scholarly journals Ear diseases pattern and hearing impairment in the Eastern Nepal- A study in a combined eye and ear set up

2015 ◽  
Vol 6 (5) ◽  
pp. 51-55
Author(s):  
Sanjeev Kumar Thakur ◽  
Sanjay Kumar Singh ◽  
Bindeshwar Mahato ◽  
Anand Singh
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Otitis Externa ◽  
Otitis Media With Effusion ◽  
Medical Sciences ◽  
Suppurative Otitis Media ◽  
Ear Diseases ◽  
Tuning Forks ◽  
Set Up

Background: This is a prevalence study of ear diseases and hearing impairment done in acombined eye and ear set up of Biratnagar Eye Hospital. This study was conducted in theSunsari and Morang districts of Nepal. Its aim is to fi nd out the ear disease and hearingimpairment prevalent in the community.Materials and Methods: A total of 2259 people who visited eyecamps were screened for ear diseases. Patients were examined by the eye and ear assistantsunder supervision of otolaryngologist. A head mirror, an otoscope, an aural syringe, kidneytrays and light source and a set of tuning forks (512 and 256 Hz) were used to assessthe ear diseases and hearing loss.Results: A total of 1094 patients presented with eardiseases. Males were more than females [608(55.42%) vs. 486(44.57%)]. Children up toand below 15 years were 386 (35.28%). The frequency of ear diseases were as follows:Impacted wax- 319 (29.15%), chronic suppurative otitis media mucosal type - 307(28.06%),otomycosis - 66 (6.03%), furunculosis/otitis externa - 46 (4.29%), Acute suppurative otitismedia - 46 (4.2%), tubal catarrhal - 34(3.1%), otitis media with effusion - 24 (2.19%),perichondritis - 21(1.91%), Unsafe otitis media - 14(1.27%), Foreign body in theear - 4 (0.36%) cases, Postraumatic perforation of tympanic membrane - 2 (0.18%), deafand mute - 12 (1.09%). presbyacusis and other sensorineural hearing loss- 199(18.19%).The point prevalence of otitis media was 17.3% (391) people. Hearing impairment was64.99 %(635 out of 977 patients above 5 years).Conclusion: Ear diseases and hearingimpairment are very common in Sunsari and Morang districts of Nepal demanding immediatetreatment.DOI: http://dx.doi.org/10.3126/ajms.v6i5.11621 Asian Journal of Medical Sciences Vol.6(5) 2015 51-55    

scholarly journals Cost-effectiveness of audiometric screening of first-year preparatory pupils in Dhofar region, Oman

2004 ◽  
Vol 10 (3) ◽  
pp. 303-308
Author(s):  
T. Aasham ◽  
R. Khand ekar ◽  
M. Khabori ◽  
S. A. Helmi
Keyword(s):  
Hearing Loss ◽  
Cost Effectiveness ◽  
Hearing Impairment ◽  
Otitis Media ◽  
School Children ◽  
Otitis Media With Effusion ◽  
Cost Effective ◽  
First Year ◽  
Preparatory School ◽  
Suppurative Otitis Media

Audiometric screening was conducted in Dhofar region to study the magnitude of ear problems and cost-effectiveness of screening first-year preparatory-school children in Oman. None of the 1894 pupils had otitis media with effusion or sensory neuronal hearing loss. Six children [0.32%] had impacted wax, 4 [0.21%] chronic suppurative otitis media and 2 [0.11%] dry perforation of eardrum. In all, 14 children [0.74%] with suspected hearing impairment were referred to a specialist but only 2 attended. Physicians and nurses spent 8-10 minutes for ear examination per child for a yield of less than 1%. The screening expenditure was US$ 5 per pupil. As the prevalence of serious ear conditions was low, we conclude that exp and ing the audiometric screening of schoolchildren to first-year preparatory pupils is not cost-effective

scholarly journals Study on Hearing Impairment in Bangladesh

2021 ◽  
Vol 20 (1) ◽  
pp. 72-76
Author(s):  
Mohammad Mahabubul Alam Chowdhury ◽  
Kamrul Hassan Tarafder ◽  
Pran Gopal Datta ◽  
Mostafa Zaman ◽  
Nasima Akhtar ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Otitis Media With Effusion ◽  
Public Awareness ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Ear Wax ◽  
Conductive Hearing

