Does the presence of allergic rhinitis effect bone conduction hearing thresholds in chronic suppurative otitis media?

The use of potentially ototoxic topical drugs is controversial. Few experimental reports of audiometric data from human subjects exist. The purpose of this study is to determine if a significant difference between bone conduction hearing sensitivity before and after otic drop treatment for children with chronic suppurative otitis media and patent ventilation tubes exists. A statistical analysis of sensorineural threshold status after treatment of chronic suppurative otitis media with otic drops is presented.

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Allergic rhinitis and chronic suppurative otitis media

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-010-1290-3 ◽

2010 ◽

Vol 268 (1) ◽

pp. 87-91 ◽

Cited By ~ 8

Author(s):

Mehdi Bakhshaee ◽

Mohsen Rajati ◽

Mohammad Fereidouni ◽

Ehsan Khadivi ◽

Abdolreza Varasteh

Keyword(s):

Allergic Rhinitis ◽

Otitis Media ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media

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Sensorineural hearing loss in tubotympanic variety of chronic suppurative otitis media

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v22i1.45075 ◽

2020 ◽

Vol 22 (1) ◽

pp. 26-30

Author(s):

Dhiman Pramanik ◽

Mesbah Uddin Ahmed ◽

Abm Luthful Kabir ◽

Mohammad Harun Or Rashid ◽

Mohammad Anamul Haque ◽

...

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Noise Exposure ◽

Bone Conduction ◽

Sensorineural Hearing ◽

Chronic Suppurative Otitis Media ◽

Threshold Elevation ◽

Suppurative Otitis Media ◽

Bone Conduction Threshold

Objectives: To determine whether chronic suppurative otitis media(CSOM) can cause Sensorineural hearing loss(SNHL) and to note its degree and its relation to duration of disease. Methods: This was a cross sectional study which was carried out in the departments of Otolaryngology and Head-Neck Surgery of Dhaka Medical College Hospital during the period of April’2012 to March’2013. A total number of 76 patients having unilateral CSOM were included in this study age ranging from 6 to 59 years after exclusion of other possible causes of SNHL such as meningitis, head injury, previous ear surgery and chronic noise exposure. The use of unilateral CSOM cases provided a contralateral ear to serve as a control. Bone conduction threshold elevation between diseased and control ear was considered as the indicator of inner ear damage. Results: In this series, CSOM was seen to be associated with sensorineural hearing loss. Significant threshold elevation was observed in relation to disease duration. Here bone conduction measurement in all frequencies (500Hz,1000Hz,2000Hz and 4000Hz) in diseased and uninvolved contralateral side showed elevation of bone conduction in diseased side and this elevation was significantly higher (p<0.001). The average bone conduction loss at 4kHz was higher than the average at the speech frequency range. Conclusion: This study suggests that CSOM can cause significant bone conduction threshold elevation and it should be considered when managing this problem. Early detection and prompt treatment may limit this potential handicap. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 26-30

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Air- and bone-conduction vestibular evoked myogenic potentials in chronic suppurative otitis media, pre- and post-operatively

Journal of Hearing Science ◽

10.17430/892634 ◽

2014 ◽

Vol 4 (4) ◽

pp. 21-35

Keyword(s):

Otitis Media ◽

Bone Conduction ◽

Chronic Suppurative Otitis Media ◽

Vestibular Evoked Myogenic Potentials ◽

Suppurative Otitis Media

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Effect of Incudostapedial Reconstruction Using Conchal Cartilage Interposition Graft on Hearing Outcome

International Archives of Otorhinolaryngology ◽

10.1055/s-0038-1661398 ◽

2018 ◽

Vol 23 (03) ◽

pp. e262-e266

Author(s):

Nazrin Hameed ◽

Arun Alexander ◽

Sunil Kumar Saxena ◽

Sivaraman Ganesan ◽

Jyotirmay S. Hegde

Keyword(s):

