Evaluation of the treatment results of simple myringoplasty with tragal perichondrium in patients suffering from chronic otitis media having tympanic perforation

2019 ◽  
pp. 55-60
Author(s):  
Thi My Trang Doan ◽  
Thanh Thai Le ◽  
Manh Hung Ho
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Rural Areas ◽  
Urban Areas ◽  
Age Groups ◽  
Chronic Otitis Media ◽  
Common Disease ◽  
Viet Nam ◽  
Treatment Results ◽  
Functional Symptoms

Research aims: To describe the clinical, paraclinical features of chronic otitis media with perforation and evaluation the treatment by tragal perichondrium myringoplasty. Material and method: 33 patients diagnosed chronic otitis media were treated by tragal perichondrium tympanoplasty at Hue Central Hospital and Hue University of Medicine and Pharmacy Hospital. Results: Chronic otitis media was formed to be common among females, in age groups 16-30 years. The percentage of patients in rural areas (57.6%) is higher than in urban areas (42.4%), the functional symptoms before surgery are hearing loss, tinnitus with the incidence of 100%, 87.9, these symptoms improved significantly after surgery (hearing loss decreased from 100% to 18.2% after 3 months, 6 months after surgery; tinnitus decreased by 87.9 % to 27.3% and 24.2%), the rate of closure the perforation after 3 months was 81.8%, PTA after surgery is 28.8 ± 10.6dB, up by 13.0 ± 7.4 dB. Conclusions: Chronic otitis media is a common disease in Viet Nam, affect much to life, should be detected, treated and operated timely. Tragal perichondrium myringoplasty is simple, easy to operate and has a good result. Key words: Chronic otitis media, perforation, tragal perichondrium myringoplasty, hearing loss, tinnitus

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

scholarly journals Analysis of clinical status of contralateral ear in cases of unilateral squamosal chronic otitis media

2018 ◽  
Vol 4 (5) ◽  
pp. 1198
Author(s):  
Girija Ghate ◽  
Raphella Khan ◽  
Sabreena Mukhtar
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Clinical Status ◽  
Age Groups ◽  
Previous History ◽  
Chronic Otitis Media ◽  
Secretory Otitis Media ◽  
Middle Ear Pressure ◽  
Paediatric Age ◽  
Contralateral Ear

<p class="abstract"><strong>Background:</strong> Squamosal COM is a condition caused by various etiological factors which are likely to affect the other side too. If diagnosed and intervened in time, the progression of the disease from simple negative middle ear pressure to cholesteatoma formation can be prevented and ear can be protected from hearing loss. Therefore it is important to assess and evaluate the contralateral ear appropriately.</p><p class="abstract"><strong>Methods:</strong> This prospective study included patients above six years of age suffering from unilateral squamosal chronic otitis media. Their contralateral ears were examined and assessed for any ear disease.  </p><p class="abstract"><strong>Results:</strong> We found various conditions in contralateral ears ranging from normal tympanic membrane to various types and grades of retractions of pars tensa as well as pars flaccida and some infectious conditions too. The commonest finding was secretory otitis media (23%) and the least common was otomycosis (3%).</p><p class="abstract"><strong>Conclusions:</strong> Most common status in contralateral ear was found to be secretory otitis media in adult and paediatric age groups (23%). In our study, 84% of the patients showed pathology in the contralateral ear and 16% were normal, so the study proves that in patients with unilateral squamosal otitis media, with no complaints or previous history of discharge in contralateral ear shows pathology to quite a good extent¸ so the contralateral ear should always be evaluated comprehensively to efficiently diagnose any alterations and provide timely therapeutic intervention to prevent further progression of the disease and hearing loss.</p>

scholarly journals The Romanian Version of Health-Related Quality of Life Questionnaire 12 for Chronic Otitis Media. The Socio-Economic Status Impact Significance

2021 ◽  
Vol 26 (2) ◽  
pp. 2455-2463
Author(s):  
ALMA AURELIA MANIU ◽  
◽  
CRISTIAN FLETAN ◽  
VLAD ANDREI BUDU ◽  
VIOLETA NECULA
Keyword(s):  
Otitis Media ◽  
Rural Areas ◽  
Urban Areas ◽  
Economic Status ◽  
Chronic Otitis Media ◽  
Cross Sectional Study ◽  
Primary Objective ◽  
P Value ◽  
Life Questionnaire ◽  
Cross Sectional

