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.

scholarly journals Correlation between Intraoperative Ossicular Status and Conductive Hearing Loss Degree among Chronic Suppurative Otitis Media Patients in Dr Mohammad Hoesin General Hospital Palembang

2021 ◽  
Vol 5 (4) ◽  
pp. 1187-1198
Author(s):  
Rizandiny ◽  
Ahmad Hifni ◽  
Erial Bahar ◽  
Abla Ghanie
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Hearing Threshold ◽  
Chronic Suppurative Otitis Media ◽  
Observational Research ◽  
Strong Positive Correlation ◽  
Suppurative Otitis Media ◽  
Positive Correlation ◽  
Conductive Hearing

Background: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the mucosa and periosteum of the middle ear and mastoid cavity that defined as a perforated tympanic membrane with persistent drainage for more than 2 months. Preoperative hearing threshold and air bone gap (ABG) assessment are expected to predict the ossicular status which can only be ascertained intraoperatively. This study aimed to determine the correlation between intra-operative ossicular status and the degree of conductive hearing loss assessed based on the hearing threshold and average ABG among CSOM patients in RSUP Dr. Mohammad Hoesin Palembang. Methods: Observational research using a cross sectional design. The data were collected using medical record on 64 subjects with a diagnosis of CSOM who underwent mastoidectomy surgery at Dr. Mohammad Hoesin Hospital Palembang for the period of March 2019 to June 2021. Results: From 64 samples conducted in the study, the average ossicular status score in CSOM patients was 1.84 ± 1.48, with the highest group scoring 0 being the malleus incus and intact stapes as many as 21 patients (31.3%). There was a strong positive correlation between hearing threshold scores and intra-operative ossicular status scores (p<0.005, R=0.5) and there was a strong positive correlation between ABG scores and intra-operative ossicular status scores (p <0.005, R=0.6). From the linear regression test, the most influential in predicting intra-operative ossicular status scores were gender, hearing threshold value, ABG value, and the presence of cholesteatoma Conclusions: There is a significant relationship between intra-operative ossicular status and the degree of conductive hearing loss in CSOM patients.

scholarly journals High-frequency conductive hearing loss as a diagnostic test for incomplete ossicular discontinuity in non-cholesteatomatous chronic suppurative otitis media

PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0189997 ◽  
Author(s):  
Krishnamurti M. A. Sarmento ◽  
André Luiz Lopes Sampaio ◽  
Tatiana Guthierre Targino Santos ◽  
Carlos Augusto Costa Pires de Oliveira
Keyword(s):  
Hearing Loss ◽  
Diagnostic Test ◽  
Otitis Media ◽  
High Frequency ◽  
Conductive Hearing Loss ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Conductive Hearing

scholarly journals Endoscopic versus microscopic type 1 tympanoplasty in chronic suppurative otitis media- tubotympanic type

2020 ◽  
Vol 6 (4) ◽  
pp. 720 ◽  
Author(s):  
Kiran A. Deshmukh ◽  
Vinayak Kurle
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Chronic Suppurative Otitis Media ◽  
Medium Size ◽  
Microscopic Technique ◽  
Suppurative Otitis Media ◽  
Type 1 Tympanoplasty ◽  
Conductive Hearing

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media attributes to 71.6% of hearing impairment in which most of them only have central perforations without any ossicular erosion or middle ear pathology. There are insufficient explanations to conclude which technique is better for type 1 tympanoplasty. Hence the study was conducted to compare and analyze the endoscopic technique with conventional microscopic technique for performing type 1 tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> This prospective study was done at Basaweshwara teaching and general hospital attached to MR medical college, Kalaburagi from December 2015 to June 2017 after obtaining institutional ethical clearance. Patients were selected according to inclusion and exclusion criteria and randomly posted for surgery by either endoscopic or microscopic technique and results were analyzed.  </p><p class="abstract"><strong>Results:</strong> There were 60 patients in the study between 11-65 years with mean age of 28.85±10.87 years in which were 28 females and 32 were males. All patients were divided into 2 groups in which 30 underwent endoscopic and 30 underwent microscopic type 1 tympanoplasty. In this 46.7% of the patients had left ear conductive hearing loss whereas 31.7% of patients had right ear conductive hearing loss and 21.7% of the patients had bilateral conductive hearing loss which included 22 small perforations, 33 medium size perforations and 5 large perforations of pars tensa.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that endoscope can be a better alternative for microscope in type 1 tympanoplasty as it provides a wide panoramic view, less operating time and hospital stay with negligible scar post operatively.</p>

scholarly journals Assessment of senses of hearing and balance in chronic suppurative otitis media