Background : Hearing impairment is one of the leading causes of disability in Bangladesh. Since half the cases can be prevented through public awareness, early detection and timely management, planning of public health interventions become necessary. To achieve this, a nationwide level of evidence is required. This survey was conducted with the aim of determining the prevalence of hearing impairment in Bangladesh. Materials and methods : The study was a cross-sectional one, conducted between January to May 2013, where a multistage, geographically clustered sampling approach was used. A total of 52 primary sampling units were selected, and from each unit households were selected at random followed by random selection of an individual from each household. In total, 5,220 people were targeted out of which data collection could be completed from 4260 individuals. (82%). Following clinical assessment of study subjects, hearing status was assessed by pure tone audiometry and otoacoustic emission test. Results : The mean age was 32 years among which 58% were females. Among men, there were 29% students, 28% agriculture workers and 14% business men. A major portion of females (63%) were home makers. On clinical examination, 11.5% respondents had impacted ear wax, 6.2% had chronic middle ear infections with eardrum perforation, and 5.3% had otitis media with effusion.On hearing assessment, 34.6% respondents had some form of hearing loss (>25dB in better ear). Conductive hearing loss was found in 12.0%, sensorineural in 4.5% and mixed in 3.8%, where the latter two increased in prevalence with age. Out of the total respondents, 9.6% had disabling hearing loss according to WHO criteria, with a higher prevalence in adults > 60 years(37%). Logistic regression analysis showed age, socioeconomic status, presence of ear wax, chronic suppurative otitis media, otitis media with effusion and otitis externa were significant predictors of disabling hearing loss. Conclusion : The major causes of conductive hearing loss are chronic suppurative otitis media and otitis media with effusion. Chatt Maa Shi Hosp Med Coll J; Vol.20 (1); January 2021; Page 72-76

scholarly journals Disabling hearing impairment in the Bangladeshi population

2015 ◽  
Vol 129 (2) ◽  
pp. 126-135 ◽  
Author(s):  
K H Tarafder ◽  
N Akhtar ◽  
M M Zaman ◽  
M A Rasel ◽  
M R Bhuiyan ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Otoacoustic Emissions ◽  
Otitis Media With Effusion ◽  
Multiple Logistic Regression Analysis ◽  
Pure Tone Audiometry ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Ear Wax

AbstractObjective:This study aimed to determine the prevalence of hearing impairment in Bangladeshi people of all ages.Methods:A nationally representative cross-sectional survey was carried out in 2013. A total of 4260 subjects (1774 males and 2486 females), with a mean age of 32 years, participated. Hearing impairment was determined by pure tone audiometry and otoacoustic emissions testing.Results:Disabling hearing loss (greater than 40 dB loss in adults, and greater than 30 dB loss in children younger than 15 years, in their better hearing ears) was present in 9.6 per cent (95 per cent confidence interval, 8.5–10.8 per cent) of the respondents. Hearing loss was more prevalent in socio-economically deprived people and in those older than 60 years. Multiple logistic regression analysis identified age, socio-economic deprivation, family history, impacted ear wax, chronic suppurative otitis media, otitis media with effusion, and otitis externa as the significant predictors of disabling hearing loss.Conclusion:Deafness prevention should focus mainly on chronic suppurative otitis media, otitis media with effusion, and impacted ear wax prevention, integrated within the primary healthcare system and addressing the equity issue.

Impedance Audiometry Suggested

PEDIATRICS ◽  
1974 ◽  
Vol 54 (3) ◽  
pp. 384-384
Author(s):  
John A. McCurdy
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Middle Ear ◽  
Verbal Ability ◽  
Secretory Otitis Media ◽  
Suppurative Otitis Media ◽  
Significant Percentage ◽  
Children With Hearing Loss ◽  
Verbal Development

The findings of Kaplan et al.1 with respect to impairment of verbal ability in Alaskan children with hearing loss greater than 25 dB ISO secondary to chronic suppurative otitis media warrant renewed attention to a similar otologic problem which constitutes a threat to the verbal development of a significant percentage of all children—hearing impairment secondary to chronic secretory otitis media. Although the hearing loss in chronic secretory otitis media may fluctuate, a significant conductive impairment will persist as long as fluid remains in the middle ear.

