Audiological profile of pre-operative and post-operative results in mucosal diseases of the ear: a comparative study

Archana Mathri; Ruman Ahmed; Santosh P. Malashetti

doi:10.18203/issn.2454-5929.ijohns20211578

Authors

Archana Mathri Department of ENT and Head and Neck Surgery, S.Nijalingappa Medical College and H.S.K Hospital and Research Centre, Bagalkot, Karnataka, India
Ruman Ahmed Department of ENT and Head and Neck Surgery, S.Nijalingappa Medical College and H.S.K Hospital and Research Centre, Bagalkot, Karnataka, India
Santosh P. Malashetti Department of ENT and Head and Neck Surgery, S.Nijalingappa Medical College and H.S.K Hospital and Research Centre, Bagalkot, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20211578

Keywords:

Chronic suppurative otitis media, Mucosal disease, Air-bone gap, Pre and post-operative audiometry

Abstract

Background: The Objectives of the study were to study pre-operative audiological results in mucosal diseases of ear; to study post-operative audiological results in mucosal diseases of ear and to compare pre-operative and post-operative audiological results in mucosal diseases of ear.

Methods: A prospective study was done on 60 patients presenting to out-patient department of Otorhinolaryngology and Head and Neck Surgery, S.Nijalingappa Medical College and H.S.K Hospital and Research Centre, Bagalkot from May 2018 to April 2020 with CSOM-mucosal disease. Audiological evaluation was done and compared using pure tone audiometry (Amplaid311TypeIEC645) before and after tympanoplasty with cortical mastoidectomy and mean air conduction (AC) threshold improvement and mean air-bone gap (AB gap) closure was analyzed.

Results: Out of 60 patients, 27(45%) patients had medium sized central perforation. Mean pre-operative AC threshold was 44.5958±10.64639 dB HL which improved to 30.100±10.41056 dB HL at 1month and 21.8125±8.6928 dB HL at 3months post-operatively which was statistically significant with p<0.001*. Mean AB gap closure at 1-month was 10.175±6.01098 dB HL and at 3-months was 11.0416±6.3458 dB HL.

Conclusions: AC threshold gain and AB gap closure at 1month and 3 months post-tympanoplasty with cortical mastoidectomy for CSOM-mucosal disease are significant. Hence surgery is main basic tool which results in improvement of audiological results in mucosal diseases of ear.

Metrics

Metrics Loading ...

References

Browning GG, Weir J, Kelly G, Swan IRC. Chronic otitis media. In: Watkinson JC, Clarke RW, eds. Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, 8th ed. Florida: CRC Press; 2018:977-1021.

Gupta A, Agarwal SR. A study of prevalence of cholesteatoma in complications of suppurative otitis media. Indian J Otolaryngol Head Neck Surg. 1998 Apr;50(2):140-6.

Akinpelu OV, Amusa YB, Komolafe EO, Adeolu AA, Oladele AO, Ameye SA. Challenges in management of chronic suppurative otitis media in a developing country. J Laryngol Otol. 2008;122(1):16-20.

Appiah-Thompson, Peter, Akotey SC, Honu-Mensah, Cyril Mawuli, Meier BR, et al. Tympanoplasty with mastoidectomy: The initial Cape Coast experience. World J Pharmac Med Res. 2018;4:21-4.

Lierle DM. Standard Classification For Surgery of Chronic Ear Infection: I. Of the Technical Procedures in Surgery for Chronic Ear Infection: II. Of the Gross Pathology Found at Such Operations: III. For the Reporting of Postoperative Results of the Surgical Procedures Mentioned: the committee on conservation of hearing of the Am Acad Ophthalmol Otolaryngol. Arch Otolaryngol. 1965;81(2):204–5.

Atal A, Goyal A, Solanki B. Hearing outcome following myringoplasty for CSOM: a study of 60 patients. Galore Intern J Health Sci and Res. 2019;4(1):9-11.

Mahajan R, Abraham N, Nagaraj TM. A clinical study of evaluation of tympanoplasty with mastoidectomy in mucosal chronic otitis media. Int J Otorhinolaryngol Head Neck Surg 2020;6:163-8.

Batni G, Goyal R. Hearing outcome after type I tympanoplasty: a retrospective study. Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(1):39-42.

Maharjan M, Kafle 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.

Kabdwal N, Varshney S, Bist SS, Bhagat S, Mishra S, Agarwal V. Pre and post operative evaluation of hearing in chronic suppurative otitis media. Indian J Otol. 2013;19:164-8.

Vybhavi M K, Mudhol R S. Assessment of hearing in patients undergoing tympanoplasty with and without cortical mastoidectomy for chronic otitis media: A hospital-based, randomized controlled trial. Indian J Health Sci Biomed Res 2016;9:303-7.

Saha AK, Munsi DM, Ghosh SN. Evaluation of improvement of hearing in type I tympanoplasty & its influencing factors. Indian J Otolaryngol Head Neck Surg. 2006;58(3):253-7.