Abstract
Objectives
To explore the rule of extended high-frequency (EHF) audiometry recovery in patients with acute otitis media.
Methods
From January 2016 to July 2019, patients with acute otitis media in the outpatient department of otology were studied. The diagnosis was made according to the otoscopy and acoustic impedance tests, and antibiotics and other treatment programs were given. The patients were followed up to compare the effects of different recovery time on extended high-frequency audiometry in patients with acute otitis media.
Results
146 patients with acute otitis media (69 in the left ear and 77 in the right ear) were selected for observation and follow-up. The patients were divided into three groups according to the time from the onset to the disappearance of hyperacusis and earache symptoms: ≤ 5 days group (26 patients, 17.8%), 6–10 days group (74 patients, 50.7%), and > 10 days group (46 patients, 31.5%). The threshold of EHF in the study group was significantly higher than that in the control group in the early stage. According to the study design for follow-up, we found that with the prolongation of the duration of acute otitis media, the extended high frequency of different groups had different changes.
Conclusions
Our results show that the recovery time of EHF in patients with acute otitis media was later than that of the standard audiogram and was closely related to the course of the disease. This is of great significance for discovering the hidden hearing loss of the patients and taking the treatment plan as soon as possible.
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Data availability
All data generated or analysed during this study are included in this published article.
References
American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media (2004) Diagnosis and management of acute otitis media. Pediatrics 113:1451–1465
Monasta L, Ronfani L, Marchetti F, Montico M, Vecchi BL, Bavcar A, Grasso D, Barbiero C, Tamburlini G (2012) Burden of disease caused by otitis media: systematic review and global estimates. PLoS ONE 7:e36226
Vergison A, Dagan R, Arguedas A, Bonhoeffer J, Cohen R, Dhooge I, Hoberman A, Liese J, Marchisio P, Palmu AA et al (2010) Otitis media and its consequences: beyond the earache. Lancet Infect Dis 10:195–203
Mutlu C, Odabasi AO, Metin K, Basak S, Erpek G (1998) Sensorineural hearing loss associated with otitis media with effusion in children. Int J Pediatr Otorhinolaryngol 46:179–184
Gravel JS, Wallace IF (2000) Effects of otitis media with effusion on hearing in the first 3 years of life. J Speech Lang Hear Res 43:631–644
Margolis RH, Hunter LL (1991) Audiologic evaluation of the otitis media patient. Otolaryngol Clin North Am 24:877–899
Leichtle A, Lai Y, Wollenberg B, Wasserman SI, Ryan AF (2011) Innate signaling in otitis media: pathogenesis and recovery. Curr Allergy Asthma Rep 11:78–84
Kumar P, Upadhyay P, Kumar A, Kumar S, Singh GB (2017) Extended high frequency audiometry in users of personal listening devices. Am J Otolaryngol 38:163–167
Rodriguez VA, Roldan FA, Villarreal IM, Garcia BJ (2016) Extended high-frequency audiometry (9000–20,000 Hz). Usefulness in audiological diagnosis. Acta Otorrinolaringol Esp 67:40–44
Brannstrom KJ, Karlsson E, Waechter S, Kastberg T (2018) Extended high-frequency pure tone hearing thresholds and core executive functions. Int J Audiol 57:639–645
Kucur C, Kucur SK, Gozukara I, Seven A, Yuksel KB, Keskin N, Oghan F (2013) Extended high frequency audiometry in polycystic ovary syndrome. Sci World J 2013:482689
Lasso DLVM, Villarreal IM, Lopez MJ, Garcia-Berrocal JR (2017) Extended high frequency audiometry can diagnose sub-clinic involvement in a seemingly normal hearing systemic lupus erythematosus population. Acta Otolaryngol 137:161–166
Lasso DLVM, Villarreal IM, Lopez-Moya J, Garcia-Berrocal JR (2016) Examination of hearing in a rheumatoid arthritis population: role of extended-high-frequency audiometry in the diagnosis of subclinical involvement. Scientifica (Cairo) 2016:5713283
