Hearing outcomes following myringoplasty for patients from developing countries with chronic otitis media

10.5580/e40 ◽  
2010 ◽  
Vol 11 (2) ◽  
Keyword(s):  
Developing Countries ◽  
Otitis Media ◽  
Chronic Otitis Media ◽  
Hearing Outcomes

scholarly journals Comparison of clinical presentation between Chronic Otitis Media Mucosal with Squamous.

2012 ◽  
Vol 8 (4) ◽  
pp. 387-391 ◽  
Author(s):  
B L Shrestha ◽  
I Shrestha ◽  
R C Amatya
Keyword(s):  
Developing Countries ◽  
Health Education ◽  
Otitis Media ◽  
Clinical Presentation ◽  
Chronic Otitis Media ◽  
Upper Respiratory Tract ◽  
Female Ratio ◽  
Water Exposure ◽  
Study Results ◽  
Prospective Longitudinal

Background Chronic otitis media is a chronic inflammatory disease of the middle ear cleft which is manifested as deafness and ear discharge. It is a common condition affecting 0.5 – 30% of any community worldwide, and most common in developing countries. The prevalence mainly depends on age, low socio-economic status, overcrowding and limited medical facilities. Objective To compare the clinical presentation between chronic otitis media mucosal with squamous types. Methods A prospective, longitudinal and analytical study performed among 200 patients who have features of chronic otitis media and were attended to in the ear, nose and throat outpatient department of Dhulikhel Hospital - Kathmandu University Hospital, Dhulikhel, Nepal from January 2010 to January 2011. Patients who had already undergone surgery and came back to the hospital, with inadequate information were excluded from the study. Results The results showed that, out of 200 cases, 120 (60%) were chronic otitis media- mucosal and 80 (40%) were chronic otitis media – squamous. Patients < 30 years were affected in both groups. The male to female ratio in chronic otitis media mucosal was 1.14:1, whereas in chronic otitis media squamous, it was 1.96:1. Similarly in etiological factors, oil and water exposure (76%) was the most common cause in chronic otitis media mucosal, whereas in chronic otitis media squamous, oil and water exposure (62.5%) and recurrent upper respiratory tract infection (62.5%) were the most common causes. Of all the clinical features, ear discharge was the leading feature in both chronic otitis media mucosal (98%) and squamous (100%) cases. The complications were mainly seen in the chronic otitis media squamous and the most common complication was mastoid abscess (5%). Conclusions The frequency of chronic otitis media is higher in the younger age group and those lacking in health education. As a result, it is important to disseminate the health education regarding the ear disease which will help in decreasing the frequency of the disease in developing countries like ours.http://dx.doi.org/10.3126/kumj.v8i4.6237 Kathmandu Univ Med J 2010;8(4):387-91

scholarly journals Hearing outcomes after mobile ear surgery for chronic otitis media in Greenland

2008 ◽  
Vol 67 (5) ◽  
pp. 452-460 ◽  
Author(s):  
Preben Homøe ◽  
Gohar Nikoghosyan ◽  
Christian Siim ◽  
Poul Bretlau
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Ear Surgery ◽  
Hearing Outcomes

Meta-analysis of hearing outcomes of chronic otitis media surgery in the only hearing ear

2021 ◽  
Author(s):  
Levent Yücel ◽  
Bülent Satar ◽  
Muhittin Abdülkadir Serdar
Keyword(s):  
Otitis Media ◽  
Meta Analysis ◽  
Chronic Otitis Media ◽  
Hearing Outcomes

scholarly journals Intracranial and extracranial complications of chronic otitis media and their management at a tertiary care center: a descriptive study

2021 ◽  
Vol 7 (3) ◽  
pp. 499
Author(s):  
Chandrashekharayya S. H. ◽  
Ruman Ahmed ◽  
Prabhu Khavasi
Keyword(s):  
Developing Countries ◽  
Early Diagnosis ◽  
Otitis Media ◽  
Clinical Presentation ◽  
Chronic Otitis Media ◽  
Morbidity And Mortality ◽  
Significant Problem ◽  
Lateral Sinus ◽  
Management Of Complications ◽  
Extracranial Complications

<p><strong>Background: </strong>In the pre-antibiotic era complications from otitis media occurred abundantly, accompanied by high morbidity and mortality. With availability of higher antibiotics, morbidity and mortality due to chronic otitis media (COM) has reduced, but still complications due to COM remain a significant problem in developing countries. The aim is to study clinical presentation, management and outcomes of intracranial and extracranial complications of COM. Study design is retrospective case series study.</p><p><strong>Methods:</strong> Patients admitted in department of otorhinolaryngology and head and neck surgery, S. Nijalingappa medical college and H.S.K hospital and research center, Bagalkot from May 2018 to April 2020 with COM associated with intracranial or extracranial complications were included in the study. Data of clinical presentation, associated complications, management, and follow-up were analyzed.</p><p><strong>Results:</strong> A total of 20 patients were reviewed during study period. Of these seventeen patients had extracranial (EC) complications, while one had intracranial (IC) complications and two had both. Otalgia, otorrhea and fever were the main presenting symptoms. The encountered IC complication were lateral sinus thrombophlebitis, cerebellar abscess. Among the EC complications most common were post-auricular subperiosteal abscess, lateral semicircular canal fistula and facial paralysis. Most commonly isolated organism was staphylococcus. Surgery was main modality of treatment.</p><p><strong>Conclusions:</strong> COM is still a significant problem in developing countries in spite of availability of antibiotics and early diagnosis is crucial in the management of complications associated. This study emphasizes the importance of early diagnosis and prompt treatment to limit the morbidity.</p>

scholarly journals A retrospective study comparing post-aural versus endaural approach for myringoplasty in cases of chronic otitis media