Otitis Media ◽

Bone Conduction ◽

Chronic Otitis Media ◽

Ossicular Chain ◽

Chronic Suppurative Otitis Media ◽

P Value ◽

Suppurative Otitis Media ◽

Interposition Graft ◽

Conchal Cartilage ◽

Incudostapedial Joint

Introduction Chronic otitis media is a widely prevalent condition in developing countries and is a cause of correctable hearing loss. The most frequent ossicular chain defect found during surgery for chronic otitis media has been a discontinuity of the incudostapedial joint. This study observes the effect of incudostapedial reconstruction using conchal cartilage on the hearing of the patient. Objectives To evaluate improvement in hearing by incudostapedial reconstruction using conchal cartilage interposition graft in tympanoplasty and to identify the independent factors associated with erosion of the long process of incus among patients with chronic suppurative otitis media tubotympanic type. Methods This study was conducted in the department of ear, nose and throat (ENT) amongst 22 patients with tubotympanic-type chronic suppurative otitis media who were found to have erosion of the long process during tympanoplasty. These patients underwent incudostapedial reconstruction using conchal cartilage. Their hearing was again reassessed at 12 weeks postsurgery, and the changes were observed. Results A statistically significant improvement in air conduction by 15.14 dB was found after undergoing incudostapedial reconstruction using conchal cartilage (p < 0.001). There was no statistically significant change in bone conduction (p value > 0.05). A total of 59.1% of patients in the study had an improvement in hearing ranging from 11 to 20 dB. It was also found that 50% of the patients had a postoperative hearing of 10 to 20 dB. Conclusion Conchal cartilage interposition graft effectively improved hearing when used for the reconstruction of the incudostapedial joint during tympanoplasty in patients of chronic suppurative otitis media.

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Bone conduction impairment in uncomplicated chronic suppurative otitis media

American Journal of Otolaryngology ◽

10.1016/s0196-0709(98)90079-5 ◽

1998 ◽

Vol 19 (3) ◽

pp. 149-153 ◽

Cited By ~ 24

Author(s):

Yousry EI-Sayed

Keyword(s):

Otitis Media ◽

Bone Conduction ◽

Chronic Suppurative Otitis Media ◽

Suppurative Otitis Media

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Sensorineural component in chronic suppurative otitis media

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v15i2.5060 ◽

1970 ◽

Vol 15 (2) ◽

pp. 69-74

Author(s):

Ahmed Raquib ◽

Ahmmad Taous ◽

Rojibul Haque

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Noise Exposure ◽

Bone Conduction ◽

Sensorineural Hearing ◽

Chronic Suppurative Otitis Media ◽

Threshold Elevation ◽

Suppurative Otitis Media ◽

Bone Conduction Threshold

A cross sectional study was conducted at the Department of Otolaryngology and Head-Neck surgery, Dhaka Medical College Hospital, Dhaka during the period of July 2005 to June 2007 to determine whether chronic suppurative otitis media (CSOM) can cause sensorineural hearing loss (SNHL) and to note its degree and its relation to duration of disease. 130 patients with unilateral CSOM were included in the study age ranging from 11 to 50 years after exclusion of other possible causes of SNHL such as meningitis, head injury, previous ear surgery, and chronic noise exposure. The use of unilateral CSOM cases provided a contralateral ear to serve as a control thus excluded common variables, such as presbycusis, parenteral ototoxic medications, metabolic disorders, and the effect of sex or genetics. Bone conduction threshold elevation between diseased and control ear was considered as the indicator of inner ear damage. In this series, CSOM is seen to be associated with sensorineural hearing loss. The study showed a bone conduction threshold elevation from 4.1dB to 10.7dB across frequency ranges. Significant threshold elevation was observed in relation to the disease duration. The average bone conduction loss at 4 kHz was higher than the average at the speech frequency range. This study suggests that CSOM can cause significant bone conduction threshold elevation and it should be considered when managing this problem. Early detection and prompt treatment may limit this potential handicap. Key words: CSOM; Sensorineural hearing loss; Bone conduction DOI: 10.3329/bjo.v15i2.5060 Bangladesh J Otorhinolaryngol 2009; 15(2): 69-74

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An association of sensorineural hearing loss in mucosal type of chronic suppurative otitis media

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20181857 ◽

2018 ◽

Vol 4 (3) ◽

pp. 712

Author(s):

Santosh Malashetti ◽

Prabhu Khavasi ◽

Prasen Reddy ◽

Karra Bhargavi

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Otitis Media ◽

Tertiary Care ◽

Bone Conduction ◽

Chronic Otitis Media ◽

Sensorineural Hearing ◽

Chronic Suppurative Otitis Media ◽

Care Hospital ◽

Suppurative Otitis Media

Background: Chronic suppurative otitis media of mucosal variety is one of the most common cause of conductive hearing loss worldwide. Sensorinueral hearing loss is rare but well established complication of chronic suppurative otitis media of squamosal variety. We made an attempt to view the sensorineural hearing loss in mucosal type of chronic otitis media and keeping objectives and aims as follows occurrence of sensorinueral hearing loss in mucosal type of chronic suppurative otitis media; relation of sensorinueral component with age, gender and duration in mucosal type of chronic suppurative otitis media.Methods: A total of 105 cases of mucosal type of CSOM were studied retrospectively for the pattern of hearing impairement on the basis of pure tone audiogram in a Tertiary care hospital. Relation 0f sensorinueral hearing loss with with age, gender and duration in mucosal type of CSOM is compared and tabulated with various studies. Results: Out of total 105 cases of CSOM of mucosal variety 30 (28.57%) had sensorinueral hearing loss affecting 13 males and 17 females with males to females ratio of 1:1.3.Mean bone conduction thresholds in males at 1 kh, 2 kh and 4 kh is 30.38%, 38.46% and 46.15% respectively and Mean bone conduction thresholds in females at 1 kh, 2 kh and 4 kh is 30.88%, 35% and 44.41% respectively.Conclusions: Significant sensorinueral hearing loss was seen in our study. Age, gender and duration didn’t have any impact on degree of sensorinueral hearing loss.

