scholarly journals Evaluation of the role of middle ear risk index as a prognostic tool in cases of tympanoplasty in chronic suppurative otitis media

2021 ◽  
Vol 7 (4) ◽  
pp. 622
Author(s):  
Poonam K. Saidha ◽  
Sahil Kapoor ◽  
Arpita Suri ◽  
Ayushi Gupta ◽  
Vikas Kakkar
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Risk Index ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Number Of Factors ◽  
Cortical Mastoidectomy ◽  
Patient Size ◽  
Conductive Hearing

<p class="abstract"><strong>Background:</strong> In chronic suppurative otitis media (CSOM), the success rate of tympanoplasty, can range from 35% to 92% and is influenced by a number of factors such as age of patient, size and site of perforation, status of ear, ossicular status and surgical technique. The middle ear risk index (MERI) of a CSOM patient is an effective numerical grading system helpful in predicting the outcome of surgery.  </p><p class="abstract"><strong>Methods:</strong> A prospective observational study was conducted in 50 patients over a period of 1 year including all cases of CSOM in age group of 18-55 years with conductive hearing loss that underwent tympanoplasty with or without cortical mastoidectomy and role of MERI was analysed for the outcome of the surgery.  </p><p class="abstract"><strong>Results:</strong> Successful graft uptake was seen in 92% cases while in 8% cases graft was rejected. Of these 46 cases, 32 cases had mild MERI score, 10 had moderate MERI score and 4 had severe MERI score. It was observed that higher the MERI score, lower the graft uptake.  </p><p class="abstract"><strong>Conclusions:</strong> Our study comprised of 50 patients of CSOM which were categorized into mild, moderate and severe on the basis of MERI score preoperatively. All the patients underwent tympanoplasty with or without cortical mastoidectomy and surgical outcome in terms of graft uptake was found to be significant. Higher the MERI score, lower was the graft uptake while lower the MERI score, higher was the graft uptake. Hence, MERI is a useful tool to ascertain the prognosis of tympanoplasty.</p>

scholarly journals Role of otoendoscope as a preoperative tool in tympanoplasty

2020 ◽  
Vol 6 (4) ◽  
pp. 695
Author(s):  
Showkat Ahmad Showkat ◽  
Nadhia Bhagat ◽  
Mohammed Shafi Bhat ◽  
Bilal Shafiq
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Chronic Suppurative Otitis Media ◽  
Technical Improvement ◽  
Suppurative Otitis Media ◽  
The Past ◽  
Sinus Tympani ◽  
Common Causes ◽  
The Common

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is one of the common causes for hearing impairment and disability. Despite continuous technical improvement, the basic optical principles and their limitations have remained the same over the past three decades. This study aimed at visualizing and evaluating the middle ear structures with the aid of 0 and 30-degree otoendoscopes preoperatively in cases of chronic suppurative otitis media.</p><p class="abstract"><strong>Methods:</strong> In this prospective study, 70 patients (40 females and 30 males) above the age of 10 years with CSOM were subjected to otoendoscopy using 0- and 30-degree endoscopes. The various middle ear structures and hidden spaces like facial recess, sinus tympani, hypotympanum were visualized preoperatively.  </p><p class="abstract"><strong>Results:</strong> Middle ear structures and blind niches were better evaluated preoperatively using 0 and 30-degree otoendoscopes and a definitive operative plan was formulated.</p><p class="abstract"><strong>Conclusions:</strong> Otoendoscopy provided a significant better visualization of all the middle ear structures and various hidden spaces.</p>

EVALUATION OF MASTOID PATHOLOGY IN TUBOTYMPANIC TYPE OF CHRONIC SUPPURATIVE OTITIS MEDIA

2020 ◽  
Vol VOLUME 8 (ISSUE 1) ◽  
pp. 30-34
Author(s):  
Sumit Sharma
Keyword(s):  
Otitis Media ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Age Groups ◽  
Chronic Otitis Media ◽  
Chronic Suppurative Otitis Media ◽  
Nasal Allergy ◽  
Suppurative Otitis Media ◽  
Number Of Factors ◽  
Tube Dysfunction

