Role of pre-operative air-bone gap in outcome in tinnitus after undergoing type-1 tympanoplasty in patients with chronic suppurative otitis media
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20212116Keywords:
Tinnitus, CSOM, Tympanoplasty, Interlay techniqueAbstract
Background: Researches suggest middle ear surgery might improve tinnitus after tympanoplasty. Purpose of this study was to investigate association between pre-operative air-bone gap (ABG) and tinnitus-outcome after tympanoplasty type I.
Methods: 100 patients with tinnitus having more than 6 months of symptoms of chronic suppurative otitis media (CSOM) that were refractory to medical treatment were included in study. All patients were evaluated through otoendoscopy, pure-tone audiometry, questionnaire-based survey using the visual analogue scale (VAS) and tinnitus handicap inventory (THI) for tinnitus symptoms before and 4 months after tympanoplasty. Influence of preoperative bone conduction (BC), preoperative air-bone-gap and postoperative air-bone-gap on tinnitus outcome post-operatively was calculated.
Results: Patients were divided into two groups based on preoperative BC of <25 dB or >25 dB. Postoperative improvement of tinnitus in both groups showed statistical significance. Patients whose preoperative air-bone-gap was <15 dB showed no improvement in postoperative tinnitus using VAS (p=0.887) and THI (p=0.801). Patients whose preoperative air-bone-gap was >15 dB showed significant improvement in postoperative tinnitus using VAS (p<0.01) and THI (p=0.015). Postoperative change in tinnitus showed significance compared with preoperative tinnitus using VAS (p=0.006). Correlation between reduction in VAS score and air-bone-gap (p=0.201) or between reduction in THI score and air-bone-gap (p=0.270) was not significant.
Conclusions: Preoperative ABG can be a predictor of tinnitus outcome after tympanoplasty in CSOM with tinnitus.
Metrics
References
Seidman MD, Standring RT, Dornhoffer JL. Tinnitus: current understanding and contemporary management. Curr Opin Otolaryngol Head Neck Surg. 2010;18:363-8.
Henry JA, Dennis KC, Schechter MA. General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res. 2005;48:1204-35.
Eggermont JJ, Roberts LE. The neuroscience of tinnitus. Trends Neurosci. 2004;27:672-82.
Del Bo L, Ambrosetti U. Hearing aids for the treatment of tinnitus. Prog Brain Res. 2007;166:341-5.
Jastreboff PJ. Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res. 1990;8:221-54.
Baba S, Yagi T, Fujikura T. Subjective evaluation and overall satisfaction after tympanoplasty for chronic simple suppurative otitis media. J Nippon Med Sch. 2004;71:17-24.
Ada LS, Sanchez TG, Moraes BMF, Alves BSC, Bento RF. The effect of tympanoplasty on tinnitus in patients with conductive hearing loss: a 6 month follow-up. Braz J Otorhinolaryngol. 2007;73:384-9.
Helms J. Tympanoplasty and tinnitus. Laryngol Rhinol Otol (Stuttg). 1981;60:99-100.
Kim DK, Park SN, Kim MJ, Lee SY, Park KH, Yeo SW. Tinnitus in patients with chronic otitis media before and after middle ear surgery. Eur Arch Otorhinolaryngol. 2011;268:1443-8.
Scleuning AJ, Martin WH. Tinnitus. In: Bailey BJ, Calhoun KH, Healy GB, Pillsbury HC, Johnson JT, Tardy ME, Jackler RK, editors. Head and neck surgery-otolaryngology. 3rd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2001;1925-31.
Habesoglu M, Habesoglu TE, Karatas C, Tosun A, Gursel AO. Is there any predictor for tinnitus outcome in different types of otologic surgery. Eur Arch Otorhinolaryngol. 2013;270:2225-9.
Lima JC, Marone SA, Martucci O, Gonc ̧alez F, Silva Neto Goncalez JJ et al. Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit. Braz J Otorhinolaryngol. 2011;77:229-36.
Kent DT, Kitsko DJ, Wine T, Chi DH. Frequency-specific hearing outcomes in pediatric type I tympanoplasty. JAMA Otolaryngol Head Neck Surg. 2014;140:106-11.
Okada M, Gyo K, Takagi T, Fujiwara T, Takahashi H, Hakuba N et al. Air-bone gap in ears with a well-repaired tympanic membrane after Type III and Type IV tympanoplasty. Auris Nasus Larynx. 2014;41:153-9.
Searchfield GD, Kaur M, Martin WH. Hearing aids as an adjunct to counselling: tinnitus patients who choose amplification do better than those that don’t. Int J Audiol. 2010;49:574-9.
Varitiainen E. The results of chronic ear surgery in training programme. Clin Otolaryngol. 1988;23:177-
Downloads
Published
How to Cite
Issue
Section