2008 ◽  
Vol 136 (5-6) ◽  
pp. 307-312
Author(s):  
Borivoj Babic ◽  
Nenad Arsovic
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Chronic Suppurative Otitis Media ◽  
Spontaneous Nystagmus ◽  
Head Impulse Test ◽  
Special Equipment ◽  
Suppurative Otitis Media ◽  
Perilymphatic Fistula ◽  
Conductive Hearing

Chronic suppurative otitis media is among the most frequent illnesses treated in ENT wards. To establish the diagnosis, otomicroscopy alone usually suffice. Assessing the sense of hearing, often the sense of balance, too, is mandatory. Assessment of hearing will show the extent of conductive and sensorineural hearing loss. Apart from this, sometimes, when the finding is not obvious, it is necessary to conduct audiological investigation in more detail in order to establish whether the diagnosis of chronic suppurative otitis media is correct. Existence and extent of conductive hearing loss or confIrmation of tympanic membrane perforation by tympanometry can help a great deal. Also, some new results about the site of perforation and the middle ear volume influence on conductive hearing loss may help have a better insight into chronic suppurative otitis media. Assessing the sense of balance may show dysfunctions with not yet necessarily permanent damage: perilymphatic fistula and benign paroxysmal positional vertigo (BPPV). Unilateral or bilateral damage may be diagnosed with appropriate tests of vestibuloocular reflex (VOR): spontaneous nystagmus, head impulse test, head shaking test. These bedside tests do not require bulky, expensive equipment for stimulus delivery or special equipment for recording nystagmus. In addition, their significance is their ability to provide enough information without performing caloric testing which is contraindicated in chronic suppurative otitis media.

scholarly journals Bezold’s abscess: a rare complication of chronic suppurative otitis media in a 13 year old female child

2017 ◽  
Vol 3 (2) ◽  
pp. 437
Author(s):  
Shankar G. ◽  
Geeta Kurle ◽  
Puneeth Puneeth
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Rare Complication ◽  
Female Child ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
The Past ◽  
Conductive Hearing

<p class="abstract">Suppurative otitis media is one of the most common ear diseases in developing countries. The advent of antibiotics has decreased the otogenic complications of this disease. Benzold’s abscess is one such rare complication of chronic suppurative otitis media. The study was done with the objective to report a case of a patient presenting with Bezold’s abscess as a complication of chronic suppurative otitis media. The case report included a 13 year old female presented with a complaint of foul smelling and scanty discharge in left ear for the past 2 years. She developed fever &amp; a painful swelling in left side of neck extending from the tip of mastoid to the angle of mandible which was of 1 week duration. Clinical examinations and investigations revealed as left sided chronic suppurative otitis media (active squamosal type) with severe conductive hearing loss with a rare extracranial complication of Bezold’s abscess. Chronic suppurative otitis media can lead to a rare complication of Bezold’s abscess<span lang="EN-IN">.</span></p>

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.

Evaluating the Frequency of Ear Problems in Patients with Cleft Lip and Palate

2021 ◽  
Author(s):  
Fatemeh Mirashrafi ◽  
Babak Saedi ◽  
Mahtab Rabbani Anari ◽  
Gholamreza Garmaroudi ◽  
Roja Toosi ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cleft Palate ◽  
Otitis Media ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Conductive Hearing Loss ◽  
Otitis Media With Effusion ◽  
Pure Tone Audiometry ◽  
Hearing Disorders ◽  
Conductive Hearing

Background: Orofacial cleft is one of the most common congenital malformations of craniofacial region. Otitis media with effusion causing conductive hearing loss is a considerable challenge for many children with cleft lip and palate. The aim of this study was to evaluate the prevalence of hearing disorders and associated malformations in these patients. Methods: The research population consisted of patients with cleft palate, between years 2012 and 2014, who were referred to Children’s Medical Center and Vali-e-Asr hospital in Tehran, Iran. Otoscopic examination, tympanometry, pure tone audiometry and echocardiography were performed for each patient. Results: Among patients with cleft palate, 73% suffered from hearing disorders. There was no relationship between prevalence of hearing loss and sex, presence of other congenital anomalies and degree of cleft, but middle ear diseases were significantly higher in children younger than 2 years. Among patients with cleft lip or palate, 10% suffered from cleft lip, 63% suffered from cleft palate and 27% suffered from cleft lip and palate. There was at least one congenital anomaly in 53% of patients. Conclusion: This study demonstrates high prevalence of otitis media with effusion and conductive hearing loss in patients with cleft. However, audiologic problems are alleviated when patients become older.

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