scholarly journals Tympanometry and computed tomography measurement of middle ear volumes in patients with unilateral chronic otitis media

2021 ◽  
Vol 7 (4) ◽  
pp. 609
Author(s):  
Anuj Kumar Shukla ◽  
S. K. Kanaujia ◽  
Sandeep Kaushik ◽  
Nishant Saurabh Saxena
Keyword(s):  
Computed Tomography ◽  
Otitis Media ◽  
Middle Ear ◽  
Clinical Symptoms ◽  
Chronic Otitis Media ◽  
Volume Measurement ◽  
Mean Value ◽  
Control Group ◽  
Measured Volume

<p class="abstract"><strong>Background: </strong>Tympanometry and computed tomography (CT) measurement of middle ear volume in patients with unilateral chronic otitis media.</p><p class="abstract"><strong>Methods: </strong>The prospective study was conducted on 50 patients of diagnosed unilateral chronic otitis media showing clinical symptoms which affect quality of life. Patients who were fulfilling inclusion criteria after screening were selected for study. We studied patients who had a unilateral tympanic membrane (TM) perforation and a normal TM in the contralateral ear which act as control group to estimate the ME volume in the lesioned ear. Further we have compared pre and postoperative middle ear volume (measured by CT and tympanometry) in control &amp; diseased ear to correlate middle ear volume results obtained by CT and Tympanometry.</p><p class="abstract"><strong>Results: </strong>The mean value of MEV measured by tympanometry and CT were (1.343±0.580) and (1.106±0.380) respectively (Figure 1). Volume measurement by tympanometry is higher as compared to volume measured by CT in lesioned ear, hence tympanometry measured volume in diseased ear were higher that measured by CT which is closer to normal values in both normal and Diseased ears. Also hearing shows improvement in diseased ear after surgery due to restoration of middle ear volume closer to normal.</p><p class="abstract"><strong>Conclusions:</strong> It was concluded in our study that CT is more reliable investigation for middle ear volume measurement as compared to Tympanometry in diseased as well as normal ears.</p>

Comparison of the Aditus ad Antrum Diameter on CT between Patients with Chronic Otitis Media and Healthy Individuals

2019 ◽  
Vol 15 (10) ◽  
pp. 990-993 ◽  
Author(s):  
Elif Gündoğdu ◽  
Uğur Toprak
Keyword(s):  
Computed Tomography ◽  
Otitis Media ◽  
Middle Ear ◽  
Healthy Subjects ◽  
Normal Values ◽  
Chronic Otitis Media ◽  
Healthy Individuals ◽  
Inner Diameter ◽  
Male Patients ◽  
The Right

Background: The middle ear cavity is ventilated through the aditus ad antrum. Aditus blockage contributes to the pathology of otitis media. Objective: To determine the normal values of the aditus ad antrum diameter on computed tomography and to investigate its relationship with chronic otitis media and related pathologies (tympanosclerosis and myringosclerosis). Methods: The temporal CT images of 162 individuals were evaluated retrospectively. In the axial sections, the inner diameter of the aditus was measured at the narrowest point at the cortex. The differences in diameter were compared between diseased and healthy ears. Results: In healthy individuals, the diameter was narrower in women. There was no difference between the right and left ears in healthy subjects. No correlation was found between age and diameter. In male patients with myringosclerosis, the diameter was slightly narrower on both sides but more marked on the left. In female patients with myringosclerosis, the diameter in both ears was slightly narrower. In cases of otitis media and tympanosclerosis, the diameter was less than that of healthy individuals, despite the lack of statistically significant result in all cases. Conclusion: The aditus ad antrum was narrower in diseased ears, indicating that a blocked aditus may contribute to the development of otitis media, as well as mucosal diseases.

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

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.

scholarly journals A novel Turkish instrument for assessing quality of life in chronic otitis media –translation and validation of Zurich chronic middle ear inventory

2020 ◽  
Vol 50 (8) ◽  
pp. 1922-1929
Author(s):  
Belgin TUTAR ◽  
Ziya SALTÜRK ◽  
Güler BERKİTEN ◽  
Muhammed Enis EKİNCİOĞLU ◽  
Semih KARAKETİR ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Otitis Media ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
Translation And Validation

scholarly journals Anterior epitympanic attic antrum space obstruction and symptom onset associated with myringosclerosis in benign chronic suppurative otitis media

2020 ◽  
Vol 8 (6) ◽  
pp. 2013
Author(s):  
Zulfikar Naftali ◽  
Suprihati . ◽  
Dharmana E. ◽  
Setyawan H.
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
Symptom Onset ◽  
Chronic Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Control Group ◽  
Chi Square ◽  
Suppurative Otitis Media ◽  
Control Approach

