scholarly journals The Philippine National Ear Institute: Patient and Audiologic Profiles

2007 ◽  
Vol 22 (1-2) ◽  
pp. 12-18
Author(s):  
Regie Lyn P. Santos-Cortez ◽  
Charlotte M. Chiong ◽  
Ma. Luz San Agustin ◽  
Charina Melinda C. Elgar ◽  
Genilou Liv M. Gimena ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Otitis Media ◽  
Otoacoustic Emissions ◽  
Care Center ◽  
Tertiary Care ◽  
Age Distribution ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Unknown Etiology ◽  
Patient Profile

Background:  The Philippine National Ear Institute (PNEI) was created to promote health of hearing and balance among Filipinos.  Over the years it,  has provided audiologic services to thousands of patients annually and has published relevant hearing and balance research. Objective:  To describe the patients served by the PNEI in terms of age, region of origin, occupation, pretest diagnosis, and audiologic results. Methods:  Study Design: Cross-sectional study Setting: National tertiary care center Population: All records of patients referred for audiologic testing at PNEI in 2006 were reviewed and encoded into analyzable format. Results: A total of 1,756 patients had audiologic records for review. Median age was 32.5 years, with the age distribution presented according to sex, type of tests done including common reasons for referral, and median threshold levels by frequency. Coverage was national in scope, with most patients coming from the National Capital Region and from Regions III and IVa. Occupation was indicated in 37.8% of the working age group, most of whom were unemployed. The most common pretest diagnosis was chronic otitis media (26.6%), followed by hearing loss of unknown etiology (13.0%) and tinnitus (9.3%). Severity of hearing impairment based on pure tone audiometry was variable, and was presented according to common diagnoses. About 39% of hearing impairment cases were sensorineural, 36% conductive and 25% due to mixed defect. Bilateral Type A ears were found in 45.4% of patients by tympanometry, while 29.3% were bilateral Type B. For otoacoustic emissions, 69.0% were labeled as “refer” in at least one ear. Conclusion:  The PNEI is a major national referral center for audiology that holds much promise in developing programs for national surveillance of the hearing status of different sectors in Philippine society.   Keywords: Philippine National Ear Institute, Philippines, patient profile, audiology, audiometry, tympanometry, otoacoustic emissions, chronic otitis media

scholarly journals A study on chronic otitis media in tertiary care center

2018 ◽  
Vol 4 (2) ◽  
pp. 455
Author(s):  
Leena Rajam K. ◽  
Vikram V. J. ◽  
Priyanka C. ◽  
Indumathi R.
Keyword(s):  
Hearing Loss ◽  
Temporal Bone ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Disease Process ◽  
Chronic Otitis Media ◽  
Common Finding ◽  
Duration Of Symptoms ◽  
Female Patients

<p class="abstract"><strong>Background:</strong> Chronic otitis media (COM) is a serious healthcare concern worldwide, because of the distress and economic burden to the patient and their family. Temporal bone pneumatization plays an important role in etiology, behaviour, course and outcome of COM. Pneumatisation gets poorer with growing chronicity of the disease<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted between March 2015-March 2017 on female patients visiting with COM, at ENT department Kasturba Gandhi Hospital, Madras Medical College. The records were analysed of the age, duration of symptoms, associated complaints, pure tone audiogram, computerised tomography of temporal bone, mastoid surgery done according to the disease process affecting the ear<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> 35 female COM patients were analysed, most common age group is between 31-40 years in 14 patients. There hearing loss was mild category in 27. There were 27 cases of mucosal type of chronic otitis media and 8 cases of squamous type. The CT scan with sclerosis of mastoid was the common finding<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In exclusive study on female patients with COM, the mucosal type of COM is common with mild hearing loss and sclerosed mastoid indicating the chronicity<span lang="EN-IN">.</span></p><p class="abstract"> </p>

TO ASSESS THE OUTCOME OF ENDOSCOPIC INTERLAY TYMPANOPLASTY IN TERTIARY CARE CENTER

2021 ◽  
pp. 73-75
Author(s):  
Pasunuti Shravya ◽  
Jyothi Swarup ◽  
Vigeshwar RK
Keyword(s):  
Success Rate ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Suppurative Otitis Media ◽  
Conducting Mechanism ◽  
Conductive Hearing ◽  
Middle Ear Cleft

