scholarly journals Observation of hearing loss in patients with chronic suppurative otitis media tubotympanic type

1970 ◽  
Vol 7 (4) ◽  
pp. 397-401 ◽  
Author(s):  
M Maharjan ◽  
P Kafle ◽  
M Bista ◽  
S Shrestha ◽  
KC Toran
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Common Finding ◽  
Hearing Level ◽  
Suppurative Otitis Media ◽  
Low Frequencies ◽  
Membrane Perforation

Background: It is acknowledged that size and site of tympanic membrane perforation is proportional to degree of hearing loss but there are many studies which suggests otherwise. Persistent ear discharge is also supposed to deteriorate hearing level with passage of time. This study is carried out to find out the relation between size and site of tympanic membrane perforation and duration of ear discharge on hearing loss. Objectives: The objective of this study is to study the effect of size and site of tympanic membrane perforation and duration of ear discharge on hearing loss. Materials and methods: This is a cross-sectional prospective study conducted at Kathmandu Medical College, department of ear nose and throat from January till July 2009. One hundred patients aged between 8 to 60 years with pars-tensa perforations were included in the study. Detail clinical examination and history was carried out followed by hearing evaluation by audiometry was done in all cases. All the data is collected, statistical analysis is done using SPSS program and documented for study. Results: One hundred patients with 119 perforated tympanic membrane, age ranged between 8 to 60 years, 44 males and 56 females were studied. Bilateral tympanic membrane perforation were seen in 19 patients, right sided perforation in 39 and left sided in 42 patients respectively. Large central perforation involving all four quadrants was the most common otologic findings seen in 72 ears (60.50%) whereas perforation in posterosuperior quadrant was the least common finding seen in 3 patients (2.52%). Significant relation is observed between site of perforation and degree of hearing loss; posterior placed perforations seem to have larger hearing loss. Ninety-five perforations (79.83%) showed more loss in low frequencies with larger air bone gap at low frequencies. The longer the duration of ear discharge, the more the hearing loss. Conclusion: The larger the perforation, the greater the decibel loss in sound perception. The location of perforation on the tympanic membrane and the duration of ear discharge have significant effect on the magnitude of hearing loss. Key words: chronic suppurative otitis media; tympanic membrane perforation; hearing loss DOI: 10.3126/kumj.v7i4.2761 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 397-401

scholarly journals Pattern of hearing loss in tubotympanic type of chronic suppurative otitis media

2018 ◽  
Vol 4 (5) ◽  
pp. 1267
Author(s):  
Vinay V. Rao ◽  
Shilpa M. J. ◽  
Mahesh Bhat
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Pure Tone Audiometry ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
P Value ◽  
Sound Perception ◽  
Suppurative Otitis Media ◽  
Medical College

<p class="abstract"><strong>Background:</strong> The aim of the study was to assess the degree of hearing loss with the pattern of tympanic membrane perforation in tubotympanic type of chronic suppurative otitis media (CSOM TTD).</p><p class="abstract"><strong>Methods:</strong> This is a descriptive study conducted at Father Muller Medical College, Department of Otorhinolaryngology from Oct 2016 till Feb 2017.110 cases aged between 20-50 years with CSOM TTD were included in the study. Detailed clinical examination and history was carried out followed by hearing evaluation by pure tone audiometry. All the data collected was statistically analyzed.  </p><p class="abstract"><strong>Results:</strong> 110 patients with 137 perforated tympanic membrane, aged between 20 to 50 years, were included in the study. Large central perforation involving all the four quadrants was the most common otologic findings. Significant correlation observed between size of perforation and degree of hearing loss (p value- 0.018) and no significant relation is observed between site of perforation and degree of hearing loss (p=0.107).</p><p class="abstract"><strong>Conclusions:</strong> The larger the perforation, the greater the decibel loss in sound perception. The location of perforation does not have significant effect on magnitude of hearing loss.</p>

scholarly journals A study of graft uptake rate of myringoplasties in Bir Hospital

2012 ◽  
Vol 7 (1) ◽  
pp. 24-27
Author(s):  
LK Yadav ◽  
J Pradhananga
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Uptake Rate ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
The People ◽  
Access To Health ◽  
Number Of Patients ◽  
Membrane Perforation