2019 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Supreet Singh Nayyar ◽  
Pawandeep Kaur
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Disease Free Survival ◽  
Mild Degree ◽  
Kaplan Meier ◽  
Significant Difference ◽  
Cosmetic Outcomes ◽  
One Year ◽  
Post Aural Approach ◽  
Hearing Outcomes

<p class="abstract"><strong>Background:</strong> Patients diagnosed with chronic otitis media mucosal disease with a mild degree of conductive hearing loss require myringoplasty as their treatment. Various approaches to myringoplasty are defined. The aim of the present study was to compare outcomes of the post-aural versus end aural approach for myringoplasty.</p><p class="abstract"><strong>Methods:</strong> A retrospective cohort study of 26 patients operated over a period of one year at tertiary otorhinolaryngology center.  </p><p class="abstract"><strong>Results:</strong> Distribution of approaches among post-aural and end aural was 11 and 15 patients respectively.<strong> </strong>Otorrhea was the presenting complaint in 65% (n=17) of patients. Preoperative mean pure-tone average (PTA) of all patients was 34.8 dBHL (range 28 to 40 dBHL) while postoperatively 3 months mean PTA was 21.63 and 25.13 dBHL for patients undergoing end aural and post-aural approaches respectively (p=0.008). The success rate in terms of no re-perforation was 76.9% overall, 81.81% for the end aural approach and 73.33% for the post-aural approach with no statistically significant difference (p=0.612). Disease-free survival, as calculated with Kaplan-Meier analysis, was 9.7 and 13.9 months respectively (p=0.807). Cosmetic outcome was analyzed using the scar cosmesis assessment and rating (SCAR) scale. Mean SCAR scale score in our series was 5.36 and 6.20 for patients with end aural and post-aural approaches respectively with no statistically significant difference.</p><p class="abstract"><strong>Conclusions:</strong> Both approaches, end aural and post-aural, are good approaches for the purpose of myringoplasty with no statistically significant difference between the two in terms of re-perforation rates or cosmetic outcomes. However, based on our study, the end aural approach has better hearing outcomes in terms of hearing improvement.</p><p> </p>

scholarly journals Prediction of hearing outcomes in chronic otitis media patients underwent tympanoplasty using ossiculoplasty outcome parameter staging or middle ear risk indices

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0252812
Author(s):  
Da Jung Jung ◽  
Hyun Ju Lee ◽  
Ji Song Hong ◽  
Dong Gyu Kim ◽  
Jae Yeon Mun ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Risk Group ◽  
Risk Index ◽  
Chronic Otitis Media ◽  
Outcome Parameter ◽  
Korean Society ◽  
Risk Indices ◽  
The Mean ◽  
Hearing Outcomes

Purpose Ossiculoplasty outcome parameter staging (OOPS) and middle ear risk index (MERI) are the most commonly used indices for predicting prognosis of patients with chronic otitis media (COM). This study aimed to verify the efficiency of OOPS and MERI scores in predicting outcomes of patients with COM who underwent tympanoplasty. Methods We retrospectively reviewed the data of patients who underwent tympanoplasty (n = 526). OOPS, and MERI scores were collected. Hearing data were measured 1 day preoperatively, and 3 and 12 months postoperatively. Operation success was defined according to the Korean Society of Otology guidelines. Results For calculation of success, the ROC values of MERI were 0.551 at 12 months. ROC values of OOPS were 0.637 at 12 months. There were no significant differences in hearing variables among the three groups according to MERI. There were significantly favorable outcomes in hearing variables in the low-risk group in OOPS. The mean OOPS score was greater in patients with success than those with non-success. Otorrhea, ossicle status, and status of mucosa as variables in both indices were associated with success. The type of mastoidectomy as a variable in OOPS alone was associated with success. Absence of hypertension, presence of ossiculoplasty, and use of incus as ossiculoplasty material were associated with poor success rate. Conclusion Compared with MERI, the OOPS index was more closely associated with the hearing outcomes, which may be due to the extent of inflammation in the OOPS index.

Clinical Characteristics of Bilateral Chronic Otitis Media

2014 ◽  
Vol 57 (12) ◽  
pp. 821 ◽  
Author(s):  
Jisung Kim ◽  
Soo Kyoung Park ◽  
Jae Hong Park ◽  
Dong Wook Lee ◽  
Young-Seok Choi ◽  
...  
Keyword(s):  
Otitis Media ◽  
Clinical Characteristics ◽  
Chronic Otitis Media
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