Background: Chronic otitis media is an inammatory process in middle ear cleft which is treated by a common otological procedure tympanoplasty to reconstruct the tympanic membrane and to restore sound-conducting mechanism. Rigid endoscope in transcanal interlay tympanoplasty has signicant advantage as it provides magnied, and wide angle view, with better success rate and postoperative hearing gain. The Aims and objectives were to assess the outcome of endoscopic interlay tympanoplasty, in terms of graft uptake, hearing improvement and rate of complications in cases of inactive mucosal chronic suppurative otitis media. Methods: This prospective study was conducted for 1 year at our institution in 50 patients having conductive hearing loss with dry, central perforation. All patients underwent transcanal endoscopic interlay tympanoplasty and were followed up for 3months to determine the graft uptake, hearing improvement and rate of complications. Results: Graft uptake rate in the present study was found to be 98% with residual perforation as a complication in 2% patients and no other complications were encountered. Post operatively air bone gap (ABG) after 12 weeks found to be < 20 dB ABG in 84% patients. Conclusion: Endoscopic interlay tympanoplasty is a effective method with high success rate both in terms of graft uptake as well as post operative hearing improvement and can be implemented in all cases of inactive mucosal COM.

Quality of life measures in otitis media

2013 ◽  
Vol 127 (5) ◽  
pp. 442-447 ◽  
Author(s):  
E J Maile ◽  
R Youngs
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Quality Of Life Measures ◽  
Generic Measures ◽  
Disease Specific

AbstractDisabling hearing impairment is the world's most common disability. Traditionally, hearing levels measured by pure tone audiometry have been used to define and quantify hearing loss. The effects of disabling hearing loss on patients' quality of life can be profound, and audiometric data alone may not correlate with quality of life measures. Generic measures of quality of life can be used to compare different diseases, and as such are useful in resource allocation and burden of disease studies. Their disadvantage is that they are not disease-specific and can therefore under-estimate the effects of a disease on patients' quality of life. Disease-specific measures are more sensitive. In chronic otitis media, additional factors such as discharge augment the effect of hearing loss alone on quality of life. Many of the quality of life measures developed for chronic otitis media have been used to assess improvement following reconstructive surgery. Quality of life measures have also been used to assess the effect of paediatric otitis media. Quality of life measures also have utility in the developing world, where hearing impairment is a huge burden.

scholarly journals Demographic Analysis of Adult Patients Presenting With Unilateral Ear Discharge at National Medical College

Med Phoenix ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 48-51
Author(s):  
Amit Jha
Keyword(s):  
Otitis Media ◽  
Teaching Hospital ◽  
Care Center ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Adult Patients ◽  
Common Symptom ◽  
National Medical College ◽  
Medical College ◽  
National Medical

Background: Discharging ear is a common symptom among the patients presenting in ENT OPD for consultation. The commonest cause for discharging ear is chronic otitis media. Poverty, ignorance, crowded living conditions due to large families, poor sanitation, and lack of personal and environmental hygiene are some of the main factors behind the prevalence of chronic otitis media. National medical college and teaching hospital is a tertiary care center located in Birgunj metropolitan city in central Nepal. It caters to thousands of patients with discharging ear each year.Methods: This qualitative, descriptive study was carried out in department of ENT-HNS at National Medical College and Teaching Hospital located Birgunj-15, Parsa, Province no. 2 of Nepal for duration of one year from August 1, 2014 to July 30, 2015. Two hundred and five (205) adult patients with complains of unilateral          discharging ear were included in the study.Results: Mostly female patients and those in the age group of 15-30 years from Bara and Parsa districts of Nepal including the areas around the Indo-Nepal border avail the services of department of ENT-HNS of National medical college and teaching hospital.Conclusions: The delivery of ENT-HNS services to the concerned patients is insufficient and inefficient owning to various factors. The government of Nepal and India along with National medical college and teaching hospital can work together to improve the situation. Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 48-51 

scholarly journals Myringoplasty in wet and dry ears: an observational study in a tertiary care center

2021 ◽  
Author(s):  
S. Umamaheswara Rao ◽  
K. Samatha Reddy ◽  
Siva Subba Rao Pakanati ◽  
S. Chandramouli
Keyword(s):  
Observational Study ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Hearing Threshold ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Female Ratio ◽  
Medical College ◽  
Maximum Improvement

