher frequencies of 4 kHz and 8 kHz during 1st as well as final follow up. Hearing loss was found maximum in group C receiving combination treatment compared to the other two groups receiving in isolation. Hearing loss was the least in Group - A cases that received radiotherapy using the IMRT technique. CONCLUSIONS The possibility of SNHL is increased in cases receiving a combination of radio and chemotherapy (94 %). Extra care of shielding the cochlea is essentially required during treatment with high doses (> 60Gy) using conformal radiotherapy to limit the resultant radiotherapy-induced SNHL. Radiation-induced SNHL in the IMRT technique was the least (28 %) in the group - A cases and hence should be employed in every case. Future searches for cases of head and neck malignancy the newer effective combination of chemotherapeutic drug and radiation obviating the ototoxicity needs to be continued. KEY WORDS Cisplatin, Radiotherapy, Intensity - Modulated, Audiometry, Pure - Tone, Ototoxicity, Hearing Loss, Sensorineural

scholarly journals Hearing impairment in patients of renal failure

2021 ◽  
Vol 7 (11) ◽  
pp. 1744
Author(s):  
Joshna Thakur ◽  
Kavita Sachdeva
Keyword(s):  
Diabetes Mellitus ◽  
Renal Failure ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Creatinine Level ◽  
Pure Tone ◽  
Kidney Diseases ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Sensorineural Hearing

<p class="abstract"><strong>Background:</strong> Kidney diseases are emerging public health problems in developing countries. A common complication of renal failure is sensorineural hearing loss which is leading to poor quality of life. The aim of the study was to determine the prevalence of hearing loss in renal failure patients and to see the correlation of dialysis, ototoxic drugs, and creatinine levels.</p><p class="abstract"><strong>Methods:</strong> This observational study was conducted at the department of otorhinolaryngology, tertiary care center, Jabalpur (Madhya Pradesh) for a period of 18 months i.e.; from March 2019 to August 2020. 70 patients with renal failure were registered for study. In all patients hematological tests include hemoglobin, urea, creatinine, random blood sugar, serum electrolytes and pure tone audiometry was done.  </p><p class="abstract"><strong>Results:</strong> Out of 70 patients, 51 patients (72.9%) of renal failure had sensorineural hearing loss. Hypertension and diabetes mellitus as comorbidity play important role in hearing loss in renal failure patients. Acoustic reflex was absent in 14.3% of cases which signifying a profound hearing loss and these patients had creatinine level above 6 mg/dl.</p><p class="abstract"><strong>Conclusions:</strong> Senorineural hearing loss is more prevalent in renal failure patients. Significant association was present between raised creatinine level and sensorineural hearings loss. Diabetes mellitus and hypertension were the common comorbidities that have a significant role in hearing loss in renal failure patients. All patients having renal failure have a risk of developing sensorineural hearing loss. So, these patients should be kept under follow up by doing regular pure tone audiometry and taking preventive measures, so that the hearing loss doesn't occur.</p>

scholarly journals Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases

2015 ◽  
Vol 7 (3) ◽  
pp. 105-108
Author(s):  
Simple Patadia ◽  
Amitkumar Keshri ◽  
Saurin Shah
Keyword(s):  
Uptake Rate ◽  
Pure Tone ◽  
Chart Review ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Uttar Pradesh ◽  
Retrospective Chart Review ◽  
Long Term Results ◽  
Care Hospital ◽  
Tympanic Membrane Perforations

ABSTRACT Objective Cartilage shield tympanoplasty (CST) is an acknowledged procedure to repair total tympanic membrane perforations. The main objective of this study was to share our experience of CST, in form of its technique, graft uptake and hearing outcomes. Study design Retrospective chart review. Setting Tertiary care hospital, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. Patients A total of 69 cases of type 1 CST, from January 2013 to March 2014. We followed all patients for a minimum period of 6 months. Intervention Therapeutic. Main outcome measures Graft uptake rate, along with preand postoperative pure tone audiogram air bone gap (ABG) and postoperative complications, was evaluated. We compared ABG using Student's t-test. Results Graft uptake was seen in 68 cases (98.5%). The mean pre- and postoperative pure tone audiometry (PTA)-ABG was 37.58 ± 6.43 dB and 20.19 ± 8.14 dB, respectively. Hearing improvement was maximum at 2 kHz with mean postoperative value of 17.73 dB, and the least improvement was seen at 8 kHz with value of 30 dB in postoperative period. Conclusion The graft uptake rate was excellent, and hearing results were satisfactory. Cartilage shield tympanoplasty should be a recommended procedure for total perforation, subtotal perforation and revision cases. However, long-term results are still awaited. How to cite this article Patadia S, Keshri A, Shah S. Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases. Int J Otorhinolaryngol Clin 2015;7(3):105-108.

scholarly journals Relation between the duration of disease and audiogram findings in tubotympanic type of chronic suppurative otitis media after myringoplasty

2020 ◽  
Vol 6 (12) ◽  
pp. 2202
Author(s):  
Rajamohan Ganganamoni ◽  
Saai Ram Thejas
Keyword(s):  
Developing Countries ◽  
Hearing Loss ◽  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Early Closure ◽  
History Of ◽  
One Year

