Chronic Otitis Media (Squamous Disease): Clinical Predictors for Hearing Outcome Article Swipe
V. M. Lakshanadeve
,
Vikram Raj Mohanam T. C.
,
Nishanth Savery
,
Mary Kurien
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.47210/bjohns.2021.v29i3.515
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.47210/bjohns.2021.v29i3.515
Introduction Postoperative hearing outcome after tympanomastoid surgery may sometimes be disappointing. This study aims to identify the factors influencing hearing outcome in squamous type of chronic otitis media (COM). Materials and Methods Prospective descriptive study on consecutive patients undergoing tympano-mastoidectomy for squamous COM. Results Analysis of 40 ears revealed that 10% had discharge less than one year with majority (75%) having more than three years. Pars flaccida and postero-superior pars tensa retraction pockets were most common findings with frank cholesteatoma only in 10%. Though mean preoperative pure tone average was significantly better (p=0.004) in those with ear discharge less than one year, 50% required type IV tympanoplasty, irrespective of duration of discharge. Type IV tympanoplasty revealed significant worsening of hearing (p=0.05), unlike type I-III where intact stapes suprastructure showed a significant postoperative improvement (p = 0.036). Successful graft uptake with discharge free ear was noted in 97.5% by 12 weeks. Conclusion Majority of our patients availed otolaryngologist opinion after more than three years of onset of discharge. Significant ossicular erosion occurs early in the disease. Preoperative better audiogram is not a predictor of ossicular status. Lack of significant symptoms and subtle clinical finding in the tympanic membrane, overlooked by the patient as well as the primary health care provider are confounding factors for early referral and surgical intervention by otolaryngologist. There appears to be a considerable delay for the common person in reaching the services of otolaryngologist; a relevant issue which need to be addressed at a national level to reduce the burden of the disease.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.47210/bjohns.2021.v29i3.515
- https://bjohns.in/journal3/index.php/bjohns/article/download/515/354
- OA Status
- gold
- References
- 9
- Related Works
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- OpenAlex ID
- https://openalex.org/W4220886579
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4220886579Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.47210/bjohns.2021.v29i3.515Digital Object Identifier
- Title
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Chronic Otitis Media (Squamous Disease): Clinical Predictors for Hearing OutcomeWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-03-18Full publication date if available
- Authors
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V. M. Lakshanadeve, Vikram Raj Mohanam T. C., Nishanth Savery, Mary KurienList of authors in order
- Landing page
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https://doi.org/10.47210/bjohns.2021.v29i3.515Publisher landing page
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https://bjohns.in/journal3/index.php/bjohns/article/download/515/354Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://bjohns.in/journal3/index.php/bjohns/article/download/515/354Direct OA link when available
- Concepts
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Medicine, Otorhinolaryngology, Tympanoplasty, Audiogram, Prospective cohort study, Surgery, Otitis, Cholesteatoma, Mastoidectomy, Hearing loss, AudiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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