scholarly journals Hearing Status after Stapedotomy in Otosclerotic Patients

2020 ◽  
Vol 25 (2) ◽  
pp. 85-93
Author(s):  
Ahmed Tariq ◽  
Mostafizur Rahman ◽  
Delwar Hossain ◽  
Sheikh Hasanur Rahman
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Surgical Techniques ◽  
Neck Surgery ◽  
Speech Discrimination ◽  
College Hospital ◽  
Medical College ◽  
Medical University ◽  
Conductive Hearing

Otosclerosis is the most frequent cause of conductive hearing loss in patients with intact tympanic membrane. It can be treated by surgery with various techniques. Because of limited manipulation and comparably similar results, stapedotomy at present is preferred over other surgical techniques by most surgeons. Here we present the operative results of 35 otosclerotic patients who underwent stapedotomy between January 2009 - October 2010 in the department of Otolaryngology- Head & Neck Surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital and Shahid Suhrawardhy medical college & hospital, Dhaka. The aim of this study was to evaluate the hearing results following stapedotomy in otosclerosis surgery. The average air-bone gap of patients improved significantly to 21.74 dB after operation. Other hearing parameters of patients (including air conduction, bone conduction, speech discrimination score, and tinnitus) also improved. No patient experienced persistent vertigo after the operation and pre operative tinnitus resolved in 12 out of 22 patients. Stapedotomy is a safe and effective modality for improving conductive hearing loss in otosclerotic patients. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 85-93

scholarly journals Clinicopathological study on CSOM: a comparison between tubotympanic and atticoantral variety

2012 ◽  
Vol 18 (2) ◽  
pp. 138-144 ◽  
Author(s):  
Phub Tshering ◽  
Md. Abul Hasnat Joarder ◽  
M Alamgir Chowdhury ◽  
Kanu Lal Saha
Keyword(s):  
Hearing Loss ◽  
Neck Surgery ◽  
College Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Intracranial Complications ◽  
Group A ◽  
Group B ◽  
Medical University

Introduction: This study aimed to compare the clinico-pathological features of the tubotympanic and atticoantral variety of chronic suppurative otitis media (CSOM).Methods: This was a cross sectional observational study conducted in the department of Otolaryngology – Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. The study was done over a period of six months and a total of 60 cases were selected. In group A 30 cases of CSOM tubotympanic variety were included while in group B 30 cases of atticoantral variety of CSOM were selected. The two groups were compared with regard to their clinical presentations, the type and degree of hearing loss and their associated complications by taking a detailed history followed by clinical examination and doing the relevant investigations.Results: In group A, the patients presented with a profuse non smelly discharge. All had a central perforation and majority had mild conductive hearing loss. There were no associated complications. In group B, the aural discharge were foul smelling and scanty. The perforations were 66% in the attic while 33.3% had marginal perforations. The hearing loss was mainly conductive in nature but in group B it’s more severe in degree and also there were more associated severe to profound sensori-neural hearing loss. There were also associated extracranial and intracranial complications in group B patients.Conclusion: The atticoantral variety of CSOM is associated with a foul smelling scanty discharge with severe hearing loss and complications than the tubotympanic variety of CSOM. Therefore early detection becomes essential especially in the primary care setting for appropriate referral to higher centers for better management DOI:http://dx.doi.org/10.3329/bjo.v18i2.11991 Bangladesh J Otorhinolaryngol 2012; 18(2): 138-144

Tympanoscopy to increase the accuracy of diagnosis in conductive hearing loss

1998 ◽  
Vol 112 (2) ◽  
pp. 154-157 ◽  
Author(s):  
Tapio S. Karhuketo ◽  
Heikki J. Puhakka ◽  
Pekka J. Laippala
Keyword(s):  
Decision Making ◽  
Hearing Loss ◽  
Pure Tone ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Speech Discrimination ◽  
Bone Conduction Threshold ◽  
Pure Tone Average ◽  
Stapedial Reflex ◽  
Conductive Hearing

AbstractThe diagnosis of conductive hearing loss is usually based on audiological methods and radiology. The aim of our study was to show that there is a useful additive method to clarify the findings of diseases with conductive hearing loss.Patients (151 ears) with conductive hearing loss were examined using several methods: otomicroscopy, air- and bone-conduction threshold, pure tone average, speech threshold, speech discrimination, tympanometry and stapedial reflex and tympanoscopy.The management of the patients changed in 17 per cent of cases due to tympanoscopy. In a group with normal tympanic membrane the movement of the stapes during endoscopy was compared to stapedial reflex. Stiff stapes were found more often than an abnormal stapedial reflex.Middle ear endoscopy can increase the accuracy of diagnosis of conductive hearing loss thus enhancing decision making in the case of the patient.

scholarly journals The Sophono Bone-Conduction System: Surgical, Audiologic, and Quality-of-Life Outcomes

