Evaluation of hearing limits post tympanoplasty in patients with chronic suppurative otitis media

Nico Probosutejo; Titiek Hidajati  Ahadiah

doi:10.15562/bmj.v12i2.4203

Evaluation of hearing limits post tympanoplasty in patients with chronic suppurative otitis media

Nico Probosutejo ,

Titiek Hidajati Ahadiah ,

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DOI: https://doi.org/10.15562/bmj.v12i2.4203 |
Published: 2023-04-23

Abstract

Link of Video Abstract: https://youtu.be/Nr9MKgu2v2E

Background: Chronic suppurative otitis media (CSOM) causes partial or complete damage to the tympanic membrane and ossicles, causing hearing loss in the form of conductive and mixed hearing loss with a decrease of up to 60 dB. This study aimed to evaluate the hearing threshold before and after tympanoplasty surgery in CSOM patients.

Methods: This type of research was carried out in a retrospective descriptive manner. The materials in this study were the medical records of CSOM patients who underwent canal wall up (CWU) tympanoplasty and canal wall down (CWD) tympanoplasty at the outpatients of ear, nose, and throat – head and neck surgery (ENT-HNS) Otology Division Dr. Soetomo Hospital Surabaya for the period January 1, 2018 to December 31, 2018 with a total of 51 patients. This study analyzed with the Wilcoxon test.

Results: The mean age was 30.96 years (51% female and 49% male). Postoperatively 40 (78.5%) patients experienced an increase in hearing threshold, 10 (19.6%) patients experienced a decrease and 1 (1.9%) patient remained. The average increase in air-bone gap (ABG) pre and post tympanoplasty surgery was 9.78 dB, from 38.92 dB to 29.14 dB.

Conclusion: There was an increase in hearing threshold after tympanoplasty.

References

Artono A, Purnami N, Rahmawati R. Biofilm Bacteria plays a role in CSOM pathogenesis and has significant correlation with unsafe type CSOM. Folia Medica Indones. 2016;51(4):208.
Mansour S, Magnan J, Nicolas K, Haidar H. Chronic suppurative otitis media (CSOM): a middle ear mucosal disease. In Middle Ear Diseases. Springer, Cham 2018; 6:205-274.
Thakur G, Kandakure V, Lahane V, Mishra S, Narkhede P. Pre-operative and post-operative audiometric evaluation in chronic otitis media. IOSR J Dent Med Sci. 2015;14(9):33–35.
Artono, Ahadiah TH, Rahmawati R, Purnami N, Handoko E. Profile of chronic suppurative otitis media complication in Indonesian Patients: Review of 25 cases. Syst Rev Pharm. 2020;11(11):1477–1481.
Shinta N, Purnami N, Ahadiah TH. Study report: Association between pure tone average and ossicular status in chronic suppurative otitis media. J Phys Conf Ser. 2018;1075:1-5.
Gupta S, Kalsotra P, Sehgal S, Gupta N. Review of parameters used to assess hearing improvement in tympanoplasty. IOSR J Dent Med Sci. 2016;15(2):122–128.
Rao SS, Rao BR, Nadimpalli MKR, Vatti N, Nirupama V. Comparative study of complications of type-I tympanoplasty in children versus adults. J Evid Based Med Healthc. 2019;6(8):501–504.
Babu MM, Ramabhadraiah AK, Srivastava T, Thirugnanmani R. Hearing improvement after type-III tympanoplasty: a prospective observational study. Indian J Otolaryngol Head Neck Surg. 2019;71(Suppl 2):1227–1231.
Sehra R, Rawat DS, Aseri Y, Tailor M, Chaudhary VK, Singh BK, et al. Post-operative sensorineural hearing loss after middle ear surgery. Indian J Otolaryngol Head Neck Surg. 2019;71(Suppl 2):1327–1333.
Deosthale NV, Khadakkar SP, Kumar PD, Harkare VV, Dhoke P, Dhote K, et al. Effectiveness of type-I tympanoplasty in wet and dry ear in safe chronic suppurative otitis media. Indian J Otolaryngol Head Neck Surg. 2018;70(3):325–330.
Bala K, Latoo MA. Evaluation of hearing outcome by single stage intact canal wall tympanomastoidectomy in patients with active squamous chronic otitis media: a prospective observational study. World Wide Journals. 2019;8(5):9-12.
Demirci S, Tuzuner A, Callioglu EE, Akdagli S, Karadas H, Caylan R. Tympanoplasty outcomes in elderly patients. Auris Nasus Larynx. 2016;43(1):33–36.
Kumar BYP, Gowda KMG, Pani MKV, Thanzeemunisa. Hearing outcome in canal wall down mastoidectomywith tympanoplasty. J Evol Med Dent Sci. 2015;4(32):5512–5517.
Ferriastuti W, Ramayuda IB. Radiological aspects of HR-CT scan on temporal bone. Folia Medica Indones. 2022;58(1):88.
Ridwan A, Husni TR T, Machilah N, Aria Z. Comparison of angle, length, and diameter of the eustachian tube of safe and unsafe CSOM based on CT scan in Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia. Bali Med J. 2021;10(2):510-514.
Anil HT, Shree SS. Hearing improvement post type-I tympanoplasty retrospective study. J Evid Based Med Healthc. 2017;4(87):5086–5089.
Swamy KM, Ganiger A. Audiological evaluation in between patients with type-I tympanoplasty alone and type-I tympanoplasty with cortical mastoidectomy. Int J Otorhinolaryngol. 2017;4(1):45-49.
Hayati R, Haryuna TSH, Zahara D. Hearing threshold differences between pre and post tympanoplasty in patients with chronic suppurative otitis media. Bali Med J. 2018;7(1):47–50.

