scholarly journals Correlation between Preoperative Hearing Evaluation with Intra-operative Ossicular Status in COM Mucosal

2018 ◽  
Vol 5 (2) ◽  
pp. 15-17
Author(s):  
Prashant Tripathi
Keyword(s):  
Hearing Loss ◽  
Head And Neck ◽  
Pure Tone ◽  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
Neck Surgery ◽  
Severe Hearing Loss ◽  
Pure Tone Audiogram ◽  
Mild Hearing Loss ◽  
Moderate Hearing Loss

Objective: To correlate the preoperative pure tone audiogram findings with intra-operative status of ossicular chain in patients with chronic otitis media mucosal type.Material and Methods: Prospective, descriptive study conducted over a period of twenty months at GMSMA of ENT-Head and Neck Studies, TUTH, IOM, Kathmandu, Nepal. Patients included in the study were both children and adults with central perforation in tympanic membrane which was dry for at least 4 weeks. Patients with SNHL or mixed HL and in those where ossicular status was not assessed were excluded from study.Results: There were 274 patients operated for COM Mucosal and 67 patients were excluded from study as they did not meet inclusion criteria. Hence, there were 207 patients included in the study. Out of them, 4 (1.9%) patients had minimal hearing loss, 73 (35.3%) had mild hearing loss, 117 (56.5%) had moderate hearing loss and 13 (6.3%) had severe hearing loss. On correlating with ossicular status, when there was discontinuity of ossicular chain average hearing loss was more than 50 dB and none of the patients had mild hearing loss. When there were restricted or fixed ossicles, there was moderate to severe hearing loss in majority of cases (85%). With intact and mobile ossicles, about 95% patients had mild to moderate hearing loss. When there was only mild hearing loss, 90% patients had intact and mobile ossicles and 10% had ossicular fixation or restricted mobility.Conclusion: In our study, we found that preoperative pure tone audiogram can predict the possibility of the involvement of the ossicular chain in patients with COM Mucosal. Ossicular involvement is more common with moderate to severe hearing loss either in the form of fixation or discontinuity.Nepalese Journal of ENT Head and Neck Surgery, Vol. 5, No. 2, 2014, Page: 15-17

scholarly journals Relationship of Preoperative Hearing loss with Peroperative Ossicular Discontinuity in Chronic Otitis Media

2020 ◽  
Vol 25 (2) ◽  
pp. 94-101
Author(s):  
Nibash Chandra Ghosh ◽  
Kanu Lal Saha ◽  
Nasima Akhtar ◽  
Md Manjurul Islam ◽  
Arif Mahmud Jewel ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
Neck Surgery ◽  
P Value ◽  
Common Disease ◽  
Moderate Degree ◽  
Cross Sectional ◽  
Severe Degree

Background: Chronic Otitis Media (COM) is a common disease in our country. COM with or without cholesteatoma may lead to ossicular discontinuity. However, the discontinuity of the ossicular chain is usually confirmed during operation. The purpose of the study was to find out the correlation between preoperative hearing loss and the status of ossicular chain at surgery. Methods: This cross-sectional study was conducted in the department of otolaryngology- Head & neck surgery, Bangabandhu Sheikh Mujib Medical University from January 2013 to June 2014. At least 113 patients of COM were selected as per inclusion and exclusion criteria. Relevant data were collected in a predesigned data collection sheet and analyzed with standard statistical method. Statistically significant inferred for P value <0.05. No groups whose ability to give voluntary informed consent questionable was not included. No potential risks exist in designed this study. Results: Out of 34 patients with mild degree of hearing loss 31(39.7%) had intact ossicular chain whereas discontinuity was seen in 3(8.6%) cases, 37 patients with moderate degree of hearing loss 16(45.7%) had ossicular discontinuity. Among 23 patients with moderate to severe degree of hearing loss 14(17.9%) had intact ossicular chain whereas ossicular discontinuity was found 9(25.7%), 9 patients of severe degree of hearing loss 7(20%) had ossicular discontinuity. Cases with moderate and severe degree of hearing loss had significant ossicular discontinuity (p<0.05). Air-bone gap > 40 dB was found in 60% cases of ossicular discontinuity, followed by air bone gap 31-40 dB(17.14%), 21-30 dB(14.29%) and 11-20 dB( 8.57%) respectively. So ossicular discontinuity was in higher air-bone gap group and it was statistically significant (p<0.001). Bangladesh J Otorhinolaryngol; October 2019; 25(2): 94-101