Chronic suppurative otitis media-tubotympanic type is one of the commonest ear diseases in the practice of otolaryngology. It mainly occurs in the people with poor socio-economic conditions hence, its magnitude is immense in remote areas of Nepal where poverty prevails the most and in people who do not have access to health facilities. The main features of this disease are ear discharge lasting more than three months, hearing loss, and perforation of the tympanic membrane. The aim of this study is to evaluate the graft uptake rate of patients who underwent Myringoplasties for Chronic Suppurative otitis media tubotympanic type. The total number of patients in the study was 129. Age of the patients varied from 13 to 45 years. Myringoplasties were performed on these patients. They were followed up at one week for stitch and ear pack removal, and then at four weeks to see for graft uptake. The graft uptake rate was found to be 81.4 %. There were no significant complications, except that few patients complained of pain at the site of incision for harvesting the graft. This study showed that myringoplasty has good success rate./7 and can be carried out safely for closure of tympanic membrane perforation in cases of chronic suppurative otitis media tubo-tympanic type. DOI: http://dx.doi.org/10.3126/jcmsn.v7i1.5969 JCMSN 2011; 7(1): 24-27

scholarly journals Myringoplasty using temporalis fascia and its clinical outcome

2019 ◽  
Vol 5 (6) ◽  
pp. 1539 ◽  
Author(s):  
Akbar Zaman ◽  
Saif Omar
Keyword(s):  
Hearing Loss ◽  
Success Rate ◽  
Otitis Media ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Temporalis Fascia ◽  
Suppurative Otitis Media ◽  
Before And After ◽  
Membrane Perforation ◽  
Middle Ear Cleft

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media is one of the common otological conditions in India for which patients seek advice from an otorhinolaryngologist. Various surgical modalities of treatment have been tried since ages, to eliminate the disease from middle ear cleft, with varying degrees of success rate. One such modality of treatment is myringoplasty. The aim of the present study was to assess the success rate of myringoplasty using temporalis fascia and to evaluate preoperative and postoperative hearing loss in patients with chronic suppurative otitis media.</p><p class="abstract"><strong>Methods:</strong> Sixty adult cases of tympanic membrane perforation were included in the study. Myringoplasty was performed in all cases and hearing loss was compared both before and after surgery.  </p><p class="abstract"><strong>Results:</strong> Preoperatively 20 cases showed hearing loss at 16-25 dB, 26 cases at 26-40 dB, and 14 cases showed hearing loss at &gt;40 dB. Graft uptake was successful in 50 patients (83.33%). Postoperatively definitive improvement of hearing was observed in 46 patients. The success rate of surgery in cases of dry ear with more than 6 months was 100%.</p><p class="abstract"><strong>Conclusions:</strong> Outcome of myringoplasty does not depend on sex and site of perforation. Dry ear of duration greater than 6 months is a favourable prerequisite. Graft take up was impaired in cases of sclerotic mastoid and postoperative infection.</p>

scholarly journals Frequency Dependence Hearing Loss Evaluation in Perforated Tympanic Membrane

2017 ◽  
Vol 21 (04) ◽  
pp. 336-342 ◽  
Author(s):  
Mohammed Dawood
Keyword(s):  
Hearing Loss ◽  
Frequency Dependence ◽  
Tympanic Membrane ◽  
Cross Sectional Study ◽  
Tympanic Membrane Perforation ◽  
Hearing Level ◽  
Cross Sectional ◽  
Maximum Loss ◽  
Tympanic Membrane Perforations ◽  
Membrane Perforation

Introduction Tympanic membrane perforation is a relatively common problem that predisposes patients to varying degrees of conductive hearing loss. Objective The objective of this study is to evaluate and analyze the frequency dependence hearing loss in tympanic membrane perforation based on the size and the site of perforation. Methods For the study, I selected 71 patients' (89) ears for the cross-sectional study with tympanic membrane perforations; I examined the size and the site of perforations under the microscope and classified them into small, moderate, large, and subtotal perforations, and into anterior central, posterior central, malleolor central, and big central perforations. I measured mean level of speech frequencies hearing loss, and its relation with the site and the size of the perforation analyzed. Results The mean hearing loss at different sizes of the perforation at all speech frequencies was 37.4 dB, with ABG of 26.6 dB, and its maximum loss was detected in subtotal perforation of 42.3 dB, with ABG of 33.7 dB, at 500 Hz frequency, while in relation to the sites, it was 38.2 dB, with ABG of 26.8 dB, and its maximum loss was detected in big central site perforation of 42.1 dB, with ABG of 33.6 dB, at 500 Hz frequency. Conclusions The hearing loss was proportionally related with the sizes of the perforations, and the posterior site had greater impact on the hearing than anterior site perforations. This was also applied to the frequency dependence hearing level, as was detected to be worse at lower frequencies as 500 Hz, than those of 1000–2000 Hz.

scholarly journals A Correlative Study Between Size of Tympanic Membrane Perforation, Pure Tone Audiometry and Intraoperative Findings in Tympanoplasty