Objective: Our primary objective was to translate and validate Chronic Otitis Media (COM) Questionnaire-12 (COMQ-12) in Romanian. The secondary objective was to investigate the effect of the socioeconomic status on the preoperative COMQ-12 scores in individuals with a similar stage of disease. Methods: This was a cross-sectional study. Patients diagnosed with different stages of (COM) with cholesteatoma, scheduled for the first surgery, filled in the Romanian translated version of the COMQ-12. The patients were divided according to the stage of the disease and the environment of origin: rural versus urban areas. Results: The internal consistency of the Romanian COMQ-12 proved excellent, with a Cronbach’s alpha equal to 0.959. The correlation of the 24 randomly split-half reliability analysis varied from 0.904 to 0.917, with a mean of 0.908. Significantly higher COMQ-12 scores are obtained by patients from urban (mean = 42.14, SD =9.04) as compared to those from rural (mean = 30.44, SD = 5.88) only for those with stage III disease (P-value=0.0292). Conclusions: Romanian version of COMQ-12 proved to be a valid instrument that can be use in clinical practice to provide suitable information in COM patients, which contributes to the development of an international common otology dataset. Patients from rural areas tend to disregard their symptoms, being more predisposed to potential complications related to COM rather than urban patients at the same stage of the disease.

scholarly journals Study of ossicular chain defects in patients with chronic otitis media

2021 ◽  
Vol 7 (12) ◽  
pp. 1895
Author(s):  
Smita Soni ◽  
Anjali A. R. ◽  
Yashveer J. K.
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Age Groups ◽  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
Mastoid Cavity ◽  
Sociodemographic Profile ◽  
Chain Defects ◽  
Recorded Data ◽  
One Year

<p><strong>Background:</strong> Chronic otitis media (COM) is a long-standing disease of middle ear cleft and mastoid cavity having a permanent perforation in the tympanic membrane with or without discharge. It’s a worldwide health problem and it is still predominant in the modern antibiotic era. Aim<strong> </strong>was to determine the prevalence and types of ossicular chain defect in mucosal and squamosal type of COM. Also, to evaluate the hearing loss in relation to ossicular chain defect.</p><p><strong>Methods:</strong> The study was prospective observational study conducted in Bhopal over the duration of one year (January 2019 to June 2020). Patient aged 11-70 years reporting with COM were included in the study. Details regarding sociodemographic profile and extensive examination were recorded. Data was entered into MS excel 2007, analysis was done.</p><p><strong>Results:</strong> It was more prevalent in the age groups of 21-30years (39%) with female (53%) preponderance. Right sided ear was commonly involved (58%). Majority of the patients had tubo-tympanic disease (62%) whereas 38% had attico-antral disease. Ossicular chain was found intact in 33% cases. Average hearing loss was maximum (67.6 dBHL) when all ossicles are eroded. Hearing loss was minimum (33.6 dBHL) with isolated handle of malleus involvement.</p><p><strong>Conclusions:</strong> COM is one of the commonest causes of preventable hearing impairment in our society, hence early diagnosis and timely intervention is needed. Awareness among patients and doctors regarding the need for better ear hygiene is necessary.</p>

An Epidemiological, Diagnostic and Therapeutic Study of Giardia lamblia in Anbar Province – Iraq

2019 ◽  
Vol 9 (01) ◽  
pp. 39-45
Author(s):  
Suad Shallal Shahatha
Keyword(s):  
Teaching Hospital ◽  
Rural Areas ◽  
Giardia Lamblia ◽  
Urban Areas ◽  
Culture Media ◽  
Age Groups ◽  
Stool Samples ◽  
Women And Children ◽  
Teucrium Polium L ◽  
Therapeutic Study

This study was carried out to investigate the epidemiology of Giardia lamblia parasites in patients who visited some of the hospitals in Anbar province, which included (Fallujah Teaching Hospital, Ramadi Teaching Hospital, Ramadi Teaching Hospital for Women and Children and Hit Hospital) during by examining 864 stool samples in a direct examination method, The results revealed the infection rate was 41.7 % and the percentage of infection among males 47.8% is higher than that of females 35.4% with significant differences (p≤0.05). The age groups (1-9) years recorded the highest rates 55.4% and the lowest rate 13.6% in the age group (40-49) years. The highest rate of infection was 62.5% during the month of June, while the month of October was the lowest rate 5% and significant differences. The incidence rate in rural areas was 50.6% higher than in the urban areas 32.5%. The study also included the effect of Teucrium polium L. on the parasite in the culture media HSP-1, the concentrations of 0.5-3 mg / mL significantly affected Giardia, it was noted whenever the greater the concentration, the greater the effect during different treatment periods (1-4) days, as the highest concentration 3 mg/ml killed all Giardia parasites on the fourth day of treatment.

scholarly journals Trends in prevalence of gestational diabetes mellitus in Zhejiang Province, China, 2016–2018