Otitis media is an in􀃸ammation of a part or whole of the mucoperiosteal lining of the middle ear cleft which is composed of Eustachian tube, h y p o t y m p a n u m , m e s o t y m p a n u m , epitympanum, aditus and mastoid air cells(1). It is one of the commonest ear disease of all age groups and it is caused by multiple interrelated factors including infections, eustachian tube dysfunction, nasal allergy and trauma. The disease has been classi􀃶ed on the basis of its underlying pathology as active or inactive mucosal, active or inactive squamosal and healed chronic otitis media (2). A number of factors are involved in the outcome of surgery for Chronic suppurative Otitis media and one of them is condition of the mastoid. According to Jackler and Schindler (3) Mastoid factors are extent of pneumatization and presence of in􀃸ammatory disease in mastoid. Holmquist and Bergstorm (4) in 1978 said that well aerated mastoid is a prerequisite for well ventilated middle ear and long lasting success. KEY WORDS: SAFE OTITIS MEDIA, MASTOIDECTOMY, MASTOID ANTRUM.

scholarly journals Adenoidectomy for middle ear disease in cleft palate children: a systematic review

2021 ◽  
Author(s):  
Cecilia Rosso ◽  
Antonio Mario Bulfamante ◽  
Carlotta Pipolo ◽  
Emanuela Fuccillo ◽  
Alberto Maccari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cleft Palate ◽  
Otitis Media ◽  
Middle Ear ◽  
Acute Otitis Media ◽  
Case Series ◽  
Velopharyngeal Insufficiency ◽  
Middle Ear Disease ◽  
Conductive Hearing

Abstract Purpose Cleft palate children have a higher incidence of otitis media with effusion, more frequent recurrent acute otitis media episodes, and worse conductive hearing losses than non-cleft children. Nevertheless, data on adenoidectomy for middle ear disease in this patient group are scarce, since many feared worsening of velopharyngeal insufficiency after the procedure. This review aims at collecting the available evidence on this subject, to frame possible further areas of research and interventions. Methods A PRISMA-compliant systematic review was performed. Multiple databases were searched with criteria designed to include all studies focusing on the role of adenoidectomy in treating middle ear disease in cleft palate children. After duplicate removal, abstract and full-text selection, and quality assessment, we reviewed eligible articles for clinical indications and outcomes. Results Among 321 unique citations, 3 studies published between 1964 and 1972 (2 case series and a retrospective cohort study) were deemed eligible, with 136 treated patients. The outcomes were positive in all three articles in terms of conductive hearing loss improvement, recurrent otitis media episodes reduction, and effusive otitis media resolution. Conclusion Despite promising results, research on adenoidectomy in treating middle ear disease in the cleft population has stopped in the mid-Seventies. No data are, therefore, available on the role of modern conservative adenoidectomy techniques (endoscopic and/or partial) in this context. Prospective studies are required to define the role of adenoidectomy in cleft children, most interestingly in specific subgroups such as patients requiring re-tympanostomy, given their known risk of otologic sequelae.

scholarly journals Relationship between Acute Suppurative Otitis Media and Chronic Secretory Otitis Media: Role of Antibiotics

1984 ◽  
Vol 77 (9) ◽  
pp. 754-757 ◽  
Author(s):  
Robert Mills ◽  
Ann Uttley ◽  
Michelle McIntyre
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Acute Otitis Media ◽  
Secretory Otitis Media ◽  
Sensitivity Testing ◽  
Suppurative Otitis Media ◽  
In Vitro Sensitivity ◽  
Resistance To Penicillin

A total of 204 chronic middle ear effusions from 122 children have been studied. Bacteria were isolated from 30 effusions. The commonest species found were Strep. pneumoniae and H. influenzae. These are also the commonest organisms causing acute otitis media (AOM). A similar pattern of serotypes was also demonstrated. In vitro sensitivity testing showed that most of the organisms isolated were sensitive to most commonly-used antibiotics. The main exception was resistance to penicillin amongst strains of H. influenzae and Staph. aureus. It is suggested that some cases of chronic secretory otitis media (SOM) may arise as a result of incomplete resolution of AOM and that the use of penicillin to treat AOM may be one factor in this process.

scholarly journals Correlation between Intraoperative Ossicular Status and Conductive Hearing Loss Degree among Chronic Suppurative Otitis Media Patients in Dr Mohammad Hoesin General Hospital Palembang

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.

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

2018 ◽  
Vol 232 (7) ◽  
pp. 733-738 ◽  
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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