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Remedial Effects of Homeopathic Medicine in Chronic Suppurative Otitis Media-Related Complications

Bioresearch Communications ◽

10.3329/brc.v7i2.54372 ◽

2021 ◽

Vol 7 (2) ◽

pp. 982-989

Author(s):

Nazmul Ahsan ◽

Ahmed Faisal Sumit ◽

Latiful Bari ◽

Anwarul Azim Akhand

Keyword(s):

Tympanic Membrane ◽

Hearing Impairment ◽

Otitis Media ◽

Tympanic Membrane Perforation ◽

Conclusive Evidence ◽

Chronic Suppurative Otitis Media ◽

Dramatic Improvement ◽

Suppurative Otitis Media ◽

Control Subjects ◽

Hearing Thresholds

Chronic Suppurative Otitis Media (CSOM) is characterized by persistent otorrhoea from the middle ear through a perforated tympanic membrane. It is regarded as one of the most important causes of hearing impairment in developing countries. In many cases, treating CSOM with antibiotics generates fears of resistance. Unlike conventional antibiotics, homeopathic remedies are mostly free from side effects. Therefore, this study was performed to evaluate the effects of homeopathic medicines to treat CSOM patients. A total of 90 subjects were included in this study; among them, 60 were suffering from CSOM, and 30 were healthy controls. The CSOM patients were randomly assigned for the daily administration of homeopathic medicines such as tellurium metallicum in 6C potency (n=17), mercurius solubilis in 200C potency (n=13), and calcarea sulphurica in 30C potency (n=10) for 8 weeks. Ear suppuration was prevented in all of the patients treated with the medicines. More than 50% of the patients’ tympanic membrane perforation were healed by tellurium metallicum and calcarea sulphurica, however, no membrane healing was observed by mercuris solubilis. It was next examined whether the patients underwent hearing impairment compared to healthy control subjects. The average hearing thresholds of the control subjects (n=30) at 1, 4, 8, and 12 kHz frequencies were 13.55 ± 1.57, 15.58 ± 1.12, 27.58 ± 2.00, and 32.57 ± 2.45 dB SPL, respectively. When the average hearing thresholds of the CSOM patients (n=40) were measured at all of the above frequencies, the values became 30.25 ± 1.75, 36.80 ± 3.25, 50.75 ± 2.35, and 59.50 ± 2.96 dB SPL, respectively. This result indicated the loss of hearing in CSOM patients as the average hearing thresholds of the patients were significantly higher (p<0.05) than that of the control subjects. Treatment for 8 weeks with all three homeopathic medicines significantly reduced (p<0.05) hearing thresholds of the patients at all the frequencies. This result demonstrated dramatic improvement in patients’ hearing by the homeopathic medicines. This study, therefore, provides conclusive evidence that homeopathic medicines prevent ear suppuration in CSOM patients as well as heal perforated membrane, and improve hearing. Bioresearch Commu. 7(2): 982-989, 2021 (June)

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Tympanoplasty with and without mastoidectomy in wet ears: a comparative study

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203201 ◽

2020 ◽

Vol 6 (8) ◽

pp. 1509

Author(s):

Manish Munjal ◽

Gopika Talwar ◽

Shubham Munjal ◽

Tulika Saggar

Keyword(s):

Comparative Study ◽

Otitis Media ◽

Chronic Suppurative Otitis Media ◽

Outpatient Clinics ◽

Suppurative Otitis Media ◽

Hearing Gain ◽

Medical College ◽

Flap Technique ◽

Cortical Mastoidectomy ◽

Hearing Thresholds

Background: Effect of cortical mastoidectomy on graft uptake and graft mobility and thence shift of hearing thresholds was analysed in tympanoplasty in discharging ears.Methods: In this study, 60 subjects of safe chronic suppurative otitis media were selected from the outpatient clinics of Dayanand Medical College and Hospital, Ludhiana. All were subjected to tympanoplasty utilizing the underlay technique. Mastoid exploration was undertaken in the ears with persistent ear discharge. Results: Cortical mastoidectomy performed in 20 (33.3%) out of 60 patients and most of cases were done in superiorly based/superior cuff tympanoplasty group in our study. No statistically significance found between cortical mastoidectomy and different flap technique. Mean hearing gain is more with cortical mastoidectomy (16.85 dB) than without cortical mastoidectomy (13.05 dB) and graft uptake was 97.5% without cortical and 95% with cortical mastoidectomy.Conclusions: There was higher mean gain in thresholds of hearing in subjects with cortical mastoidectomy with tympanoplasty though uptake was almost equal to those without mastoidectomy.

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