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Meng Wang ◽  
Ru-Ying Hu ◽  
Wei-Wei Gong ◽  
Jin Pan ◽  
Fang-Rong Fei ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Rural Areas ◽  
Urban Areas ◽  
Age Groups ◽  
Zhejiang Province ◽  
Advanced Age ◽  
Female Population ◽  
Annual Prevalence

Abstract Background Limited population-based studies have investigated the secular trend of prevalence of gestational diabetes mellitus (GDM) in mainland China. Therefore, this study aimed to estimate the prevalence of GDM and time trends in Chinese female population. Methods Based on Diabetes Surveillance System of Zhejiang Province, 97,063 diagnosed GDM cases aged 20–50 years were identified from January 1, 2016 to December 31, 2018. Annual prevalence, prevalence rate ratios (PRRs) and average annual percentage change with their 95% confidence intervals (CIs) were reported. Results The age-standardized overall prevalence of GDM was reported to be 7.30% (95% CI 7.27–7.33%); 9.13% (95% CI 9.07–9.19%) in urban areas and 6.24% (95% CI 6.21–6.27%) in rural areas. Compared with 20–24 years age group, women in advanced age groups (25–50 years) were at higher risk for GDM (PRRs ranged from 1.37 to 8.95 and the 95% CIs did not include the null). Compared with rural areas, the risk for GDM was higher in urban areas (PRR: 1.69, 95% CI 1.67–1.72). The standardized annual prevalence increased from 6.02% in 2016 to 7.94% in 2018, with an average annual increase of 5.48%, and grew more rapidly in rural than urban areas (11.28% vs. 0.00%). Conclusions This study suggested a significant increase in the prevalence of GDM among Chinese female population in Zhejiang province during 2016–2018, especially in women characterized by advanced age and rural areas.

How left behind are rural parents of migrant children? Evidence from Thailand

2010 ◽  
Vol 30 (5) ◽  
pp. 811-841 ◽  
Author(s):  
JOHN KNODEL ◽  
JIRAPORN KESPICHAYAWATTANA ◽  
CHANPEN SAENGTIENCHAI ◽  
SUVINEE WIWATWANICH
Keyword(s):  
Adult Children ◽  
Rural Areas ◽  
Living Arrangements ◽  
Urban Areas ◽  
Extended Family ◽  
Age Groups ◽  
Social Contact ◽  
Migrant Children ◽  
Older Parents ◽  
Economic Changes

ABSTRACTThe consequences of adult children's migration from rural areas for older parents who remain behind are keenly debated. While the mass media and international advocacy organisations favour an ‘alarmist’ view of desertion, the academic literature makes more sanguine assessments using the ‘household strategy’ and ‘modified extended family’ perspectives. We examine the relationship between the migration of adult children and various dimensions of older parents' wellbeing in Thailand using evidence from a survey that focused on the issues. The results provide little support for the alarmist view, but instead suggest that parents and adult children adapt to the social and economic changes associated with development in ways not necessarily detrimental to intergenerational relations. The migration of children, especially to urban areas, often benefits parents' material support while the recent spread of cell phones has radically increased their ability to maintain social contact. Nevertheless, changing living arrangements through increased migration and the smaller family sizes of the youngest age groups of older people pose serious challenges for aspects of filial support, especially at advanced ages when chronic illness and frailty require long-term personal care. Dealing with this emerging situation in a context of social, economic and technological change is among the most critical issues facing those concerned with the implications of rapid population ageing in Thailand and elsewhere.

scholarly journals Examining the Dietary Diversity of Children in Niger

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 2961
Author(s):  
Nafissatou Cisse Egbuonye ◽  
Ariun Ishdorj ◽  
E.L.J. McKyer ◽  
Rahma Mkuu
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Dietary Diversity ◽  
Descriptive Analysis ◽  
Age Groups ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Cross Sectional ◽  
Child Factors

Malnutrition is a major public health concern in Niger. The stunting rate in children in Niger is over 50%, one of the highest in the world. The purpose of this cross-sectional study was to examine children’s dietary diversity (CDD) and the maternal factors that impact CDD. A total of 1265 mother–child pairs were analyzed. Descriptive analysis was conducted to present maternal and child characteristics. To compare the mean scores of CDD in relation to the region, an independent sample t-test was conducted. A one-way ANOVA test was conducted to evaluate the CDD score by different age groups. A linear regression model was estimated to identify household, maternal and child factors that affect the CDD score. Our results indicate that most of the participants of our survey resided in rural areas and the majority (80.7%) of the mothers had no education. Factors such as region, children’s age, woman’s empowerment, vitamin A intake and wealth index were significant predictors of CDD (p < 0.05). The children residing in rural areas were more likely to have lower CDD scores (p < 0.05) than the children in urban areas, therefore becoming more susceptible to malnutrition.

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