A randomized observational study into the pattern of hearing loss in chronic suppurative otitis media
DOI:
https://doi.org/10.18203/2349-3259.ijct20222070Keywords:
CSOM, Hearing loss, SNHLAbstract
Background: Chronic suppurative otitis media (CSOM) is an important and a highly prevalent disease of the middle ear and poses serious health problem worldwide especially in developing countries. The objective of the current study was to evaluate the association between CSOM and sensorineural hearing loss (SNHL) and to study of pattern of hearing loss and clinical factors and demographic variables, if any, that might affect sensorineural component, in CSOM in North-Indian population.
Methods: A randomized observational study was conducted on 120 patients, in the age-group of 1 to 50 years, divided into two groups of 60 each: who had safe CSOM and unsafe CSOM, over a period of 6 months, i.e., from: July 2021 to December 2021, in the department of otorhinolaryngology and head neck surgery, CHC, Chenani, Udhampur, J and K, India.
Results: Out of 60 patients under safe CSOM, Male: Female ratio stood at 1:1.14 (i.e., 28:32). Mean duration ± SD of the disease stood at: 6.2±5.09 years. Incidence of hearing loss was observed in 93 (77.5%) patients of conductive type and 27 (22.5%) patients of mixed type and 19 patients (31.67%) were of unsafe mixed type. Maximum incidence of 35% was in the age group of 41-50 years and minimum in 11-20 years i.e., 7.32%. Total incidence of SNHL 16.67%.
Conclusions: A significant association between SNHL and CSOM was found in this study, with incidence of SNHL increasing with advancing age, showing that age as a risk factor for sensorineural component of hearing loss in CSOM.
Metrics
References
Jensen RG, Koch A, Homoe P. The risk of hearing loss in a population with a high prevalence of chronic suppurative otitis media. Int J Pediatr Otorhinolaryngol. 2013;77(9):1530-5.
Acuin J. Review Extracts from Concise clinical evidence: Chronic suppurative otitis media. BMJ. 2002;325(7373):1159.
Kumar S, Sharma R, Saxena A, Pandey A, Gautam P, Taneja V. Bacterial flora of infected unsafe CSOM. Indian J Otol. 2012;18(4):208-11.
Da Costa SS, Rosito LP, Dornelles C. Sensorineural hearing loss in patients with chronic otitis media. Eur Arch Otorhinolaryngol. 2009;266(2):221-4.
Paparella MM, Morizono T, Le CT, Mancini F, Sipilä P, Choo YB et al. Sensorineural hearing loss in otitis media. Ann Otol Rhinol Laryngol. 1984;93(6 Pt 1):623-9.
Kaur K, Sonkhya N, Bapna AS. Chronic suppurative otitis media and sensorineural hearing loss: Is there a correlation? Indian J Otolaryngol Head Neck Surg. 2003;55(1):21-4.
De Azevedo AF, Pinto DC, de Souza NJ, Greco DB, Goncalves DU. Sensorineural hearing loss in chronic suppurative otitis media with and without cholesteatoma. Braz J Otorhinolaryngol. 2007;73(5):671-4.
Raquib A, Taous A, Haque R. Sensorineural component in chronic suppurative otitis media. Bangl J Otorhinolaryngol. 2009;15(2):69-74.
Kumar N, Chilke D. Clinical Profile of Tubotympanic CSOM and Its Management with Special Reference to Site and Size of Tympanic Membrane Perforation, Eustachian Tube Function and Three Flap Tympanoplasty. Indian I Otolaryngol Head Neck Sure. 2012;64(1):5-12.
Lin FR, Niparko JK, Ferrucci L. Hearing loss prevalence in the United States. Arch Intern Med. 2011;171(20):1851-2.
Bakir S, Kinis V, Bez Y, Gun R, Yorgancilar E, Ozbay M et al. Mental health and quality of life in patients with chronic otitis media. Eur Arch Otorhinolaryngol. 2013;270(2):521-6.
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.
Amali A, Hosseinzadeh N, Samadi S. Sensorineural hearing loss in patients with chronic suppurative OtJtJS media: Is there a significant correlation? Electron Physician. 2017;9(2):3823-7.
Redaelli de Zinis LO, Campovecchi C, Parrinello G, Antonelli AR. Predisposing factors for inner ear hearing loss association with chronic otitis media. Int J Audiol. 2005;44(10):593-8.
Vartiainen E, Vartiainen J. Age and hearing function in patients with chronic otitis media. J Otolaryngol. 1995;24(6):336-9.
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. 2009;7(28):397-401.
Silveira Neno LF', Da Costa SS, Sleifer P, Braga ME. The impact of chronic suppurative otitis media on children's and teenagers’ hearing. Int I Pediatr Otorhinolaryngol. 2009;73(12):1751-6.
Orji FT, Abu CC. Patterns of hearing loss in tympanic membrane perforation resulting from physical blow to the ear: a prospective controlled cohort study. Clin Otolaryneol. 2009;34(6):526-32.
Papp Z, Rezes S, Jokay I, Sziklai I. Sensorineural hearing loss in chronic otitis media. Otol Neurotol. 2003;24(2):141-4.
Noordzij JP, Dodson EE, Ruth RA, Arts HA, Lambert PR. Chronic otitis media and sensorineural hearing loss: is there a clinically significant relation? Am J Otol. 1995;16(4):420-3.
Lundy LB, Graham MD. Ototoxicity and ototopical medications: a survey of otolaryngologists. Am J Otol. 1993;14(2):141-6.