2017 ◽  
Vol 96 (7) ◽  
pp. E28-E33 ◽  
Author(s):  
Timothy Mclean ◽  
Irumee Pai ◽  
Andrew Philipatos ◽  
Michael Gordon
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Conductive Hearing Loss ◽  
Hearing Aid ◽  
Bone Conduction ◽  
Speech Discrimination ◽  
Single Sided Deafness ◽  
Conductive Hearing

We prospectively evaluated the surgical, audiologic, and quality-of-life outcomes in 5 patients—2 men and 3 women, aged 22 to 64 years (mean: 41.8)—who were implanted with the Sophono Alpha 2 MPO Processor. The indications for implantation of this bone-conduction device included recurrent ear canal infections with hearing aids (n = 3), single-sided deafness (n = 1), and patient preference in view of difficulty using a conventional hearing aid (n = 1). In addition to the patient with single-sided deafness, 3 patients had a bilateral mixed hearing loss and 1 had a bilateral conductive hearing loss. Outcomes measures included surgical complications, functional gain (FG), speech discrimination in quiet and noise, and patient satisfaction as determined by the Glasgow Benefit Inventory (GBI) and the Entific Medical Systems bone-anchored hearing aid questionnaire (BAQ). The only postsurgical complication noted was a minor skin reaction and pain in 1 patient that resolved with conservative management. In the 3 patients with the mixed hearing loss, the mean FG was 13.3, 20.0, 11.7, and 11.7 dB at 0.5, 1, 2, and 4 kHz, respectively; in the patient with the bilateral conductive hearing loss, the FG was 10, 25, 10, and 15 dB at the same frequencies. Speech discrimination scores with the Sophono device were comparable to those seen with conventional hearing aids. After implantation, all 5 patients experienced a positive quality-of-life outcome according to the GBI, although 1 of them had only a marginal improvement. On follow-up, all patients reported that they remained satisfied with their implant and that they used their device all day long. We conclude that the Sophono bone-conduction system is a safe and effective option that should be considered for patients with a mixed or conductive hearing loss who are unable to use a conventional hearing aid, as well as for those with single-sided deafness.

scholarly journals Hearing Loss In Chronic Suppurative Otitis Media (CSOM)

2020 ◽  
Vol 23 (1) ◽  
pp. 59-66
Author(s):  
Muhammad Rafiqul Islam ◽  
Mohammad Abdullah ◽  
ABM Luthful Kabir ◽  
Syed Sanaul Islam ◽  
Mohammad Harun Or Rashid
Keyword(s):  
Hearing Loss ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Number Of Patients ◽  
Hearing Assessment ◽  
Conductive Hearing

Objectives: To evaluate the type and degree of hearing loss in CSOM and also to find out any relationship between the hearing loss and disease duration. Methods: This was a cross sectional study which was carried out in the departments of Otolaryngology and Head-Neck Surgery of BSMMU and Dhaka Medical College Hospital during the period of July’2011 to December’2011. A total 80 cases of CSOM were collected. Patient below the age of 5 years and patients above the age of 50 years were excluded from this study. The diagnosis of CSOM was established on the basis of clinical examination- otoscopy and tunning fork test. Pure tone audiogram (PTA) was done for hearing assessment. Thus, 80 cases of CSOM were collected with their PTA reports of 117 ears. Results: The study included 80 patients of CSOM, of them 60 were with tubo-tympanic type and 20 were with attico-antral disease. Highest number of patients was in 2nd decade in both type of disease. 44.79% of ears of tubo-tympanic type were associated with mild (26-40 dB) hearing loss and 42.85% attico-antral variety was with moderate (41-55 dB) hearing loss. Conductive type of hearing loss was common in both types of disease. 98% of ears in tubotympanic and 81% of ears in attico-antral disease had conductive hearing loss. Mixed type (2.08%) of hearing loss was found in tubo-tympanic disease. Attico-antral disease was also associated with mixed (14.28%) and SNHL (4.76%). Conclusion: The above study revealed that hearing loss in CSOM is mostly conductive in nature rarely sensorineural in type. Bangladesh J Otorhinolaryngol; April 2017; 23(1): 59-66

Long-term Compliance and Satisfaction With Percutaneous Bone Conduction Devices in Patients With Congenital Unilateral Conductive Hearing Loss

2015 ◽  
Vol 36 (5) ◽  
pp. 826-833 ◽  
Author(s):  
Rik C. Nelissen ◽  
Emmanuel A. M. Mylanus ◽  
Cor W. R. J. Cremers ◽  
Myrthe K. S. Hol ◽  
Ad F. M. Snik
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Conductive Hearing

Amplification of transcutaneous and percutaneous bone-conduction devices with a test-band in an induced model of conductive hearing loss