<p><strong>Background:</strong> Chronic suppurative otitis media (CSOM) has been an important cause of hearing loss and ear discharge in people affected by it for a significant time now. Its prevalence is more in developing countries where the socioeconomic status is low. Poor and overcrowded living conditions, poor hygiene and nutrition have been suggested as a basis for the widespread prevalence of CSOM in developing countries. Pure tone audiometry is the easiest and the most basic procedure which needs to be performed on any patient who has history of hearing loss irrespective of the nature of the disease and the cause surrounding it. Every initial evaluation for CSOM should include audiometric testing via air and bone along with pure tone thresholds. Aim of the study was to co-relate the hearing loss to the duration of the disease in the ear in patients with CSOM and to also associate the same to the corresponding hearing changes after myringoplasty.</p><p><strong>Methods: </strong>Sixty patients were taken to be part of the study after following a strict inclusion and exclusion criteria. With proper consent, they underwent pure tone audiogram and myringoplasty. Their air bone (AC) gap and air conduction (AC) threshold results were tabulated with the duration of the disease and a consensus was reached at.</p><p><strong>Results: </strong>It was observed that the hearing loss was much lesser if the duration of the disease was lesser than one year.  As the diagnosis was delayed, both the AB gap and mean AC threshold went up. The early closure of the perforation can significantly bridge the AB gap but the same cannot be said about the AC threshold as it seemed to be lesser affected by the duration.</p><p><strong>Conclusions: </strong>It can thus be concluded that AC threshold is quietly independent of the changes in the diseased middle ear as compared to the AB gap. This makes it a stronger tool in the assessment of hearing. The early diagnosis and management of tubotympanic type of CSOM can not only help in preventing complications but also aid in better hearing protection which in-turn helps in better social survival.</p>

scholarly journals Study on outcome of tympanopanoplasty: a two year institutional study

2021 ◽  
Vol 7 (2) ◽  
pp. 336
Author(s):  
Vivek K. Pathak ◽  
Rohit Saxena ◽  
Pradeepti Nayak ◽  
Sonali Tyagi
Keyword(s):  
Pure Tone ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
P Value ◽  
Medical Sciences ◽  
Type 1 Tympanoplasty ◽  
The Common ◽  
Age Range ◽  
Air Conduction

<p class="abstract"><strong>Background:</strong> Tympanoplasty is one of the common surgical procedure performed in CSOM (TTD), this study was undertaken to determine the outcome of tympanoplasty at a tertiary care teaching hospital.</p><p class="abstract"><strong>Methods:</strong> This analytical observational study was conducted in the department of E.N.T, School of Medical Sciences and Research, from January 2017 to December 2018. Informed consent was taken to participate in the study pure tone audiometry (PTA) was performed before surgery and post-operatively six months. Air-bone gap (ABG) was calculated in pre- and postoperative PTA. The data were analyzed using SPSS (version 20). The p value ≤0.05 was considered statistically significant.  </p><p class="abstract"><strong>Results:</strong> Over a peroid of 2 years 168 patients underwent type 1 tympanoplasty 86 were male 21 (51.19%), female 82 (48.80%), age (range 15–53 years). Mean pre-operative air-conduction of 43.12 dB was significantly reduced to 16.12 dB with p value of &lt;0.05. Similarly the pre-operative mean air bone gap on PTA of 35.63±6.35 dB was also reduced to statistically significant level of 7.41±3.51 dB on post-operative PTA with p value of &lt;0.05. Graft was taken up well in 152 cases (90.2%).</p><p class="abstract"><strong>Conclusions:</strong> According to our study surgical outcome of tympanoplasty is fairly good and should be done if patient gives consent.</p>

scholarly journals Assessment of hearing among mobile phone users

2019 ◽  
Vol 5 (5) ◽  
pp. 1167
Author(s):  
Priya Kanagamuthu ◽  
Thirunavukarasu Palanisamy ◽  
Rajasekaran Srinivasan
Keyword(s):  
Hearing Loss ◽  
Mobile Phone ◽  
Mobile Phones ◽  
Pure Tone ◽  
Health Hazard ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Smart Phones ◽  
Care Hospital ◽  
Mobile Phone Usage

<p class="abstract"><strong>Background:</strong> With the advent of new smart phones every day, health hazard related to it is also increasing. The usage of mobile phones has become a domineering activity of the students. Such usage have been documented to cause many health hazards like hearing loss, the mobile phone electromagnetic radiation has other potential risks like vehicular accidents, headache, and sleep disturbances, thermal effects and alteration of blood brain barrier. The objective of the study was to assess the hearing loss with pure tone audiometry due to chronic mobile phone usage among medical college students in a tertiary care hospital.</p><p class="abstract"><strong>Methods:</strong> This was a cross sectional study conducted among the medical students from June 2018 to December 2018, with the sample size of 129. The participants were interviewed using pretested, validated questionnaire followed the participants were subjected to pure tone audiometry.  </p><p class="abstract"><strong>Results:</strong> Among the 129 participants, the majority of the study participants (58.1%) were females. The median age of the participants was 20 and almost 42.7% of the participants used in ear media while using the phone. 10.9% and 19.4% showed symptoms of tinnitus and hard of hearing respectively. On testing the participants with pure tone audiometry, around 9.3% had mild hearing loss and 3.9% had moderate hearing loss.</p><p class="abstract"><strong>Conclusions:</strong> The health hazard caused by the mobile phone usage may not be evident for many years. The students are exposed to smart phones frequently and hence periodic screening and health education regarding the harm of using mobile phones for longer duration should be made imperative.</p>