The Impact of Minimal to Mild Sensorineural Hearing Loss in Adults

2016 ◽  
Vol 1 (6) ◽  
pp. 55-64 ◽  
Author(s):  
Christina M. Roup
Keyword(s):  
Hearing Loss ◽  
Pure Tone ◽  
Treatment Options ◽  
Normal Hearing ◽  
Pure Tone Audiogram ◽  
Hearing Ability ◽  
Hearing Handicap ◽  
Mild Hearing Loss ◽  
The Impact ◽  
The Relationship

The relationship between the pure-tone audiogram and the categorization of normal hearing or a mild hearing loss fails to account for other important non-audiometric factors that impact hearing ability for approximately one-third of adults. In order to obtain a complete hearing profile of our patients who present with normal hearing or a mild hearing loss, it is necessary to consider more than simply the results of the pure-tone audiogram. Both subjective hearing handicap via questionnaire and suprathreshold auditory measures (especially in background noise) have been shown to be sensitive to deficits not captured by the pure-tone audiogram. Viable treatment options with demonstrated benefit, such as mild-gain amplification, should be considered for this population.

scholarly journals Correlation of the Puretone Audiometry Findings with Intraoperative Findings in Patients with Chronic Suppurative Otitis Media

2015 ◽  
Vol 2 (1) ◽  
pp. 4
Author(s):  
Devashri Uday Patil ◽  
Kiran S. Burse ◽  
Shreeya Kulkarni ◽  
Vandana Sancheti ◽  
Chaitanya Bharadwaj
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Ossicular Chain ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Number Of Patients ◽  
Operative Findings ◽  
Air Conduction

Chronic suppurative otitis media is one of the common otological conditions in India for which patients seek advice from an otorhinolaryngologist. Chronic suppurative otitis media is recurrent and progressive disease which is characterized with tympanic membrane perforation and suppurative discharge. Pure tone audiometry is the most common test used to evaluate auditory sensitivity. Since hearing loss is a common complication of chronic suppurative otitis media, we designed this study to evaluate preoperative pure tone audiometry findings in patients with chronic suppurative otitis media and its correlation with the intra-operative findings. <strong>Aims and Objectives:</strong> 1] To assess the intra-operative findings in patients with chronic suppurative otitis media. 2] To evaluate the correlation between the preoperative pure tone audiometry findings and intra-operative findings in patients with chronic suppurative otitis media. 3] To assess the type of hearing loss and degree of hearing loss in patients with chronic suppurative otitis media. <strong>Materials and Methods:</strong> This is an Observational study carried over a period of 3 years from August 2011 to August 2013. Total number of patients included in this study was 100. <strong>Result:</strong> Out of 100 patients studied 69 % of patients had Tubo-Tympanic type of CSOM, 31 % of patients had Attico-antral type of CSOM. In patients of Safe CSOM; Central perforation was seen in maximum cases 46.4 %, anterior central perforations was seen in 8.7 % cases, posterior central perforations seen in 20.2 % cases, and subtotal perforations seen in 24.63 % cases. In patients of Unsafe CSOM posterosuperior cholesteatoma was seen in maximum cases 67.74 %, and attic cholesteatoma was seen in 32.2 % cases. In safe CSOM patients all ossicles were intact and mobile whereas in unsafe CSOM patients only 4 patients had intact ossicular chain, while maximum patients had ossicular defect. <strong>Conclusion:</strong> Hearing loss depends on size of perforation. Hearing loss increases as the size of perforation increases. Average air conduction threshold and air bone gap did not differ significantly between various groups of ossicular defect. This shows us that neither air conduction nor air bone gap are reliable parameters on basis of which we can predict ossicular status preoperatively.