2018 ◽  
Vol 26 (1) ◽  
pp. 43-47
Author(s):  
Santosh U P ◽  
Sridurga J ◽  
Aravind D R
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
Pure Tone ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Tympanic Membrane Perforation ◽  
Membrane Perforation ◽  
Operative Findings

Introduction             Chronic otitis media (COM) is a most common and prevalent disease of the middle ear. COM has been defined as a longstanding inflammatory condition of middle ear and mastoid, associated with perforation of the tympanic membrane. Tympanoplasties are common surgeries performed for chronic otitis media in inactive mucosal type. Any otological surgery may involve a menace/ hazard of hearing loss post operatively.             In this study, an attempt was made to correlate, size of tympanic membrane perforation, pure tone audiometry and intra-operative findings in tympanoplasties, results were analysed and conclusion drawn. Materials and Methods Forty patients attending ENT OPD with chronic otitis media (COM), inactive mucosal type, with conductive hearing loss undergoing tympanoplasties who were willing to participate in the study were selected.  Ear was examined pre-operatively to assess the size of perforation and then, pure tone audiometry (PTA) was done to assess the type of hearing loss and its severity. During tympanoplasty, middle ear was inspected for ossicular status and any other pathology was noted. Later, the size of tympanic membrane perforation, pure tone audiometry and intra operative findings were correlated with each other and analysed. Result  In small and medium sized perforation, PTA and intraoperative findings correlated with each other. Whereas, in large and subtotal perforation, there was no correlation. Conclusion             In small and medium sized perforation, middle ear inspection may not be necessary. Whereas, in large and subtotal perforation it is necessary. 

scholarly journals Otitis Media Supuratif Kronik di Poliklinik THT-KL RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – Desember 2016

e-CliniC ◽  
2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Debora M. Pangemanan ◽  
Oraetlabora I. Palandeng ◽  
Olivia C.P Pelealu
Keyword(s):  
Clinical Symptom ◽  
Otitis Media ◽  
Inflammatory Process ◽  
Clinical Symptoms ◽  
Tympanic Membrane Perforation ◽  
Chronic Suppurative Otitis Media ◽  
Medical Record Data ◽  
Suppurative Otitis Media ◽  
Record Data ◽  
Membrane Perforation

Abstract: Chronic suppurative otitis media is an inflammatory process caused by mucoperiosteum infection in the middle ear cavity marked by tympanic membrane perforation. This study was aimeds to obtain the profile of chronic suppurative otitis media at Prof. Dr. R. D. Kandou Hospital Manado form January 2014 to December 2016. This was a descriptive retrospective study using medical record data. The results showed that there were 78 cases diagnosed as chronic suppurative otitis media; 30 cases (38%) were 18-40 years old. There was no difference in number by gender. Location of this disease was more often unilateral. Otorrhea was the clinical symptom found in 87% of patients, followed by otalgia and hearing disturbance. Drug treatment was the most used treatment. Conclusion: Chronic suppurative otitis media was most common in age 18-40 years and there was no difference between sexes. Otorrhea was the most frequent clinical symptom. Most cases had unilateral otitis media and treated with medical treatment.Keywords: chronic suppurative otitis media, age, gender, clinical symptoms Abstrak: Otitis media supuratif kronik (OMSK) merupakan proses peradangan yang disebabkan oleh infeksi mukoperiosteum dalam rongga telinga tengah yang ditandai oleh perforasi membran timpani. Penelitian ini bertujuan untuk mengetahui gambaran umum penderita OMSK di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2014 – Desember 2016. Jenis penelitian ini ialah deskriptif retrospektif menggunakan data rekam medis. Hasil penelitian mendapatkan 78 kasus dengan diagnosis OMSK, terbanyak didapatkan pada tahun 2016, diikuti tahun 2015 dan 2014. Kelompok usia 18-40 tahun yang terbanyak menderita OMSK, yaitu sebanyak 30 kasus (38%). Tidak ada perbedaan jumlah penderita berdasarkan jenis kelamin. Otore merupakan gejala klinik yang ditemukan pada 87% penderita, diikuti oleh otalgia dan pendengaran berkurang. Lokasi sering terjadi pada salah satu telinga. Penanganan medika mentosa ialah penanganan yang paling sering dilakukan. Simpulan: OMSK terbanyak didapatkan pada usia 18-40 tahun dan tidak terdapat perbedaan pada kedua jenis kelamin. Otore merupakan gejala klinik yang paling sering. Umumnya lokasi OMSK unilateral dan jenis penanganan tersering ialah medikamentosa.Kata kunci: otitis media supuratif kronik, usia, jenis kelamin, gejala klinik

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