<p class="abstract"><strong>Background: </strong>Chronic otitis media is the most common cause of hearing impairment in the developing countries with serious effects. The aim of the study was to compare the outcome of myringoplasty in dry and wet ears in tubo-tympanic type of chronic otitis media (COM) with respect to graft uptake and hearing improvement.</p><p class="abstract"><strong>Methods:</strong> This is an observational study done in the department of ENT, Mamata medical college, Khammam, during the study period of September 2019 to February 2021 on 40 patients of tubo-tympanic type COM. On simple random basis selected patients underwent myringoplasty by underlay technique. All patients were evaluated during post-operative follow-up.</p><p class="abstract"><strong>Results:</strong> In our study, majority of patients were in the age group of 26 to 45 years with slight female preponderance, with male to female ratio (0.73:1). In our study, the successful graft uptake was seen 90% in dry ears and 85% in wet ears, which seems to be not significant in difference. With respect to hearing improvement, post-operatively there was significant improvement in both the groups, when compared to pre-operative hearing. The maximum improvement in average hearing threshold after surgery, in dry ears with large perforation (12.66dB) and in wet ears with small central perforation (12.44dB) was almost equal.</p><p><strong>Conclusions: </strong>In this study, the success rate of graft uptake and hearing improvement is found almost equal in dry and wet ears by using underlay technique of myringoplasty. </p>

scholarly journals Changing microbiological picture and sensitivity in otolaryngology in developing world

2021 ◽  
Vol 7 (3) ◽  
pp. 459
Author(s):  
Keshav Gupta ◽  
Anshu Mangla ◽  
Gautam Swami ◽  
Vikas . ◽  
Rashi . ◽  
...  
Keyword(s):  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Tertiary Care Center ◽  
Antibiotic Policy ◽  
Neck Abscess ◽  
E Coli ◽  
Culture And Sensitivity ◽  
Sensitivity Data

<p class="abstract"><strong>Background: </strong>Microbiology, culture and sensitivity and antibiotic policy are ever changing in otolaryngology. So, it requires continuous research and modification.</p><p class="abstract"><strong>Methods: </strong>A retrospective study was conducted at our tertiary care center where microbiology and culture and sensitivity data of patients of chronic otitis media and neck abscess were assessed to form antibiotic policy for the concerned patients. The study comprised of 580 patients of chronic otitis media and 139 patients of neck abscess admitted from October 2018 to December 2019.</p><p class="abstract"><strong>Results: </strong><em>Pseudomonas</em> and <em>E. Coli </em>were the most common microbes isolated with most of cases sensitive to Meropenem and Amikacin respectively.</p><p class="abstract"><strong>Conclusions: </strong>There is a change in microbiological picture and sensitivity to a more resistant type than the previous studies and hence the requirement of modification of antibiotic policy to a more robust one.</p>

scholarly journals A study to evaluate bone and cartilage ossiculoplasty in patients of ossicular disruption due to chronic suppurative otitis media

2021 ◽  
Vol 8 (1) ◽  
pp. 69
Author(s):  
Hema Mehra ◽  
Sushma Mahich ◽  
Navneet Mathur ◽  
Mahima Singh
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Pure Tone Audiometry ◽  
Suppurative Otitis Media ◽  
Hearing Gain ◽  
Conductive Hearing ◽  
And Cartilage

<p class="abstract"><strong>Background:</strong> Ossiculoplasty for ossicualar disruption in patients of chronic otitis media (COM) can be done by using either bone or cartilage. The present study was planned to compare bone and cartilage ossiculoplasty in patients of ossicular disruption due to COM.</p><p class="abstract"><strong>Methods:</strong> The prospective observational study was carried out in patients, who were admitted in the department of otorhinolaryngology of a tertiary care teaching hospital of Rajasthan during two years from November 2017 to November 2019. All patients with ossicular disruption due to COM and conductive hearing loss more than 40db were included in the study. Patients with sensorineural hearing loss were excluded from the study. Pure tone audiometry (PTA) was done before surgery. Hearing improvement was assessed 3, 6 and 12 months after surgery.  </p><p class="abstract"><strong>Results:</strong> In the present study 20 patients underwent bone ossiculoplasty using autologous incus and autologous cartilage was used in 80 patients for ossiculoplasty. Post-operative hearing gain was significantly more in autologous incus patients (22.7±4.2 db) compared to autologous cartilage (19.5±3.4 db) (p=0.002).</p><p><strong>Conclusions:</strong> The present study concluded that post-operative hearing gain was significantly better with autologous incus compared to autologous cartilage although both showed good results in terms of hearing gain. </p>

scholarly journals A RETROSPECTIVE STUDY ON CLINICAL AND EPIDEMIOLOGICAL PROFILE AMONGST POST OPERATED PATIENTS OF CHRONIC SUPPURATIVE OTITIS MEDIA (CSOM) AT A TERTIARY CARE CENTER.