Adult Hearing Screening: Follow-Up and Outcomes1

2013 ◽  
Vol 22 (1) ◽  
pp. 183-185 ◽  
Author(s):  
C. Thodi ◽  
M. Parazzini ◽  
S. E. Kramer ◽  
A. Davis ◽  
S. Stenfelt ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Pure Tone ◽  
Hearing Aid ◽  
Pure Tone Audiometry ◽  
Hearing Screening ◽  
Community Dwelling ◽  
The People ◽  
Medical Evaluation ◽  
Cerumen Removal

Purpose To screen hearing and evaluate outcomes in community-dwelling older adults. Method Three thousand and twenty-five adults responded to an invitation to be screened by questionnaire, otoscopy, and pure-tone audiometry. Pure-tone average (PTA) >35 dB HL in the worse ear, unilateral hearing loss, or otoscopic findings were the criteria for referral for services. A questionnaire related to compliance with referral recommendations was completed by telephone interview for 160 randomly selected participants after 1–2 years from referral. Results The referral rate for audiologic/hearing aid evaluation was 46%, and referral for cerumen removal/medical evaluation was 17%. Of the people referred for audiologic/hearing aid evaluation, 18% tried a hearing aid; 2 years later, 11% were using a hearing aid. Screening recommendations affected participants' decision to seek help. Study participants stated that the screening was helpful, it should be offered to everybody, and they would participate in future screenings. Conclusion Although adult hearing screening offered timely identification of hearing loss for adults seeking help, follow-up with hearing aid treatment was low.

scholarly journals Tele-Audiological Surveillance of Middle Ear Status among Individuals with Cleft Lip and/or Palate in Rural South India

2020 ◽  
Vol 31 (03) ◽  
pp. 185-194
Author(s):  
Pavithra Ravi ◽  
Vidya Ramkumar ◽  
Akilan Rajendran ◽  
Prasanna Kumar Saravanam ◽  
Subramaniyan Balasubramaniyan ◽  
...  
Keyword(s):  
Tamil Nadu ◽  
Pure Tone ◽  
Cleft Lip ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Care Hospital ◽  
Community Based ◽  
Treatment Plans

AbstractA community-based program for the comprehensive management of communication disorders among individuals with cleft lip and/or palate (CLP) was implemented in two rural districts in the state of Tamil Nadu, India. The program was successful in terms of early surgical repair, orthodontic management and speech correction; however, audiological surveillance was challenging due to poor follow-up rates.The aim of the study was to compare tele-audiological and in-person audiological surveillance to identify the most beneficial approach for the identification and treatment of middle ear disease (MED) in individuals with CLP in this rural community-based program.Quasi-experimental study.All beneficiaries older than 5 years actively seeking services in Cuddalore (n = 44) and Thiruvannamalai (n = 65) districts of Tamil Nadu, India, were included in the study. Individuals in Cuddalore district were assigned to the tele-audiological surveillance group, whereas individuals in Thiruvannamalai district were assigned to the in-person audiological surveillance group.In the tele-audiological surveillance group, video-otoscopy examinations were performed by trained community-based rehabilitation workers (CBRWs). Pure-tone audiometry and tympanometry were performed by an audiologist from the tertiary care hospital through remotely accessed equipment using broadband internet at the participants’ homes and monthly camps. Findings from those with suspected MED were forwarded to the otolaryngologist at the tertiary care hospital for remote diagnoses and treatment plans. Subsequently, CBRWs relayed the otolaryngologist’s recommendations to the individuals receiving services at the community. In the in-person audiological surveillance group, video-otoscopy, pure-tone audiometry, and tympanometry were performed by the audiologist following standard testing procedures at monthly camps. Individuals with suspected MED and impacted cerumen were referred for in-person diagnoses and treatment plans. Follow-up audiological surveillance was conducted in both districts after implementation of the otolaryngologist’s recommendations.The coverage, follow-up rate for intervention and cost-outcomes from the provider's perspective were analyzed and compared between two groups.Tele-audiological surveillance provided superior coverage (68%) compared with in-person audiological surveillance (38%). The tele-audiological surveillance group showed greater follow-up compliance (61%) than the in-person audiological surveillance group (19%) for treatment plans such as cerumen management and hearing aid fitting provided locally. Compared with in-person audiological surveillance, tele-audiological surveillance resulted in cost saving of USD 47 per individual.Tele-audiological surveillance was beneficial for the purpose of identifying and providing treatment in patients having CLP with MEDs in rural locations.

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