SENSORINEURAL HEARING LOSS IN CHRONIC SUPPURATIVE OTITIS MEDIA

Authors

  • Husam Haider Senior otorhinologist , Head & Neck Surgeon , Assistant Professor , Head of ENT dept. , Basra Medical College
  • Aws A. Hussona Senior otorhinologist , Head & Neck Surgeon , Al-Habbobi General Hospital

Keywords:

Sensorineural hearing loss, chronic suppurative otitis media

Abstract

Objectives : A prospective study conducted in Basra General Hospital from April 2008 to March 2009 to find the cause - effect relationship between chronic suppurative otitis media and sensorineural hearing loss . Method :  Hearing thresholds of hundred patients with chronic suppurative otitis media were determined using Pure Tone Audiometry. All subjects were less than 40 years old (to exclude Age related hearing loss) , unilateral cases selected (so as the contralateral healthy ear served as a control) . All of them presented criteria of evaluation which exclude the other possible causes of sensorineural hearing loss like :  chronic medical illnesses , otological surgeries , hereditary causes , exposure to noise and exposure to systemic ototoxic drugs . Results : The average loss in bone conduction threshold was determined between the affected and healthy ear in relation to the disease duration and  in relation to the extent of the pathology . Conclusion : We found that the longer the duration of the disease and the more complicated the pathology, the more the loss in bone conduction . This loss is mostly at the higher frequencies .

References

Yates , D. Philip . Otitis media . Current diagnosis and treatment , Otolaryngology , Head and Neck surgery . 2nd edition , 2007 . McGraw Hill companies Publishers . Pg : 701 .

Kirtane MV, Merchant SN, Raje AR, Zantye SP, Shah KL. Sensorineural hearing loss in chronic otitis media--a statistical evaluation. J Postgrad Med 1985;31:183 .

Poltizer A . Lehrbuch der ohrenheilkunde fur practische arzte und studirende , 2nd edition . Stuttgart:Ferdinand Enke , 1887 .

Hulka JH . Bone conduction changes in otitis media . Archieve of Otolaryngology 1941;33 .

Moore DC and Best GF . A sensorineural component in chronic otitis media . Laryngoscope 1980;90:1360-5 .

Huizig EH . Bone conduction loss due to middle ear pathology . International audiological journal . 1964 ; 3:89-98 .

Paparella MM , Hiraide OM and Brady DR . Pathology of sensorineural hearing loss in otitis media . Annals of Otology , Rhinology and Laryngology 1972;81:632-47 .

Walby AP , Barrera A and Schnknecht HF . Cochlear pathology in chronic suppurative otitis media . Annals of Otology , Rhinology and Laryngology 1983;92:2-19.

Schachern, P. A., Paparella, M. M., Duvall, A. J. and Choo, Y. B.: The human round window membrane: an electron microscopic study. Arch. Otolaryngol., 110: 15-21, 1984.

Sahni KS , Paparella MM and Schachern PA . Thickness of the round window membrane in different forms of otitis media . Archieves of Otolaryngology 1987;113:630-4 .

Cusimano F , Cocita VC , D’Amico A . Sensorineural hearing loss in chronic otitis media . The Journal of Laryngology & Otology 1989, 103:158-163 Cambridge University Press .

Noordzij JP , Dodson EE , Ruth RA , Arts HA and Lambert-PR . Chronic otitis media and sensorineural hearing loss: is there a clinically significant relation? American Journal of Otolaryngology 1995 Jul; 16(4(: 420-3 . Medline 1995 .

Vartiainen E and Vartiainen J . Age and hearing function in patients with chronic otitis media. Journal of Otolaryngology 1995 Dec; 24(6(: 336-9 . Medline 1995 .

Blakley BW and Kim S . Dose COM cause sensorineural hearing loss ? Journal of Otolaryngology . 1998 ;27:17-20 . Medline 1998 .

Papp Z , Rezes S , Jókay I , Sziklai, I . Sensorineural hearing loss in chronic otitis media . Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology . 2003-Mar; vol 24 (issue 2( : pp 141-4 .

Kuar K , Sonkhya N , Bapna AS . Chronic suppurative otitis media and sensorineural hearing loss : Is there is a correlation ? . Indian journal of otolaryngology and Head and Neck surgery V 55 No 1 , March 2003 . P: 21-4 .

Kasliwal N , Joshi S , Pareek SM . Determination of sensorineural hearing loss in chronic middle ear disease . Indian journal of otolaryngology and Head and Neck surgery V 56 No 4 , Dec. 2004 . P: 269-73 .

Feng H, Chen Y. Analysis of sensorineural hearing loss in chronic suppurative otitis media . Lin Chuang Er Bi Yan Hou Ke Za Zhi : Journal of clinical otolaryngology .2004 Oct;18(10(:579-81

de Azevedo AF , Pinto DC , de Souza, NJ , Greco DB , Gonçalves DU . Sensorineural hearing loss in chronic suppurative otitis media with and without cholesteatoma. Brazilian journal of otorhinolaryngology . 2007 Sep-Oct; vol 73 (issue 5( : pp 671-4 .

Dumich PS and Harner SG . Cochlear function in COM . Laryngoscope 1983 ; 93:583-6 .

Browning GG and Gatehouse S . Hearing in chronic suppurative otitis media . Annals of Otology , Rhinology and Laryngology . 1989;98:245-50

Downloads

Published

2021-04-05

Issue

Section

Articles