Da CMR, Erdil M, Pauna HF, Kwon G, Schachern PA, Tsuprun V, Paparella MM, Cureoglu S (2016) Pathologic changes of the peripheral vestibular system secondary to chronic otitis media. Otolaryngol Head Neck Surg 155:494–500
Penido NO, Chandrasekhar SS, Borin A, Maranhao AS, Gurgel TJ (2016) Complications of otitis media—a potentially lethal problem still present. Braz J Otorhinolaryngol 82:253–262
Park JH, Park SJ, Kim YH, Park MH (2014) Sensorineural hearing loss: a complication of acute otitis media in adults. Eur Arch Otorhinolaryngol 271:1879–1884
Cordeiro FP, Da CMR, Kasemodel A, de Almeida GL, de Oliveira PN (2018) Extended high-frequency hearing loss following the first episode of otitis media. Laryngoscope 128:2879–2884
Basch ML, Brown RN, Jen HI, Groves AK (2016) Where hearing starts: the development of the mammalian cochlea. J Anat 228:233–254
Kelly MC, Chen P (2009) Development of form and function in the mammalian cochlea. Curr Opin Neurobiol 19:395–401
Ren T, He W, Kemp D (2016) Reticular lamina and basilar membrane vibrations in living mouse cochleae. Proc Natl Acad Sci USA 113:9910–9915
Lieberthal AS, Carroll AE, Chonmaitree T, Ganiats TG, Hoberman A, Jackson MA, Joffe MD, Miller DT, Rosenfeld RM, Sevilla XD et al (2013) The diagnosis and management of acute otitis media. Pediatrics 131:e964–e999
Da CS, Rosito LP, Dornelles C (2009) Sensorineural hearing loss in patients with chronic otitis media. Eur Arch Otorhinolaryngol 266:221–224
Ali ZS, Pasha HA, Suhail A, Qureshi TA (2016) Frequency of Sensorineural hearing loss in chronic suppurative otitis media. J Pak Med Assoc 66(Suppl 3):S42–S44
Amali A, Hosseinzadeh N, Samadi S, Nasiri S, Zebardast J (2017) Sensorineural hearing loss in patients with chronic suppurative otitis media: is there a significant correlation? Electron Phys 9:3823–3827
Suaya JA, Gessner BD, Fung S, Vuocolo S, Scaife J, Swerdlow DL, Isturiz RE, Arguedas AG (2018) Acute otitis media, antimicrobial prescriptions, and medical expenses among children in the United States during 2011–2016. Vaccine 36:7479–7486
Mustafa G, Al AA, Al AI, Meszaros K, Gopala K, Ceyhan M, Al-Tannir M, DeAntonio R, Bawikar S, Schmidt JE (2017) Incidence and economic burden of acute otitis media in children aged up to 5years in three Middle Eastern countries and Pakistan: a multinational, retrospective, observational study. J Epidemiol Glob Health 7:123–130
Salt AN, Hirose K (2018) Communication pathways to and from the inner ear and their contributions to drug delivery. Hear Res 362:25–37
Hellstrom S, Eriksson PO, Yoon YJ, Johansson U (1997) Interactions between the middle ear and the inner ear: bacterial products. Ann NY Acad Sci 830:110–119
Juhn SK, Hamaguchi Y, Goycoolea M (1989) Review of round window membrane permeability. Acta Otolaryngol Suppl 457:43–48
Kasemodel ALP, Costa LEM, Monsanto RDC, Tomaz A, Penido NO (2019) Sensorineural hearing loss in the acute phase of a single episode of acute otitis media. Braz J Otorhinolaryngol. https://doi.org/10.1016/j.bjorl.2019.06.001
Sharma D, Munjal SK, Panda NK (2012) Extended high frequency audiometry in secretory otitis media. Indian J Otolaryngol Head Neck Surg 64:145–149
Funding
This work was supported by funding from the National Natural Science Foundation of China (81802825) and Shanxi Provincial People’s Hospital (17160). Innovative Research Group Project of the National Natural Science Foundation of China.
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Data curation: Lu Sun; formal analysis: Lu Sun; investigation: Guodong Li and Lu Sun; methodology: Guodong Li and Lu Sun; project administration: Tongli Li and Hong Liu; resources: Guodong Li, Lu Sun, and Hong Liu; supervision: Tongli Li and Hong Liu; writing original draft: Guodong Li; writing review and editing: Hong Liu.
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Li, G., Li, T., Liu, H. et al. Correlation between recovery time of extended high-frequency audiometry and duration of inflammation in patients with acute otitis media. Eur Arch Otorhinolaryngol 277, 2447–2453 (2020). https://doi.org/10.1007/s00405-020-05973-1
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DOI: https://doi.org/10.1007/s00405-020-05973-1