Study on impact of duration of tympanic membrane perforation on hearing loss and audiological outcome after surgery

Authors

  • Raies Ahmad Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India
  • Gopika Kalsotra Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India
  • Kamal Kishore Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India
  • Aditiya Saraf Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India
  • Parmod Kalsotra Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20213280

Keywords:

Chronic otitis media, Duration of tympanic membrane perforation, Hearing loss

Abstract

Background: The aim of the study was to assess impact of duration of tympanic membrane perforation on hearing loss and postoperative audiological outcome using pure tone audiogram.

Methods: The present study was conducted on 100 patients in department of ENT and HNS, SMGS Hospital, Government Medical College Jammu during a time period of November 2018 to October 2019. All the patients with age 15 to 60 years who presented with tympanic membrane (pars tensa) perforation were included in the study.  

Results: In our study, mean preoperative hearing loss (AC threshold) of group A was 36.23±1.07 dB and of group B was 25.67±6.38 dB. Group C had mean preoperative hearing loss (AC threshold) of 28.78±6.50 dB. Mean preoperative air-bone gap (AB gap) of group A was 12.9±8.05dB and of group B was 13.86±4.19 dB. Group C had mean preoperative air-bone gap (AB gap) of 16.47±5.51 dB. Postoperatively, pure tone threshold at three months was least in group B (15.09±5.80 dB), followed by group C (15.68±4.66 dB) and group A (19.33±2.81 dB). Whereas, postoperative AB gap at 3 months was least in group C (10±3 dB), followed by group C (8.44±3.59 dB). Group B had maximum postoperative AB gap of 8.49±4.34 dB.

Conclusions: This study did not show any correlation between duration of disease and degree of hearing loss.

Author Biography

Raies Ahmad, Department of ENT and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India

DEPARTMENT OF OTORHINOLARYNGOLOGY AND HEAD AND NECK SURGERY

References

Prunty S, Ha J, Vijayasekaran S. Management of chronic suppurative otitis media. In: Preciado D, eds. Otitis Media: State of the Art Concepts and Treatment. New York, NY: Springer; 2015: 117-122.

Tsilis NS, Vlastarakos PV, Chalkiadakis VF, Kotzampasakis DS, Nikolopoulos TP. Chronic otitis media in children: an evidence-based guide for diagnosis and management. Clin Pediatr. 2013;52(9):795-802.

Chung JH, Lee SH, Woo SY, Kim SW, Cho YS. Prevalence and associated factors of chronic suppurative otitis media: Data from the Korea National Health and Nutrition Examination Survey, 2009-2012. Laryngoscope. 2016;126(10):2351-7.

WHO. Chronic suppurative otitis media Burden of Illness and Management Options. Geveva: WHO; 2004.

Hellström S, Johansson U, Anniko M. Structure of the round window membrane. Acta Otolaryngol Suppl. 1989;457:33-42.

Prasad DB, Gupta DR, Is there any correlation between duration of CSOM and development of SNHL?. Indian J Basic Applied Med Res. 2018;7(2);176-9.

Sood AS, Pal P, Kumar A. Tympanic membrane perforation: correlation of hearing loss with its site and size. Int J Otorhinolaryngol Head Neck Surg. 2018;4:397-402.

Nahata V, Patil CY, Patil RK, Gattani G, Disawal A, Roy A. Tympanic membrane perforation: Its correlationwith hearing loss and frequency affected - An analytical study. Indian J Otol. 2014;20:10-5.

Bhusal CL, Guragain RP, Shrivastav RP. Size of typmanic membrane perforation and hearing loss. JNMA J Nepal Med Assoc. 2006;45(161):167-72.

Bhusal CL, Guragain RP, Shrivastav RP. Size of typmanic membrane perforation and hearing loss. JNMA J Nepal Med Assoc. 2006;45(161):167-72.

Ibekwe TS, Nwaorgu OG, Ijaduola TG. Correlating the site of tympanic membrane perforation with Hearing loss. BMC Ear Nose Throat Disord. 2009;9:1.

Pannu KK, Chadha S, Kumar D, Preeti. Evaluation of hearing loss in tympanic membrane perforation. Indian J Otolaryngol Head Neck Surg. 2011;63(3):208-13.

Nepal A, Bhandary S, Mishra SC, Singh I, Kumar P. The morphology of central tympanic membrane perforations. Nepal Med Coll J. 2007;9(4):239-44.

Ribeiro FA, Gaudino VR, Pinheiro CD, Marçal GJ, Mitre EI. Objective comparison between perforation and hearing loss. Braz J Otorhinolaryngol. 2014;80(5):386-9.

Gulati SP, Sachdeva OP, Kumar P. Audiological profile in CSOM. Indian J Otolaryngol. 2002;8:24-8.

Kumar N, Chilke D, Puttewar MP. 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 J Otolaryngol Head Neck Surg. 2012;64(1):5-12.

John NM, Shamanna K, Rodrigues AJ. A study on correlation of size and site of tympanic membrane perforation with degree of conductive hearing loss in chronic otitis media. Int J Otorhinolaryngol Head Neck Surg. 2019;5(4):954-9.

Huttenbrink KB. The chronic otitis media. In: Naumann HH, Helms J, Herberhold C, Kastenbauer E, eds. Oto-Rhino-Laryngologie in Klinik and Praxis. Stuttgart: Thieme Publishing House; 1994: 601-632.

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Published

2021-08-23

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Original Research Articles