Background: The AAA (Anterior epitympanic, Attic, and Antrum) space is the space between the mastoid and middle ear which functions to balance the pressure in both organs (buffer). Pathological tissue in the AAA cavity due to chronic infection would disrupt the buffer function and could change the morphology of the mucosa in the tympanic membrane and middle ear. Obstruction in the AAA space measured subjectively by observing the smoothness of the flow using saline solution has been shown to be associated with a plaque in the tympanic membrane (myringosclerosis) in Chronic Otitis Media (COM) patients. This study aims to determine the relationship between AAA space obstructions with myringosclerosis using CT-Scan for an objective result.Methods: Retrospective study with case-control approach used in this study. Case criterias are Chronic Suppurative Otitis Media (CSOM) patients with myringosclerosis, both men and women and age 15-50 years, while the control group are benign CSOM patients without myringosclerosis. Data were analyzed with the chi-square test to prove the association between the AAA space status and length of symptom onset with myringosclerosis.Results: During January 2017-December 2019 there were 33 respondents, 19 cases and 14 controls, 21 men and 12 women with an average age of 35 years (cases) and 23.5 years (control). The length of symptom onset more than 5 years (p <0.05, OR 6.94 with CI 0.5-1.5) and AAA space obstruction (p <0.05 OR 34.25 with CI 0.8-1.8) has been shown to be associated with myringosclerosis in people with benign CSOM.Conclusions: AAA space obstruction and symptom onset more than 5 years significantly associated with myringosclerosis. 

Scintigraphic evaluation of nasal mucociliary activity in unilateral chronic otitis media

2005 ◽  
Vol 119 (6) ◽  
pp. 443-447 ◽  
Author(s):  
Cemal Cingi ◽  
Fazilet Altin ◽  
Hamdi Cakli ◽  
Ernre Entok ◽  
Kezban Gurbuz ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Mucociliary Clearance ◽  
Chronic Otitis Media ◽  
Control Group ◽  
Ciliary Activity ◽  
Mucociliary Transport ◽  
Defence Mechanism ◽  
Lower Airways ◽  
The Difference

Mucociliary clearance is a key defence mechanism in human upper and lower airways. Although mucociliary activity is present in both ears of the patients, most cases of chronic otitis media are unilateral.In this study, we aim to evaluate the difference between nasal mucociliary activity of the affected and non-affected sides in patients with unilateral chronic otitis media. Both nasal transport times of 36 patients with unilateral chronic otitis media were compared statistically with each other and with the control group by independent samples t-test. The nasal mucociliary transport times of the nasal cavity at the same side as the affected ear and as the non-affected ear are significantly different, in the same patients.Our study shows that impaired or decreased nasal mucociliary activity may result in dysfunction of the eustachian tube and middle-ear ciliary activity, which plays an important role in the aetiopathogenesis of chronic otitis media.

scholarly journals Primary Middle Ear Meningioma with Intact Tympanic Membrane: A Case Report and Literature Review

2021 ◽  
pp. 014556132110581
Author(s):  
Yuan-Jun Liu ◽  
Lin Han ◽  
Jie Cao ◽  
Hong-Wei Zheng ◽  
Li-Sheng Yu
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
Clinical Symptoms ◽  
Otitis Media With Effusion ◽  
Relevant Literature ◽  
Chronic Otitis Media ◽  
Secretory Otitis Media ◽  
Ectopic Meningioma ◽  
Intact Tympanic Membrane

Primary ectopic meningioma of the middle ear is relatively rare in clinical practice. It is often difficult to distinguish it from chronic otitis media or otitis media with effusion due to its similar and atypical clinical symptoms. We report a case of epithelial tympanic ectopic meningioma with the main complaints of otalgia, aural fullness, and hearing loss. It was accidentally discovered during tympanotomy due to the symptoms of recurring refractory secretory otitis media. This article briefly reviews the relevant literature in recent years, summarizes the characteristics of primary ectopic tympanic meningioma with intact tympanic membrane, and emphasizes the diagnosis and treatment strategy of the middle ear mass.

scholarly journals Quality of Life Score Difference Based on Chronic Otitis Media Outcome Test-15 (COMOT-15) Questionnaire on Chronic Supurative Otitis Media Patients with and without Cholesteatoma at Sanglah General Hospital

2021 ◽  
Vol 2 (5) ◽  
pp. 14-18
Author(s):  
E. P. Setiawan ◽  
M. R. R. D. Meregawa
Keyword(s):  
Quality Of Life ◽  
General Hospital ◽  
Otitis Media ◽  
Middle Ear ◽  
Pathological Condition ◽  
Chronic Otitis Media ◽  
Life Assessment ◽  
Cross Sectional ◽  
Suppurative Otitis Media

Introduction: Chronic suppurative otitis media (CSOM) is a chronic infection in the middle ear with perforation of the tympanic membrane and persistent or intermittent secretion from the middle ear which is more than two months. It causes a pathological condition in the ear which results in limited hearing function in a person and will affect the quality of life of the patients. Quality of life assessment is carried out to assess the patient's condition and an instrument is needed to be able to evaluate the condition of CSOM patients. Currently, there are several questionnaires that can be used to assess the quality of life of people with CSOM. One of them is the Chronic Otitis Media Outcome Test (COMOT-15) which is a valid measuring tool to subjectively assess the quality of life of people with CSOM.  Methods: This study was an observational study with a cross sectional study design. Results: There was a difference in quality-of-life scores between CSOM patients with and without cholesteatoma types with mean score 26.87 (95% CI 22.28- 31.47) (p<0.001). Conclusion: There was a difference in quality-of-life scores between CSOM patients with and without cholesteatoma types at Sanglah General Hospital, Denpasar.

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