Prevalence of ear diseases in the children of Delhi

2015 ◽  
Vol 129 (5) ◽  
pp. 425-429 ◽  
Author(s):  
S K Chadha ◽  
K Gulati ◽  
S Garg ◽  
A K Agarwal
Keyword(s):  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Public Health Problem ◽  
Population Based ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Ear Diseases ◽  
High Prevalence ◽  
Significant Public Health Problem ◽  
Significant Public Health

AbstractObjective:This study aimed to assess the prevalence and profile of ear diseases in children from Delhi, India.Methods:A population-based cross-sectional door-to-door survey was carried out in two districts of Delhi, and involved children of all demographic sections of the region. A total of 4626 children aged between 18 days and 15 years underwent examinations including otoscopy, impedance audiometry and hearing screening.Results:In all, 14.8 per cent of the study sample was diagnosed with one or more ear morbidities, the most common being cerumen impaction (7.5 per cent) and chronic suppurative otitis media (3.6 per cent). There was clinical evidence of otitis media with effusion in 2 per cent of children, and 0.96 per cent had otitis externa (bacterial and fungal). The point prevalence of acute suppurative otitis media was 0.39 per cent. In all, 0.45 per cent of children were found to have an undiagnosed foreign body within the ear canal.Conclusion:The high prevalence of ear disease poses a significant public health problem in Delhi.

Hearing impairment in unilateral chronic suppurative otitis media

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.

scholarly journals The Formation of Biofilm and Bacteriology in Otitis Media with Effusion in Children: A Prospective Cross-Sectional Study

2021 ◽  
Vol 18 (7) ◽  
pp. 3555
Author(s):  
Artur Niedzielski ◽  
Lechosław Paweł Chmielik ◽  
Tomasz Stankiewicz
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Pathogenic Bacteria ◽  
Bacterial Culture ◽  
Otitis Media With Effusion ◽  
Cross Sectional ◽  
Opportunistic Bacteria ◽  
Positive Bacterial Culture ◽  
Staphylococcus Spp

Background: Otitis media with effusion (OME) can cause serious complications such as hearing impairment or development delays. The aim of the study was to assess the microbiological profile of organisms responsible for OME and to determine if a biofilm formation can be observed. Methods: Ninety-nine samples from 76 patients aged from 6 months to 12 years were collected for microbiological and molecular studies. Results: In microbiological studies, pathogenic bacteria Haemophilus influenzae (38.89%), Streptococcus pneumoniae (33.33%), and Staphylococcus aureus MSSA (27.78%), as well as opportunistic bacteria Staphylococcus spp. (74.14%), Diphtheroids (20.69%), Streptococcus viridans (3.45%), and Neisseria spp. (1.72%) were found. The average degree of hearing loss in the group of children with positive bacterial culture was 35.9 dB, while in the group with negative bacterial culture it was 25.9 dB (p = 0.0008). The type of cultured bacteria had a significant impact on the degree of hearing impairment in children (p = 0.0192). In total, 37.5% of Staphylococcus spp. strains were able to form biofilm. Conclusions: Staphylococcus spp. in OME may form biofilms, which can explain the chronic character of the disease. Pathogenic and opportunistic bacteria may be involved in the etiopathogenesis of OME. The degree of hearing loss was significantly higher in patients from which the positive bacterial cultures were obtained.

scholarly journals Clinical profiles of patients referred to an ear, nose and throat specialist clinic via community mobile hearing clinic in Singapore

2020 ◽  
pp. 201010582097932
Author(s):  
Zee Hui Lim ◽  
Ying Pei Soo ◽  
Jenny Hooi Yin Loo
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Otitis Media ◽  
Local Community ◽  
Otitis Media With Effusion ◽  
Community Based ◽  
Suppurative Otitis Media ◽  
Clinical Profiles ◽  
Clinical Records ◽  
Nose And Throat

Background: Community-based audiology service is new to the Singapore’s health-care landscape. Cases deemed unsuitable to remain under audiologists’ management in the community are referred to ear, nose and throat (ENT) specialists. Objectives: Analysis of the clinical profiles for these referred cases revealed the local community burden of otological and auditory conditions. Methods: This was a retrospective, cross-sectional pilot study. Clinical records of 375 patients who were seen by audiologists at a community-based mobile hearing clinic (MHC) and warranted ENT specialist referrals were extracted for descriptive analysis. Results: A total of 83.73% ( n=314) of patients attended their ENT appointments as advised by audiologists. Most patients (57.07%, n=234) had one condition diagnosed by the ENT specialist. One patient had four ENT conditions. Twenty-two types of otological conditions were diagnosed. Chronic suppurative otitis media, otitis externa, impacted cerumen and otitis media with effusion made up the four most frequently seen conditions in this subgroup. Twelve types of auditory conditions were diagnosed, with asymmetrical hearing loss topping the list. Sixteen types of other ENT conditions were diagnosed. Four incidental findings of vestibular schwannoma were reported. Conclusion: Many of the otological conditions diagnosed were chronic. Auditory conditions were predominantly hearing loss. Yet, they were found unnoticed or untreated by patients at the time of their visit to the MHC. This community-based audiology clinic had a catalytic effect on promoting timely or even early otological/hearing diagnosis and treatment. Understanding the prevailing ENT conditions of our wider population indicates the potential for growing community-based hearing health-care provision.

