Evaluation of hearing loss by pure tone audiometry in chronic suppurative otitis media patients

Authors

  • Prakash S. Handi Department of ENT, ESIC Medical College and PGIMSR, Bangalore, Karnataka, India
  • Mallikarjun N. Patil Department of ENT, S. N. Medical College, Bagalkot, Karnataka, India
  • K. R. Prasenkumar Department of ENT, S. N. Medical College, Bagalkot, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20182948

Keywords:

Hearing loss, Audiometry, Chronic suppurative otitis media

Abstract

Background: Hearing loss associated with the CSOM affects the patients’ communication with others and results in poor quality of life. Degree and type of hearing loss can be assessed by pure tone audiometry, which helps in predicting the status of tympanic membrane, ossicular chain, and inner ear and also helps in preoperative planning.

Methods: Patients with CSOM aged 10 years and above were included in the study. All patients underwent pure tone audiometry. With the help of air and bone conduction threshold, the degree and type of hearing loss in each ear was determined. The data collected was evaluated and results are reported as rates and proportions (%).  

Results: Most of the ears (83%) had mild to moderate hearing loss. Average ABG observed was 31 dB. Maximum ABG observed was 55dB on right side and 50 dB on the left side. There was mixed hearing loss in 10.9% cases.

Conclusions: This study reinforces the idea of using preoperative pure tone audiometry, which not only helps in planning surgery but also helps in documenting the preoperative status of patients’ sensorineural hearing loss, if present.

References

Karaman M, Tek A. Does middle ear pathologies have relationship with hearing level in chronic suppurative otitis media. Medical journal of Umraniye. 2009;2(3–4):99–110.

Devashri UP, Kiran SB, Shreeya VK, Vandana S, Chaitanya B. Correlation of the Puretone Audiometry Findings with Intraoperative Findings in Patients with Chronic Suppurative Otitis Media: MVP J Med Sci. 2015;2(1):4–14.

Dudda R, Rangaiah ST, Prasad MH, Balaji NK. Correlation between degree of hearing loss and intraoperative findings in tubotympanic type of chronic suppurative otitis media. Int J Otorhinolaryngol Head Neck Surg. 2018;4:537-41.

Namita K, Saurabh V, Sampan SB, Sanjeev B, Sarita M, Vinish A. Pre and postoperative evaluation of hearing in chronic suppurative otitis media: Indian J Otol. 2013;19(4):164-8.

Osma U, Cureoglu S, Hosoglu S. The Complications of chronic otitis media: Report of 93 cases. J Laryngol Otol. 2000;114(2):97-100.

Das LCA, Jumani K, Kashyap GCR. Subdural empyema: A rare CSOMplication of chronic otitis media. MJAFI. 2005;61:281-3.

Trimis G, Mostrou G, Lourida A, Prodromou F, Syriopoulou V, Theodoridou M. Petrositis and cerebellar abscess Complicating chronic otitis media. J Paediatr Child Health. 2003;39(8):635-6.

Brender E, Burke A E, Glass R M. Audiometry. J Am Med Assoc. 2006:295(4):465.

Browning CG, Merchant SN, Kelly G, Swan IRC, Canter R, McKerrow WS. Chapter 237. Chronic otitis media. Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery. 7th ed. London: Edward Arnold Publishers Ltd; 2008: 3395-3401.

Sruthi SS, Viswanatha B, Satish HS, Ravikumar R, Vijayashree MS, Datta RK, et al. A Comparative Study of Sensorineural Hearing Loss in Mucosal and Squamous Type of Chronic Otitis Media. Res Otolaryngol. 2015;4(1):13-7.

Priyadarshini G, Sowmiya M, Febin J. Clinical and audiological study of chronic suppurative otitis media tubotympanic type: Int J Otorhinolaryngol Head Neck Surg. 2017;3(3):671-5.

Nagle SK, Jagade MV, Gandhi SR, Pawar PV. CSOMparative study of outcome of type 1 tympanoplasty in dry and wet ear. Indian J Otolaryngol Head Neck Surg. 2009;61(2):138-40.

Singh BJ, Sengupta A, Das SK, Ghosh D, Basak B. A CSOM parative study of different graft materials used in myringopasty. Indian J Otolaryngol Head Neck Surg. 2009;61(2):131-4.

Maharjan M, Kafl P, Bista M, Shrestha S, Toran KC. Observation of hearing loss in patients with chronic suppurative otitis media tubotympanic type. Kathmandu Univ Med J (KUMJ). 2009;7(28):397-401.

Kaplan DM, Fliss DM, Klaus M, Dagan R, Leiberman A. Audiometric findings in children with chronic suppurative otitis media without cholesteatoma. Int J Pediatr Otorhinolaryngol. 1996;35:89-96.

Paparella MM, Brady DR. Sensorineural hearing loss in chronic otitis media and mastoiditis. Trans Am Acad Ophthal Otolaryngol. 1970;74:108-15.

Cusimano F, Cocita VL, D’ Amico A. Sensorineural hearing loss in chronic otitis media. J Otolaryngol Otol. 1989;103:158-63.

Alexandre F A, Daniele C G P, Nicodemos J A S, Dirceu B G, Denise U G. Sensorineural hearing loss in chronic suppurative otitis media with and without Cholesteatoma: Brazilian J Otorhinolaryngol. 2007;73(5):671-4.

Ganzer U, Arnold W. Chronic mucous effusions of the middle ear and the influence on inner ear function. Laryngol Rhinol Otol (Stuttg). 1977;56(10):850–9.

Margolis RH, Hunter LL, Rykken JR, Giebink GS. Effects of otitis media on extended high-frequency hearing in children. Ann Otol Rhinol Laryngol. 1993;102(1):1–5.

Paparella MM. Sensorioneural hearing loss in otitis media. Ann Otol Rhinol Laryngol. 1984;93:623-9.

Spandow O, Anniko M, Hellstrom S. Inner ear disturbances following inoculation of endotoxin into the middle ear. Acta Otolaryngol (Stockh) 1989;107:90-6.

Goycoolea MV, Paparella MM, Juhn SK, Carpenter AM. Oval and round window changes in otitis media. Potential pathways between middle and inner ear. Laryngoscope 1980;90:1387-91.

Azevedo AF de, Pinto DCG, Souza NJA de, Greco DB, Gonçalves DU. Sensorineural hearing loss in chronic otitis media with and without cholesteatoma. Rev Bras Otorrinolaringol. 2007;73(5):671–4.

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Published

2018-08-25

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Original Research Articles