Skip to main content

Advertisement

SpringerLink
Log in

Sensorineural Hearing Loss in Patients with Chronic Suppurative Otitis Media

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Even though there are other complications of chronic suppurative otitis media, the aspect of hearing loss is often studied. Nevertheless, the occurrence of sensorineural hearing loss in patients with this disease is still controversial. This study aim (1) to assess the association between sensorineural hearing loss and chronic suppurative otitis media, (2) to investigate some clinical factors that might affect the sensorineural component in patients with this disease. This was a retrospective analysis of the clinical records and pure tone audiograms of patients with chronic suppurative otitis media in a Nigerian Tertiary Health Institution from January 2003 to December 2008. Sixty-nine patients with a mean age of 28.93 years; standard deviation of 18.593 were studied. They had an age range of 4–73 years. The duration of otorrhea ranged from 2 months to 20 years; with a mean of 6.11 years (standard deviation of 6.393). The mean bone conduction threshold in the diseased ear was 39.07 dB (standard deviation of 12.028), and 10.26 dB (standard deviation of 2.620) in the control ear (P < 0.05). The mean bone conduction threshold differences between the diseased and control ears range from 21.69 to 34.52 dB across the frequencies 0.5, 1.0, 2.0, and 4.0 kHz. These differences tended to increase with increasing frequency and were all significant (P < 0.05). In the diseased ears, there were no significant correlation between the age, duration of otorrhea, and the degree of SNHL (r = 0.186, P > 0.05; r = 0.190, P > 0.05 respectively). Patients with chronic suppurative otitis media had a significant degree of sensorineural hearing loss in this study. The higher frequencies were more affected; however, the patient’s age and duration of otorrhea seem not to have any correlation with the degree of sensorineural hearing loss.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bluestone CD (1981) Recent advances in the pathogenesis, diagnosis, and management of otitis media. Pediatr Clin N Am 28(4):727–755

    CAS  Google Scholar 

  2. Ologe FE, Nwawolo CC (2002) Prevalence of chronic suppurative otitis media (CSOM) among school children in a rural community in Nigeria. Niger Postgrad Med J 9(2):63–66

    PubMed  CAS  Google Scholar 

  3. Miura MS, Krumennauer RC, Lubianca Neto JF (2005) Intracranial complications of chronic suppurative otitis media in children. Braz J Otorhinolaryngol 71(5):639–643

    PubMed  Google Scholar 

  4. Mostafa BE, El Fiky LM, El Sharnouby MM (2009) Complications of suppurative otitis media: still a problem in the 21st century. ORL J Otorhinolaryngol Relat Spec 71(2):87–92

    Article  PubMed  Google Scholar 

  5. Mills RP (1997) Management of chronic suppurative otitis media. In: Kerr AG, Booth JB (eds) Scott-Brown’s otolaryngology, vol. 3, 6th edn. Butterwoth-Heinemann, Oxford, p 3/10/4

  6. de Azevedo AF, Pinto DCG, Alves de Souza NJ, Greco DB, Goncalves DU (2007) Sensorineural hearing loss in chronic suppurative otitis media with and without cholesteatoma. Braz J Otorhinolaryngol 73(5):671–674

    PubMed  Google Scholar 

  7. MacAndie C, O’Reilly BF (1999) Sensorineural hearing loss in chronic otitis media. Clin Otolaryngol Allied Sci 24(3):220–222

    Article  PubMed  CAS  Google Scholar 

  8. da Costa SS, Rosito LP, Dornelles C (2009) Sensorineural hearing loss in patients with chronic otitis media. Eur Arch Otorhinolaryngol 266(2):221–224

    Article  PubMed  Google Scholar 

  9. Lasisi AO, Sulaiman OA, Afolabi OA (2007) Socio-economic status and hearing loss in chronic suppurative otitis media in Nigeria. Ann Trop Paediatr 27(4):291–296

    Article  PubMed  Google Scholar 

  10. Feng H, Chen Y (2004) Analysis of sensorineural hearing loss in chronic suppurative otitis media. Lin Chuang Er Bi Yan Hou Ke Za Zhi 18(10):579–581

    PubMed  Google Scholar 

  11. Kaplan DM, Fliss DM, Kraus M, Dagan R, Leiberman A (1996) Audiometric findings in children with chronic suppurative otitis media without cholesteatoma. Int J Pediatr Otorhinolaryngol 35(2):89–96

    Article  PubMed  CAS  Google Scholar 

  12. Noordzij JP, Dodson EE, Ruth RA, Arts HA, Lambert PR (1995) Chronic otitis media and sensorineural hearing loss: is there a clinically significant relation? Am J Otol 16(4):420–423

    PubMed  CAS  Google Scholar 

  13. Acuin J (2002) Extracts from “Concise clinical evidence”: chronic suppurative otitis media. BMJ 325(7373):1159–1160

    Article  PubMed  Google Scholar 

  14. Brook I (2008) The role of anaerobic bacteria in chronic suppurative otitis media in children: implications for medical therapy. Anaerobe 14(6):297–300

    Article  PubMed  Google Scholar 

  15. Redaelli de Zinis LO, Campovecchi C, Parrinello G, Antonelli AR (2005) Predisposing factors for inner ear hearing loss association with chronic otitis media. Int J Audiol 44(10):593–598

    Article  PubMed  Google Scholar 

  16. Yasan H (2007) Predictive role of Carhart’s notch in pre-operative assessment for middle-ear surgery. J Laryngol Otol 121(3):219–221

    Article  PubMed  CAS  Google Scholar 

  17. Spandow O, Anniko M, Hellstrom S (1989) Inner ear disturbances following inoculation of endotoxin into the middle ear. Acta Otolaryngol 107(1–2):90–96

    Article  PubMed  CAS  Google Scholar 

  18. Goycoolea MV, Paparella MM, Juhn SK, Carpenter AM (1980) Oval and round window changes in otitis media. Potential pathways between middle ear and inner ear. Laryngoscope 90:1387–1391

    PubMed  CAS  Google Scholar 

  19. Browning GG, Gatehouse S, Calder IT (1988) Medical management of active chronic otitis media: a controlled study. J Laryngol Otol 102(6):491–495

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We wish to thank the entire staff of ENT department of Aminu Kano Teaching Hospital for their assistance during the course of this work. We also thank the departmental secretary Mr. Abdullahi for helping in typing the manuscripts.

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Aminu Kano Teaching Hospital, Kano, Nigeria

    E. S. Kolo, A. D. Salisu, A. M. Yaro & O. G. B. Nwaorgu

Authors
  1. E. S. Kolo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. D. Salisu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. M. Yaro
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. O. G. B. Nwaorgu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. S. Kolo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kolo, E.S., Salisu, A.D., Yaro, A.M. et al. Sensorineural Hearing Loss in Patients with Chronic Suppurative Otitis Media. Indian J Otolaryngol Head Neck Surg 64, 59–62 (2012). https://doi.org/10.1007/s12070-011-0251-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-011-0251-5

Keywords

Search

Navigation