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

2018 ◽  
Vol 4 (2) ◽  
pp. 462
Author(s):  
C. R. Vijay Bharath Reddy ◽  
M. Santhosh Reddy
Keyword(s):  
United States ◽  
Hearing Loss ◽  
Otitis Media ◽  
The United States ◽  
Septal Cartilage ◽  
Chronic Suppurative Otitis Media ◽  
Medical Sciences ◽  
Suppurative Otitis Media ◽  
Operative Results ◽  
Subtotal Perforation

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">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. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">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.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">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. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">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.</span></p>

scholarly journals Correlation of Enlarged Adenoids with conductive hearing impairment in children under twelve

2016 ◽  
Vol 21 (2) ◽  
pp. 62-68
Author(s):  
SM Sarwar ◽  
Masroor Rahman ◽  
Mohammad Idrish Ali ◽  
Md Morshed Alam ◽  
Md Anwar Hossain ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Neck Surgery ◽  
Middle Ear Pressure ◽  
Medical University ◽  
Conductive Hearing ◽  
Head Neck Surgery

Objective: To find out the relation of conductive hearing loss in children with enlarged adenoids.Methods: Study was conducted in out patients department and Indoor wards of the Department of Otolaryngology on Head Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka during the periods of October 2005 to March 2006. 60 patients with enlarged amides were included in this study. The assessment of the patients were established on the basic of history clinical, 2 and audiological examination was done. Data were collected and analyzed using statistical package for Social Science.Results: In this study 60 patients (from 3 years to 12 years age) diagnosed as having ‘enlarged adenoids’ in the Otolaryngology and Head-Neck Surgery out patient and in patient Departments of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from May 2005 to March 2006 are included in this series. Most of the patients presented with multiple symptoms, the commonest was the hearing impairment (58.33%). Other common symptoms were mouth breathing (50.00%), Nasal obstruction (50.00%), snoring (46.67%). Majority of them were male (62.85%) and 53.33% were in the 5-10 years age group. Middle class family occupy the lion share (58.33%). 60.00% patients live in a overcrowded condition. 50.00% patients were found with gross enlargement of adenoids. Hearing impairment was found in 58.33% ears of-patients of adenoids. Reduced middle ear pressure and compliance were found in 64.00% ears. Among the patients of enlarged adenoids otitis media with effusion was found in 58.33% (35) of patients. Among the patients of OME majority was male (62.85%). There was 77.14% (27) bilateral and 22.85% (8) unilateral cases. On otoscopy of OME patients, all patients had retraction of tympanic membrane, cone of lights were distorted in 50.00%, fluidlevels in 68.57% and bubbles were in 28.57% of ears. 71.43% OME patients had hearing loss in the range of 26-40 dB. Middle ear pressure and compliance were found reduced in 88.57% (62) ears of OME patients. There were 58.33% incidence of OME among enlarged adenoids cases. All the patients of OME with enlarged adenoids had a hearing loss between 26-55dB. Out of the 22 OME cases with gross adenoids, 16 had a middle ear pressure between -201 to-300 mm of H20 and 19 had a middle ear pressure between -101 to -200 mm of H20. On myringotomy fluid came out from all 62 (100%) ears. From majority (38) ears serous type of fluid came out.Conclusion: This is an endeavor to find out a correlation of enlarged adenoids with conductive hearing impairment in children. Otitis media with effusion is suspected in all children suffering from enlarged adenoids. All together 60 patients with enlarged adenoids were included in the study. Result of this study may not be the actual picture of overall situation due to many limitations is this study. Still it can be concluded that enlarged adenoids has a definite role in causing OME and conductive hearing impairment. So early diagnosis and treatment of enlarged adenoids can be encouraged to decrease the actual incidence, morbidity and complications of otitis media with effusion and thus conductive hearing impairment in childhood.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 62-68

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