Perceived Hearing Handicap of Patients with Unilateral or Mild Hearing Loss

1997 ◽  
Vol 106 (3) ◽  
pp. 210-214 ◽  
Author(s):  
Craig W. Newman ◽  
Gerald A. Hug ◽  
Gary P. Jacobson ◽  
Sharon A. Sandridge
Keyword(s):  
Hearing Loss ◽  
Individual Differences ◽  
Hearing Impairment ◽  
Pure Tone ◽  
Hearing Level ◽  
Intersubject Variability ◽  
Pure Tone Average ◽  
Hearing Handicap ◽  
Mild Hearing Loss ◽  
The Individual

Using the Hearing Handicap Inventory for Adults (HHIA), we assessed self-perceived hearing handicap in a sample of 63 patients having either unilaterally normal hearing or a mild hearing loss (pure tone average ≤40 dB hearing level). Large intersubject variability in responses to the HHIA confirmed observations that reactions to minimal hearing impairment vary greatly among patients. The individual differences in responses highlight the importance of quantifying the perceived communication and psychosocial handicap, which cannot be determined from the audiogram alone. An item examination of responses to the HHIA revealed a number of emotional and social-situational problems encountered by patients with minimal hearing loss.

scholarly journals White-matter integrity and hearing acuity decline in healthy subjects: Magnetic resonance tractography

2020 ◽  
Vol 33 (3) ◽  
pp. 236-243
Author(s):  
Fahad H Alhazmi
Keyword(s):  
Hearing Loss ◽  
White Matter ◽  
Pure Tone ◽  
Structural Connectivity ◽  
Normal Hearing ◽  
Anxiety And Depression ◽  
Healthy Population ◽  
Hearing Acuity ◽  
The Right ◽  
Moderate Hearing Loss

Aim The association between hearing acuity and white-matter (WM) microstructure integrity was evaluated in a normal healthy population with a variety of hearing acuity using an automated tractography technique known as TRACULA (TRActs Constrained by UnderLying Anatomy) in order to investigate whether hearing acuity decline is correlated with brain structural connectivity. Methods Forty healthy controls were recruited to this study, which used a Siemens 3T Trio with a standard eight-channel head coil. Hearing acuity was assessed using pure-tone air conduction audiometry (Amplivox 2160, with Audiocups to eliminate noise and allow accurate pure-tone audiometry). Handedness and anxiety and depression were assessed for all participants in this study using the Edinburgh Handedness Inventory and the Hospital Anxiety and Depression Scale, respectively. Results This study showed a significant reduction in WM volume of the left cingulum angular bundle (CAB; t = 2.32, p = 0.02) in the mild to moderate hearing-loss group (238 ± 223 mm2) compared to the group with normal hearing (105  ± 121 mm2). The WM integrity of the left CAB was found to be significantly different ( t = 2.06, p = 0.04) in the mild to moderate hearing-loss group (0.18 ± 0.06 mm2/s) compared to the group with normal hearing (0.22 ± 0.05 mm2/s). The WM integrity of the left anterior thalamic radiation (ATR) was found to be significantly different ( t = 2.58, p = 0.014) in the mild to moderate hearing-loss group (0.33 ± 0.05 mm2/s) compared to the group with normal hearing (0.37 ± 0.03 mm2/s). A significant negative correlation was found between age and the WM integrity of the right ATR ( r = −0.33, p = 0.038), and between hearing acuity and the WM integrity of the right ATR ( r = −0.38, p = 0.013) and left CAB ( r = −0.36, p = 0.019). Discussion and conclusion: An important finding in this study is that brain structural connectivity changes in the left hemisphere seem to be associated with age-related hearing loss found mainly in the ATR and CAB tracts.

