Establishment of significant improvement of hearing post-surgery for mucosal type of chronic suppurative otitis media
Keywords:Otitis media, Tympanoplasty, Hearing tests, Ear ossicles
Chronic suppurative otitis media occurs in the population as a common disease among people living in low socio-economic status. The associated complaints such as hearing difficulty, irritation, discharge makes it difficult for the people to carry out their daily activities. Therefore, their immediate need for treatment occurs. This review aims at analysing the post-operative outcome of hearing following tympanoplasty in order to overcome their morbidity. The source of this study has been obtained from Pubmed, Google scholar and EMBASE. The material for this review was selected from a reference published between January 1975 to December 2014, with this analysis was made. The pre-op ABG in the studies were all falling in mild to moderate hearing loss according to WHO classification of hearing loss. The patients were grouped in Austin-Kartush criteria, groups A to E. The Austin-Kartush classification group A had 3 studies included. The mean ABG for each were 11.5,8.3 and 13.5. In group B,3studies were included. The mean ABG for each were 11.9,10.9 and 11.1. Group C had 4 studies. The mean ABG were 17.7,15,17.1 and 15.7. Group D had 4 studies included which had the same mean ABG 16.6. Group E had just 1 study of mean ABG 20.1. This review helped to establish that there was significant improvement in hearing post-surgery, in patients with varying degrees of hearing loss.
Blom EF, Gunning MN, Kleinrensink NJ, Lokin AS, Bruijnzeel H, Smit AL, et al. Influence of ossicular chain damage on hearing after chronic otitis media and cholesteatoma surgery: a systematic review and meta-analysis. JAMA Otolaryngology-Head and Neck Surg. 2015;141(11):974-82.
Lerut B, Pfammatter A, Moons J, Linder T. Functional correlations of tympanic membrane perforation size. Otology and Neurotology. 2012;33(3):379-86.
Miyamoto RT. Otitis media (chronic). Merck Manual website. http://www.merckmanuals.com /professional/ear-nose-and-throat-disorders /middle-ear-and-tympanic-membrane-disorders/otitis-media-chronic?qt=chronic%20otitis%20media&alt=sh. Updated 2013. Accessed 14 November 2014.
Heyning VP, Mulder JS. 4 Aandoeningen van het trommelvlies en het middenoor. In Keel-neusoorheelkunde en hoofd-halschirurgie 2007 (61-78). Bohn Stafleu van Loghum, Houten.
Jeng FC, Tsai MH, Brown CJ. Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otology and neurotology. 2003;24(1):29-32.
Kurihara A, Yuasa R, Toshima M, Takasaka T. Bone destruction mechanisms in chronic otitis media with cholesteatoma: specific production by cholesteatoma tissue in culture of bone-resorbing activity attributable to interleukin-1 alpha. Annals of Otology, Rhinology and Laryngology. 1991;100(12):989-98.
Austin DF. Ossicular reconstruction. Archives of otolaryngology. 1971;94(6):525-35.
Chole RA, McGinn MD, Tinling SP. Pressure-induced bone resorption in the middle ear. Annals of Otology, Rhinology and Laryngology. 1985;94(2):165-70.
Yetiser S, Satar B, Aydin N. Expression of epidermal growth factor, tumor necrosis factor-α, and interleukin-1α in chronic otitis media with or without cholesteatoma. Otology and neurotology. 2002;23(5):647-52.
Huizing EH, Snow GB, Graamans K, editors. Keel-neus - oorheelkunde en hoofd - halschirurgie. Bohn Stafleu van Loghum; 19 July 2007.
Patil DU, Burse KS, Kulkarni SV, Sancheti V, Bharadwaj C. Correlation of the pure tone audiometry findings with intraoperative findings in patients with chronic suppurative otitis media. MVP J Med Sci. 2015;2(1):4-14.
Srinivas C, Kulkarni NH, Bhardwaj NS, Kottaram PJ, Kumar SH, Mahesh V. Factors influencing ossicular status in mucosal chronic otitis media: An observational study. Indian J Otolo. 2014;20(1):16.
Shariff ME. Analysis of hearing loss by pure tone audiometry in patients with chronic suppurative otitis media. National J of Physiology, Pharmacy and Pharmacology. 2019;9(6):515-8.
Varshney S, Nangia A, Bist SS, Singh RK, Gupta N, Bhagat S. Ossicular chain status in chronic suppurative otitis media in adults. Indian J Otolaryngol Head Neck Surg. 2010;62(4):421-6.
Vartiainen E. Ten-year results of canal wall down mastoidectomy for acquired cholesteatoma. Auris Nasus Larynx. 2000;27(3):227-9.
Dornhoffer JL, Gardner E. Prognostic factors in ossiculoplasty: a statistical staging system. Otol Neurotol. 2001;22(3):299-304.