2016 ◽  
Vol 55 (11) ◽  
pp. 653-657 ◽  
Author(s):  
Marn Joon Park ◽  
Jae Ryung Lee ◽  
Chan Joo Yang ◽  
Myung Hoon Yoo ◽  
In Suk Jin ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Conductive Hearing

Conductive SISI Test

1974 ◽  
Vol 83 (1) ◽  
pp. 125-127 ◽  
Author(s):  
Vincent W. Byers
Keyword(s):  
Hearing Loss ◽  
Middle Ear ◽  
Statistical Difference ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Sensitivity Index ◽  
Index Test ◽  
Bone Conduction Threshold ◽  
Conductive Hearing

The conductive SISI (short increment sensitivity index) test is an indirect procedure to estimate bone-conduction thresholds for middle ear pathology patients. A series of SISI tests are run, beginning at 20 dB S.L. and increasing in 10 dB S.L. steps, until a 100% SISI score is obtained. The following equation predicts the bone-conduction threshold: [Formula: see text] The results of 25 conductive SISI tests on a conductive hearing loss group indicate that the equation approximates the measured B.C. threshold. There was no statistical difference between the predicated B.C. thresholds (12.4 dB) and measured B.C. thresholds (10.4 dB) for the group.

Hearing in Noise With Unilateral Versus Bilateral Bone Conduction Hearing Aids in Adults With Pseudo-conductive Hearing Loss

2020 ◽  
Vol 41 (3) ◽  
pp. 379-385
Author(s):  
Ohad Hilly ◽  
Meirav Sokolov ◽  
Reut Beck Finkel ◽  
Ofir Zavdy ◽  
Rafael Shemesh ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Hearing In Noise ◽  
Bone Conduction Hearing ◽  
Conductive Hearing

scholarly journals ADHEAR in Conductive Hearing Loss: a case study

2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
T Marques ◽  
A Carvalho ◽  
A Miguéis
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Single Subject ◽  
Non Invasive ◽  
Middle Ear Cholesteatoma ◽  
Bone Conduction Hearing ◽  
Conductive Hearing ◽  
Hearing System

Abstract Introduction Bone conduction hearing systems can be applied through non-invasive devices, using soft bands that exert pressure on the skin, or they can be surgically implanted (Bone Anchored Hearing Aid - BAHA). However, these bone conduction devices are frequently not well accepted due to the pressure on the head. Therefore, a new non-surgical hearing system was developed not to exert pressure on the skin, the ADHEAR. The bone anchorage in ADHEAR is performed through an adhesive adapter and is indicated for patients with conductive hearing loss and normal inner ear function. Objectives Evaluate the audiological performance with the adhesive bone conduction hearing device (ADHEAR) in a patient with conductive hearing loss. Methodology The study was designed as a prospective single-subject repeated-measure study with the subject serving as his own control. A 29 year old female patient who had a primary surgery due to middle ear cholesteatoma, was adapted with unilateral non-invasive adhesive bone conduction system for the treatment of conductive hearing loss. Air and bone conduction thresholds, word recognition scores (WRS) and speech recognition thresholds (SRT) in quiet and noise were assessed to verify the inclusion criteria of the study. Aided and unaided pure tone audiometry at 0.5, 1, 2 and 4 kHz in free field and speech audiometry in quiet and noise were performed at baseline and after 4 weeks with the ADHEAR. Results The functional gain with the ADHEAR averaged over 0.5, 1, 2, and 4 kHz after 4 weeks of usage of the adhesive hearing system, improved from 55 dB HL to 31dB HL. Speech perception in quiet and noise improved significantly in the aided situation, with SRT in quiet improving from 60 to 35 dB HL, when compared to the unaided condition. Similar results were found in noise. The patient evaluated the ADHEAR system as being useful, and without complaints of skin pressure. There was no adverse skin reaction. Conclusion Hearing performance was significantly better with ADHEAR under all test conditions. Therefore, this transcutaneous hearing system seems to be an excellent alternative for patients who need a hearing solution for conductive hearing loss but for clinical reasons cannot undergo surgery or conventional hearing aids. Furthermore, it preserves skin over the mastoid and reduces the risk of infection. Otherwise it has benefits verified by absence of head pressure and improvement of patient’s quality of life.

scholarly journals Pure-tone audiometry without bone-conduction thresholds: using the digits-in-noise test to detect conductive hearing loss

2020 ◽  
Vol 59 (10) ◽  
pp. 801-808 ◽  
Author(s):  
Karina C. De Sousa ◽  
Cas Smits ◽  
David R. Moore ◽  
Hermanus Carel Myburgh ◽  
De Wet Swanepoel
Keyword(s):  
Hearing Loss ◽  
Pure Tone ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Pure Tone Audiometry ◽  
Noise Test ◽  
Conductive Hearing
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