[1] Artono A, Purnami N, Rahmawati R. Biofilm Bacteria plays a role in CSOM pathogenesis and has significant correlation with unsafe type CSOM. Folia Medica Indones. 2016;51(4):208.

[2] Mansour S, Magnan J, Nicolas K, Haidar H. Chronic suppurative otitis media (CSOM): a middle ear mucosal disease. In Middle Ear Diseases. Springer, Cham 2018; 6:205-274.

[3] Thakur G, Kandakure V, Lahane V, Mishra S, Narkhede P. Pre-operative and post-operative audiometric evaluation in chronic otitis media. IOSR J Dent Med Sci. 2015;14(9):33–35.

[4] Artono, Ahadiah TH, Rahmawati R, Purnami N, Handoko E. Profile of chronic suppurative otitis media complication in Indonesian Patients: Review of 25 cases. Syst Rev Pharm. 2020;11(11):1477–1481.

[5] Shinta N, Purnami N, Ahadiah TH. Study report: Association between pure tone average and ossicular status in chronic suppurative otitis media. J Phys Conf Ser. 2018;1075:1-5.

[6] Gupta S, Kalsotra P, Sehgal S, Gupta N. Review of parameters used to assess hearing improvement in tympanoplasty. IOSR J Dent Med Sci. 2016;15(2):122–128.

[7] Rao SS, Rao BR, Nadimpalli MKR, Vatti N, Nirupama V. Comparative study of complications of type-I tympanoplasty in children versus adults. J Evid Based Med Healthc. 2019;6(8):501–504.

[8] Babu MM, Ramabhadraiah AK, Srivastava T, Thirugnanmani R. Hearing improvement after type-III tympanoplasty: a prospective observational study. Indian J Otolaryngol Head Neck Surg. 2019;71(Suppl 2):1227–1231.

[9] Sehra R, Rawat DS, Aseri Y, Tailor M, Chaudhary VK, Singh BK, et al. Post-operative sensorineural hearing loss after middle ear surgery. Indian J Otolaryngol Head Neck Surg. 2019;71(Suppl 2):1327–1333.

[10] Deosthale NV, Khadakkar SP, Kumar PD, Harkare VV, Dhoke P, Dhote K, et al. Effectiveness of type-I tympanoplasty in wet and dry ear in safe chronic suppurative otitis media. Indian J Otolaryngol Head Neck Surg. 2018;70(3):325–330.

[11] Bala K, Latoo MA. Evaluation of hearing outcome by single stage intact canal wall tympanomastoidectomy in patients with active squamous chronic otitis media: a prospective observational study. World Wide Journals. 2019;8(5):9-12.

[12] Demirci S, Tuzuner A, Callioglu EE, Akdagli S, Karadas H, Caylan R. Tympanoplasty outcomes in elderly patients. Auris Nasus Larynx. 2016;43(1):33–36.

[13] Kumar BYP, Gowda KMG, Pani MKV, Thanzeemunisa. Hearing outcome in canal wall down mastoidectomywith tympanoplasty. J Evol Med Dent Sci. 2015;4(32):5512–5517.

[14] Ferriastuti W, Ramayuda IB. Radiological aspects of HR-CT scan on temporal bone. Folia Medica Indones. 2022;58(1):88.

[15] Ridwan A, Husni TR T, Machilah N, Aria Z. Comparison of angle, length, and diameter of the eustachian tube of safe and unsafe CSOM based on CT scan in Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia. Bali Med J. 2021;10(2):510-514.

[16] Anil HT, Shree SS. Hearing improvement post type-I tympanoplasty retrospective study. J Evid Based Med Healthc. 2017;4(87):5086–5089.

[17] Swamy KM, Ganiger A. Audiological evaluation in between patients with type-I tympanoplasty alone and type-I tympanoplasty with cortical mastoidectomy. Int J Otorhinolaryngol. 2017;4(1):45-49.

[18] Hayati R, Haryuna TSH, Zahara D. Hearing threshold differences between pre and post tympanoplasty in patients with chronic suppurative otitis media. Bali Med J. 2018;7(1):47–50.

Evaluation of hearing limits post tympanoplasty in patients with chronic suppurative otitis media

Abstract

References

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