Perceived Communication Difficulties of Children With Hearing Loss

1998 ◽  
Vol 7 (1) ◽  
pp. 30-38 ◽  
Author(s):  
Judy G. Kopun ◽  
Patricia G. Stelmachowicz
Keyword(s):  
Hearing Loss ◽  
Self Assessment ◽  
Communication Problems ◽  
Communication Difficulties ◽  
Mild Hearing Loss ◽  
Children With Hearing Loss ◽  
Assessment Questionnaire ◽  
Moderate Hearing Loss

The goals of this study were to modify an adult self-assessment questionnaire (APHAP, Cox & Alexander, 1995) to be appropriate for children who are older than 9 years of age, to compare the results of the questionnaire for children with hearing loss to existing adult data, and to examine the agreement between a parent’s perception of his or her child’s disability and the child’s perception. Children with mild hearing loss who were unaided reported fewer problems than did adults who were unaided. Children and adults with mild hearing loss who were aided reported similar problems. Data for children with moderate hearing loss were similar to previously reported adult data. In general, parents’ perception of their child’s communication problems correlated poorly with the child’s scores on this test.

Otologic Referral Criteria

1982 ◽  
Vol 90 (5) ◽  
pp. 598-601 ◽  
Author(s):  
Robert A. Dobie
Keyword(s):  
Hearing Loss ◽  
Head And Neck ◽  
Neck Surgery ◽  
Threshold Shift ◽  
Clinical Settings ◽  
Federal Regulations ◽  
Specific Intervention ◽  
Hearing Conservation ◽  
Referral Criteria ◽  
Definition Of

Otologic referral is an important component of an industrial hearing conservation program. Recent federal regulations in this area are reviewed, and suggestions for implementation of otologic referral are made. Criteria for otologic referral must be distinguished from a definition of significant threshold shift for internal program action. Test-retest variability is higher in industrial than in clinical settings, and unduly stringent definitions of significant threshold shift will result in many spuriously identified cases. The American Council of Otolaryngology—Head and Neck Surgery has proposed criteria for otologic referral that are probably the best available guidelines. Referrals should be made on the basis of both baseline and periodic audiometry. Most workers referred for substantial audiometric abnormalities have otologic diagnoses other than noise-induced hearing loss, or require specific intervention, or both.

scholarly journals Longitudinal associations between hearing aid usage and cognition in community-dwelling Japanese older adults with moderate hearing loss

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258520
Author(s):  
Saiko Sugiura ◽  
Yukiko Nishita ◽  
Yasue Uchida ◽  
Mariko Shimono ◽  
Hirokazu Suzuki ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Cognitive Function ◽  
Pure Tone ◽  
Community Dwelling ◽  
Pure Tone Average ◽  
Time Interaction ◽  
Picture Completion ◽  
Moderate Hearing Loss

We investigated the associations between hearing aids (HA) and the maintenance of cognitive function among community-dwelling older adults with moderate hearing loss. A total of 407 participants aged 60 years or older with moderate hearing loss were recruited from the National Institute for Longevity Sciences, Longitudinal Study for Aging (NILS-LSA). Moderate hearing loss was defined as a pure-tone average of 40–69 dB at 500, 1000, 2000, and 4000 Hz of the better ear, according to the definition proposed by the Japan Audiological Society. Cognitive function was evaluated using the four subtests of the Japanese version of the Wechsler Adult Intelligence Scale-Revised Short Forms (WAIS-R-SF): Information, Similarities, Picture completion, and Digit Symbol Substitution (DSST). A longitudinal analysis of 1192 observations with a mean follow-up period of 4.5 ± 3.9 years was performed. The HA use rate at any time during the follow-up period was 31.4%, and HA users were significantly younger (t-test, p = 0.001), had worse hearing (p < .0001) and higher education (p = 0.001), participated more frequently in the survey (p < .0001), and were less depressed (χ2 test, p = 0.003) than the older adults not using HA. General linear mixed models consisted of the fixed effects of HA use, follow-up time, and an HA use × time interaction term adjusted for age and pure-tone average thresholds at baseline, sex, education, and other possible confounders. HA use showed significant main effects on the scores for Picture completion and DSST after adjustment; scores were better in the HA use group than in the no HA use group. The HA use × time interaction was significant for the Information score (p = 0.040). The model-predicted 12-year slope with centralizing age indicated that the no HA use group showed greater decline over time on Information scores than did HA use group. The slopes did not differ between HA users and non-users for the Similarities, Picture completion and DSST. In conclusion, HA use may have a protective effect on the decline in general knowledge in older adults with moderate hearing loss.

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