Study of effect of chronic suppurative otitis media on auditory brainstem response latency

Authors

  • Hanumanth Prasad Muniyappa Department of ENT, Mandya Institute of Medical Science, Mandya, Karnataka, India
  • Ravi Dudda Department of ENT, Mandya Institute of Medical Science, Mandya, Karnataka, India
  • Balaji Nagavara Kalegowda Department of ENT, Mandya Institute of Medical Science, Mandya, Karnataka, India
  • Nirmala Jagadish Department of ENT, Mandya Institute of Medical Science, Mandya, Karnataka, India
  • Vandana Basvaraj Department of ENT, Mandya Institute of Medical Science, Mandya, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20201284

Keywords:

Chronic suppurative otitis media, Auditory brainstem response, Hearing loss, Latency, Unilateral hearing loss

Abstract

Background: Chronic suppurative otitis media (CSOM) emerging as common hearing problems in the recent years with high prevalence requiring immediate attention. Hence, our study includes assessment of adult patients with CSOM using electrophysiological test, auditory brainstem response (ABR) and analysing the latency of ABR peaks in order to find the effect of CSOM on ABR latency with respect to shift in latency.

Methods: The study followed cross sectional study design where data collected from March to September 2019 were used. A total of 50 subjects with unilateral CSOM were analysed. Descriptive statistics and paired t-test was used for statistical analysis of the data.  

Results: The data was divided into 3 groups based on degree of hearing loss (mild, moderate and moderately severe). The Mean ABR peak latency was analysed and subjects showed a significant latency shift. Also, it was found that the magnitude of latency shift increased with increase in degree of hearing loss.

Conclusions: Hence the study concludes that as the amount of conductive component increases the pure tone threshold deteriorates and ABR latency gets affected. Also, the morphology of ABR peaks on comparison to the normal hearing ear gets affected due to constant conductive pathology in the pathological ear.

Author Biography

Hanumanth Prasad Muniyappa, Department of ENT, Mandya Institute of Medical Science, Mandya, Karnataka, India

Associate Professor

Department of ENT,

Mandya Institute of Medical Science

Mandya

Phone (or Mobile) No.: +919972254142

E-mail: dravi2k@rediffmail.com

References

Dhingra P. Diseases of ear, nose and throat. New Delhi: Elsevier; 2010.

Verma AK, Vohra A, Maitra A, Banerjee M, Singh R, Mittal SK et al. Epidemiology of chronic suppurative otitis media and deafness in a rural area and developing an intervention strategy. Indian J Pediatrics. 1995;62(6):725-9.

Wakode PT, Joshi SV, Gawarle SH. Chronic suppurative otitis media in school going children. Indian J Otolaryngol Head Neck Surg. 2006;58(2):152-5.

Rupa V, Jacob A, Joseph A. Chronic suppurative otitis media: prevalence and practices among rural South Indian children. Int J Pediatr Otorhinolaryngol. 1999;48(3):217-21.

Gorga MP, Reiland JK, Beauchaine KA. Auditory brainstem responses in a case of high-frequency conductive hearing loss. J Speech Hear Disord. 1985;50(4):346-50.

Borg E, Lofqvist L. Auditory brainstem response (ABR) to rarefaction and condensation clicks in normal and abnormal ears. Scand Audio. 1982;11(4):227-35.

Gee MTJ, Clemis JD. Effects of conductive hearing loss on auditory brainstem response. Ann Otol Rhinol Laryngol. 1982;91(3):304-9.

Clarkson C, Antunes FM, Rubio ME. Conductive hearing loss has long-lasting structural and molecular effects on presynaptic and postsynaptic structures of auditory nerve synapses in the cochlear nucleus. J Neurosci Methods. 2016;36(39):10214-27.

Gorga MP, Reiland JK, Beauchaine KA. Auditory brainstem responses in a case of high-frequency conductive hearing loss. J of Speech and Hearing Disorders. 1985;50(4):346-50.

Steinhoff HJ, Bohnke F, Janssen T. Click ABR intensity-latency characteristics in diagnosing conductive and cochlear hearing losses. Arch Oto-rhino-laryngol. 1988;245(5):259-65.

Matas CG, Leite RA, Goncalves IC, Neves IF. Brainstem auditory evoked potential in individuals with conductive and sensorineural hearing losses. Int Arch Otorhinolaryngol. 2005;9(11):337.

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Published

2020-03-25

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Section

Original Research Articles