Abstract
Chronic suppurative otitis media (CSOM) is defined as chronic ear discharge (i.e. lasting > 6-12 weeks) through a tympanic membrane perforation. It is generally associated with some degree of conductive hearing loss because of perforated tympanic membrane or ossicular destruction. However, recurrent ear infections due to perforated eardrum may result in absorption of toxins and macromolecules in the cochlea leading to sensorineural hearing loss (SNHL). This study was done to evaluate the frequency of SNHL in CSOM. Average threshold of speech frequencies was calculated via pure tone audiogram. The frequency was found to increase with increasing duration of the disease. Patients with CSOM should be counselled regarding the risk of developing SNHL if left untreated.
Keywords: Hearing loss, Chronic suppurative otitis media, sensorineural
References
- Da Costa SS, Rosito LP, Domelles C. Sensorineural hearing loss in patients with chronic otitis media. Eur Arch Otorhinolaryngol. 2009; 266(2):221-4.
- Kaur K, Sonkhya N, Bapna AS. Chronic suppurative otitis media and hearing loss: is there a correlation? Indian Journal of Otolaryngology and Head Neck Surgery. 2003; 55: 21-24.
- S. Kolo, A. D. Salisu, A. M. Yaro et al (2012) Sensorineural hearing loss in patients with chronic suppurative otitis media; Indian J Otolaryngol Head Neck Surg, 64(1): 59-62.
- Amali A, Hosseinzadeh N, Samadi S, Nasiri S, Zebardast J. Sensorineural hearing loss in patients with chronic suppurative otitis media: Is there a significant correlation? Electron Physician. 2017;9(2):3823-7.
- Mills RP (1997) Management of chronic suppurative otitis media. In: Kerr AG, Booth JB (eds) Scott Brown’s Otolaryngology, vol.3, 6th Butterwoth-Heinemann, Oxford p 3/10/4.
- Levine BA, Shelton C, Berliner KI, Sheehy JL. Sensorineural loss in chronic otitis media.Is it clinically significant? Arch Otolaryngol Head Neck Surg.1989;115(7): 814-6.
- Goycoolea MV, Paparella MM, Juhn SK, Carpenter AM. Oval and round window changes in otitis media. Potential pathways between middle and inner ear. Laryngos-cope. 1980;90(8 Pt 1):1387–91.[PubMed]
- 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.
- Papp Z, Rezes S, Jokay I, Sikklai I. Sensorineural hearing loss in chronic otitis media. OtolNeurotol. 2003; 24(2): 141-4.
- Mac Andie C, O’Reilly BF. Sensorineural hearing loss in chronic otitis media. Clin Otolaryngol Allied Sci. 1999; 24(3): 220-2.
Corresponding Author
Apurva Anil Jarandikar
Department of ENT, Kempegowda Institute of Medical Sciences Hospital and Research Centre, K. R. Road, V. V. Puram Campus, Bangalore, India – 560004
Phone no. 9881446133, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.