Modern approaches to the diagnosis of vestibulopathy in patients with chronic suppurative otitis media

Chronic suppurative otitis media (CSOM), according to statistics, is one of the most common diseases in otorhinolaryngological practice, accounting for, on average, from 5.8 to 20.7% of all ENT pathology. The incidence of CSOM in the Republic of Uzbekistan is up to 6.5%. The pathological process in CSOM leads to the destruction of the bone structures of the middle ear and progressive hearing loss, and in some cases - to an increase in vestibular symptoms. Purpose of the study: vestibular disorders in chronic purulent otitis media using modern diagnostic methods. Materials and methods: In order to study the features of cochleovestibular disorders in CSOM, in the Department of Congenital and Acquired ENT Diseases at the Republican Specialized Scientific and Practical Medical Center of Pediatrics of the Ministry of Health of the Republic of Uzbekistan were examined 13 patients with CSOM with labial complications . All patients underwent a set of standard examinations: ENT examination, otoscopy with video recording, stato coordination tests, complex vestibulometry using modern computer video nystagmography, a set of audiometric tests, computed tomography of the temporal bones. Results: 38.4% of patients complained of dizziness, but when using the method of active survey complaints of dizziness were detected in 61.5% of cases. The analysis of the results of stato-coordination tests in 30.7% of patients revealed a deviation towards the affected ear, in 61.5% of cases - spontaneous nystagmus. Conclusions: the results allow us to conclude that the main complaint of patients with CSOM are of hearing loss (100%), discharge from the ear cavity (100%), complaints of vestibular manifestations were present in 30 to 55% of subjects. Detection of mixed deafness in 53.8% of patients during audiological examination indicates involvement in the process of the inner ear, hence all patients with CSOM, regardless of the duration and stage of the inflammatory process, should conduct a comprehensive vestibulometric examination to determine vestibular status, the degree of involvement of inner ear structures , prognosis, choice of treatment tactics and prevention of complications.

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

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0806307b ◽

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.

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

MVP Journal of Medical Sciences ◽

10.18311/mvpjms/2015/v2/i1/790 ◽

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. Aims and Objectives: 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. Materials and Methods: 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. Result: 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. Conclusion: 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.

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

BioScientia Medicina ◽

10.32539/bsm.v5i4.409 ◽

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.

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CHRONIC SUPPURATIVE OTITIS MEDIA AND SENSORINEURAL HEARING LOSS

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2015/1674 ◽

2015 ◽

Vol 4 (67) ◽

pp. 11595-11599

Author(s):

Naveen Kumar A G ◽

Ravikeerthi G

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Sensorineural Hearing ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media

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Development of an ear cap in chronic suppurative otitis media using additive manufacturing and TRIZ

Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine ◽

10.1177/0954411918780126 ◽

2018 ◽

Vol 232 (7) ◽

pp. 733-738 ◽

Cited By ~ 1

Author(s):

Mahesh B Mawale ◽

Abhaykumar Kuthe ◽

Anupama M Mawale ◽

Sandeep W Dahake

Keyword(s):

Hearing Loss ◽

Additive Manufacturing ◽

Otitis Media ◽

Middle Ear ◽

Prevalence Rate ◽

Chronic Otitis Media ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media ◽

Collaborative Tool ◽

Middle Ear Infection

The prevalence rate of chronic suppurative otitis media is high and its treatment continues to be a challenge for the otorhinolaryngologists. Due to middle ear infection, there may be pain, hearing loss and spontaneous rupture of the eardrum which results in perforation. Infections can cause a hole in the eardrum as a side effect of otitis media. The patients suffering from ear perforation or having a hole in eardrum require preventing entry of water in the ear. This article describes the development of ear cap using additive manufacturing and TRIZ (a collaborative tool) to prevent the entry of water in the ear during chronic otitis media.

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Complications and Sequelae of Chronic Suppurative Otitis Media

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894880970s210 ◽

1988 ◽

Vol 97 (2_suppl) ◽

pp. 38-40 ◽

Cited By ~ 13

Author(s):

Orval E. Brown ◽

William L. Meyerhoff

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Facial Paralysis ◽

Chronic Suppurative Otitis Media ◽

Lateral Sinus ◽

Suppurative Otitis Media ◽

Intracranial Complications ◽

Osseous Changes

Chronic suppurative otitis media is an infection of the ME space associated with irreversible tissue disease. This entity is generally seen clinically as ME infection associated with a nonhealing perforation of the TM. It has significant complications and sequelae. Otologic complications of C Supp OM include petrositis, facial paralysis, and labyrinthitis. Intracranial complications include lateral sinus thrombophlebitis, meningitis, and intracranial abscesses. Sequelae include osseous changes of the ME with associated hearing loss, cholesteatoma, and tympanosclerosis.

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Risk factors of sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media

American Journal of Otolaryngology ◽

10.1016/j.amjoto.2018.01.002 ◽

2018 ◽

Vol 39 (2) ◽

pp. 88-93 ◽

Cited By ~ 6

Author(s):

Abd Elrheem Ahmed Singer ◽

Osama G. Abdel-Naby Awad ◽

Rafeek Mohamed Abd El-Kader ◽

Ahmed Rabeh Mohamed

Keyword(s):

Risk Factors ◽

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Sensorineural Hearing ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media

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Hearing impairment in unilateral chronic suppurative otitis media

Kazan medical journal ◽

10.17816/kazmj70711 ◽

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.

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