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Hearing Results Post Tympanoplasty: Our Experience with Adults at the KKR ENT Hospital, India

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Abstract

Chronic suppurative otitis media is often associated with some degree of hearing loss. Tympanomastoid surgery is considered effective in controlling infection and preventing recurrence. However, opinions differ with regards the post-operative hearing results. This study aims to assess the hearing results, and also ascertain the effects of some variables on hearing in adult patients with chronic suppurative otitis media after primary tympanoplasty. This was a retrospective review of the clinical records of adult patients with chronic suppurative otitis media, who had primary tympanoplasty at the KKR ENT Hospital and Research Institute in Chennai (India), between 1st June and 30th September, 2011. A total of 26 adult patients with a mean age of 35.85 years (SD 14.775) were studied. There were 16 males (61.54 %) and 10 females (38.46 %). The commonest presenting symptoms were ear discharge (80.8 %) and hearing loss (76.9 %); and the mean duration of symptom was 8.52 years (SD 8.599). The overall mean pre-operative pure tone average was 49.58 dB (SD 18.608), while the overall mean post-operative pure tone average was 37.38 dB (SD 17.837). The difference between the overall mean pre- and post-operative pure tone average (hearing gain) was 12.192 dB (SD 12.924); and this was found to be statistically significant (p < 0.05). Multiple linear regression model showed that only increasing age was significantly associated with increasing mean post-operative pure tone average. This study found primary tympanoplasty effective in improving hearing results in adults with chronic suppurative otitis media even in those with advanced ossicular lesions.

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References

  1. Adhikari P (2009) Prevalence of chronic suppurative otitis media in Nepalese children: experiences of free health camps. The Internet Journal of Otorhinolaryngology. www.ispub.com/journal/the-internet-journal-of-otorhinolaryngology/volume-10-number-2p/prevalence-of-chronic-suppurative-otitis-media-in-nepalese-children-experiences-of-free-health-camps.html. Accessed March 2012

  2. Sade J (1982) Introduction. In: Sade J (ed) Cholesteatoma and mastoid surgery. Kugler, Amsterdam, pp 1–3

    Google Scholar 

  3. Yaor MA, El-Kholy A, Jafari B (2006) Surgical management of chronic suppurative otitis media: a 3-year experience. Ann Afr Med 5(1):24–27

    Google Scholar 

  4. Kiakujori K, Esmaieli M, Faramarzi AS (2010) The result of hearing in patients treated by surgery due to chronic otitis media. Casp J Intern Med 1(4):138–140

    Google Scholar 

  5. Sismanis A (2003) Tympanoplasty. In: Glasscock ME, Gulya AJ (eds) Glasscock-Shambaugh surgery of the ear, 5th edn. Decker BC Inc., Ontario, p 473

    Google Scholar 

  6. Nadol JB, Schuknecht HF (1993) Surgery of the ear and temporal bone. Raven, New York

    Google Scholar 

  7. Goldenberg RA (1992) Hydroxylapatite ossicular replacement prostheses: a four-year experience. Otolaryngol Head Neck Surg 106:261–269

    PubMed  CAS  Google Scholar 

  8. Hirsh BE (2008) Myringoplasy and tympanoplasty. In: Myers EN (ed) Operative otolaryngology head and neck surgery. Elsevier, Philadelphia, pp 1246–1261

    Google Scholar 

  9. Merchant SN, McKenna MJ, Rosowski JJ (1998) Current status and future challenges of tympanoplasty. Eur Arch Otorhinolaryngol 255:221–228

    Article  PubMed  CAS  Google Scholar 

  10. Schuknecht HF (1993) Pathology of the ear, 2nd edn. Lea and Febiger, Philadelphia

    Google Scholar 

  11. Kalcioglu MT, Firat Y, Selimoglu E (2009) Cartilage tympanoplasty with island technique: a comparison with the temporalis muscle fascia technique. Int Adv Otol 5(1):45–50

    Google Scholar 

  12. Vrabec JT, Deskin RW, Grady JJ (1999) Meta-analysis of pediatric tympanoplasty. Arch Otolaryngol Head Neck Surg 125:530–534

    Article  PubMed  CAS  Google Scholar 

  13. Chan SC (1980) Reconstructive middle-ear surgery for chronic otitis media. Ann Acad Med Singap 9:367–373

    PubMed  CAS  Google Scholar 

  14. Gersdorff M, Garin P, Decat M, Juantegui M (1995) Myringoplasty: a long-term result in adults and children. Am J Otol 16:532–535

    PubMed  CAS  Google Scholar 

  15. Murphy TP, Wallis DL (1998) Hearing results in patients after canal-wall-up and canal-wall-down mastoid surgery. Otolaryngol Head Neck Surg 119(5):439–443

    Article  PubMed  CAS  Google Scholar 

  16. Vartiainen E, Karja J, Karjalainen S, Harma R (1985) Failures in myringoplasty. Arch Otorhinolaryngol 242:27–33

    Article  PubMed  CAS  Google Scholar 

  17. Baylan FR, Celikkanat S, Aslan A, Taibah A, Russo A, Sanna M (1997) Mastoidectomy in non-cholesteatomatous chronic suppurative otitis media: Is it necessary? Otolaryngol Head Neck Surg 117:592–595

    Article  Google Scholar 

  18. Holt DR, Kirk SJ, Regan MC, Hurson M, Lindblad WJ, Barbul A (1992) Effect of age on wound healing in healthy human beings. Surgery 112(2):293–297

    PubMed  CAS  Google Scholar 

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Acknowledgments

Our profound thanks go to the entire staff of the Records Department of the KKR ENT Hospital and Research Institute Chennai, India for their assistance in retrieving the patients’ case notes.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Bayero University Kano/Aminu Kano Teaching Hospital, PMB 3452, Kano, Kano, Nigeria

    E. S. Kolo

  2. KKR ENT Hospital and Research Institute, Chennai, India

    R. Ramalingam

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  1. E. S. Kolo
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  2. R. Ramalingam
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Correspondence to E. S. Kolo.

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Kolo, E.S., Ramalingam, R. Hearing Results Post Tympanoplasty: Our Experience with Adults at the KKR ENT Hospital, India. Indian J Otolaryngol Head Neck Surg 66, 365–368 (2014). https://doi.org/10.1007/s12070-012-0588-4

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  • DOI: https://doi.org/10.1007/s12070-012-0588-4

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