2020 ◽  
Vol VOLUME 8 (ISSUE 2) ◽  
pp. 23-27
Author(s):  
Harendra Kumar Gautam
Keyword(s):  
Socioeconomic Status ◽  
Retrospective Study ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Chronic Suppurative Otitis Media ◽  
Tertiary Care Center ◽  
Suppurative Otitis Media ◽  
Socioeconomic Burden

Abstract Background: Chronic suppurative otitis media (CSOM) remains one of the most common ear diseases in the general population. The socioeconomic burden of CSOM is still very high both nancially and non-nancially for the society. There is a need for capacity building to reduce the burden as well as the associated risk. Aims and Objectives: The aim of this study was to study the clinical and epidemiological prole of post operated patients of chronic suppurative otitis media (CSOM) at a tertiary care center. Materials and Methods: This was a retrospective study of 265 patients of clinically diagnosed CSOM. The study was carried out at the ENT department, LLR hospital, GSVM medical college Kanpur during the period of 6 years from August 2013 to July 2019. Results: The data collec ted from the Clinicoepidemiological study of chronic suppurative otitis media carried out on 265 patients, showed that 197 patients had unilateral ear disease while 68 patients had bilateral ear disease. Among 265 patients, 126 (47.54%) were male and 139 (52.42%) were female. 44.15% patients were in age group 11to20 years of age. 72.82% patients belonged to lower socioeconomic status. Tubotympanic type constituted majority 207 (78.12%) cases followed by atticoantral type in 58 (21.88%) cases. Most patients presented with moderate hearing impairment 113 (42.64%). Conclusion: CSOM is a preventable cause of hearing impairment. Early diagnosis and management can effectively reduce the socioeconomic burden and prevent deafness. Keywords: CSOM, Socioeconomic status, Hearing impairment

scholarly journals Prevalence of hearing impairment in patients with diabetes mellitus at tertiary care center of Nepal

2021 ◽  
Vol 8 (2) ◽  
pp. 60-63
Author(s):  
Neeti Bhat ◽  
Narayan Bahadur Mahotra ◽  
Lava Shrestha ◽  
Tirtha Man Shrestha ◽  
Prashant Tripathi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Hearing Loss ◽  
Hearing Impairment ◽  
Care Center ◽  
Tertiary Care ◽  
Hearing Threshold ◽  
Pure Tone Audiometry ◽  
University Teaching ◽  
Public Health Issue ◽  
Diabetic Patients

Background: Diabetes mellitus is a chronic, systemic and metabolic disorder known to affect almost every organ due to its unequivocal complications. The auditory organ is often affected but usually ignored complications of diabetes mellitus. With the rise in the prevalence of diabetes mellitus and hearing impairment in developing countries, it becomes a crucial public health issue if both of them are found to be associated. Objective: To find the prevalence of hearing impairment in diabetic patients. Materials and Methods: This was a cross-sectional study conducted at the Department of Clinical Physiology in collaboration with the Department of General Practice and Emergency Medicine and the Department of Otorhinolaryngology- Head and Neck Surgery, Tribhuvan University Teaching Hospital. After applying exclusion criteria, 55 subjects were recruited for the study. Pure Tone Audiometry, a non-invasive test was used to assess hearing threshold in this study. Audiogram findings of diabetics were then analyzed. Results: Outcomes of the tests revealed that 17 (30%) of subjects with diabetes mellitus had hearing loss, out of which 13 had mild hearing loss. A significantly positive correlation was found between age and hearing threshold at every frequency. Higher frequencies were found to be more affected. The best cut-off age for onset of hearing loss in diabetics was found to be 51.50 years. Conclusion: Current study suggests a 30% prevalence of hearing loss in diabetes mellitus. We observed hearing loss more among the elderly at higher frequencies

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