Sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media

Authors

  • Manpreet Singh Nanda Department of Otolaryngology - Head and Neck Surgery, Maharishi Markandeshwar Medical College & Hospital, Kumarahatti, Solan-173229, Himachal Pradesh
  • Dinesh Luthra Department of Otolaryngology - Head and Neck Surgery, Maharishi Markandeshwar Medical College & Hospital, Kumarahatti, Solan-173229, Himachal Pradesh

Keywords:

Chronic suppurative otitis media, Middle ear, Pure tone audiometry, Round window, Sensorineural hearing loss

Abstract

Background: Chronic Suppurative Otitis Media (CSOM) is the major cause of hearing impairment, mainly conductive type of hearing loss. The occurrence of sensorineural hearing loss (SNHL) in CSOM is controversial and the controversy is more for safe mucosal type. This study aims to assess the association between SNHL and safe mucosal CSOM and its relation to patient’s age, sex, duration of disease, active or inactive disease and speech frequencies.

Methods: 100 patients with unilateral mucosal type of CSOM with normal contralateral ear were included in the study. The infected ear was taken as study ear and normal ear as control ear in all patients. All patients underwent hearing assessment by pure tone audiometry for both ears. In case of active disease, ear discharge was first cleared and then audiometric assessment done. Results were statistically compared in all patients for both study and control ears using parameters of patient’s age, sex, duration of disease, speech frequency and active or inactive disease.

Results: There was significant higher number of study ears with CSOM having average bone conduction threshold of all frequencies above 25 decibels which implies SNHL (21%) compared to control contralateral ears without infection (5%). There was higher incidence of SNHL at higher speech frequencies. The incidence also increased with age of patient and duration of disease. The incidence was higher in active stage than inactive or quiescent stage. There was no difference among males and females.

Conclusion: Safe mucosal CSOM can cause significant SNHL and risk increases with increasing age, duration of disease, higher speech frequencies and presence of active disease.

 

References

Acuin J. Chronic suppurative otitis media. BMJ. 2002;325(7373):1159-60.

Hazarika P, Nayak DR, Balakrishnan R. Diseases of the middle ear. In: Hazarika P, Nayak DR, Balakrishnan R, eds. Textbook of Ear, Nose, Throat and Head & Neck Surgery Clinical and Practical. 2nd ed. New Delhi: CBS Publishers and Distributors; 2009: 145-163.

Cusimano F, Cocita VL, D’Amico A. Sensorineural hearing loss in chronic otitis media. J Otolaryngol Otol. 1989;103:158-63.

Vartiainen E, Vartiainen J. Age and hearing function in patients with chronic otitis media. J Otolaryngol. 1995;24:336-9.

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;93:623-9.

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;55:21-4.

Sharma K, Gulati SK, Kaur R. Sensorineural hearing loss in chronic suppurative otitis media - safe type. Indian J Otol. 2006;11:22-6.

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.

Blakley BW, Kim S. Does chronic otitis media cause sensorineural hearing loss? J Otolaryngol. 1998;27(1):17-20.

Levine BA, Shelton C, Berliner KI, Sheehy JL. Sensorineural hearing loss in chronic otitis media. Is it clinically significant? Arch Otolaryngol Head Neck Surg. 1989;115(7):814-6.

Vanderveen EL, Schilder AG, VanHeerbeek N, Verhoeff M, Zielhuis GA, Rovers MM. Predictors of chronic suppurative otitis media in children. Arch Otolaryngol Head Neck Surg. 2006;132(10):1115-8.

Kholmatov DI. Early detection of a sensorineural aspect of hypoacusis in patients with chronic purulent otitis media vestn. Otorhinolaryngology. 2001;3:26-8.

Azevedo AF, Pinto DCG, Alves 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.

Papp Z, Rezes S, Jókay I, Sziklai I. Sensorineural hearing loss in chronic otitis media. Otol Neurotol. 2003;24(2):141-4.

MacAndie C, O’Reilly BF. Sensorineural hearing loss in chronic otitis media. Clin Otolaryngol Allied Sci. 1999;24(3):220-2.

Ologe FE, Nwawolo CC. Prevalence of chronic suppurative otitis media among school children in a rural community in Nigeria. Niger Postgrad Med J. 2002;9:63-6.

Linder TE, Zwicky S, Brändle P. Ototoxicity of ear drops: a clinical perspective. Am J Otol. 1995;16(5):653-7.

Browning GG, Gatehouse S, Calder IT. Medical management of active chronic otitis media: a controlled study. J Laryngol Otol. 1988;102(6):491-5.

Downloads

Published

2017-01-07

How to Cite

Nanda, M. S., & Luthra, D. (2017). Sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media. International Journal of Research in Medical Sciences, 3(3), 551–555. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/1328

Issue

Section

Original Research Articles