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Ossicular chain reconstruction improves bone conduction threshold in chronic otitis media

Published online by Cambridge University Press:  08 March 2017

H-S Lee ,
S-D Hong ,
S H Hong ,
Y-S Cho  and
W-H Chung
H-S Lee
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Pundang Jesaeng Hospital, Daejin Medical Center, Sungnam, Korea
S-D Hong
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
S H Hong
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
Y-S Cho
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
W-H Chung*
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
*
Address for correspondence: Won-Ho Chung, Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, 50 Ilwon-dong Kangnam-ku, Seoul 135-710, Korea. Fax: 82 2 3410 3879 E-mail: [email protected]
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Abstract

This study aimed to assess the elevation of bone conduction threshold in patients with chronic otitis media and to investigate the mechanism of this phenomenon. One hundred and six patients with unilateral chronic otitis media who had undergone a tympanomastoidectomy were reviewed retrospectively. The differences in the bone conduction thresholds between the diseased and normal sides were assessed and compared according to the duration of the disease and the presence of cholesteatoma. Post-operative changes in the bone conduction threshold were also assessed. The mean bone conduction thresholds were significantly elevated on the diseased side, ranging from 3.4 to 11.6 dB across frequencies, with a maximal elevation at 2000 Hz. The duration of disease and the presence of cholesteatoma did not affect the degree of the bone conduction elevation. After ossicular reconstruction, bone conduction thresholds improved significantly at all frequencies, with the greatest improvement being observed at 2000 Hz. These results suggest that the elevation in the bone conduction threshold in chronic otitis media is mainly caused by a change in the conductive mechanism in the middle ear.

Keywords

Suppurative Otitis MediaBone ConductionOtologic Surgical ProceduresConductive Hearing Loss
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 4 , April 2008 , pp. 351 - 356
Copyright
Copyright © JLO (1984) Limited 2007

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References

1 Cureoglu, S, Schachern, PA, Paparella, MM, Lindgren, BR. Cochlear changes in chronic otitis media. Laryngoscope 2004;114:622–6CrossRefGoogle ScholarPubMed
2 Paparella, MM, Morizono, T, Le, CT, Mancini, F, Sipila, P, Choo, YB et al. Sensorineural hearing loss in otitis media. Ann Otol Rhinol Laryngol 1984;93:623–9CrossRefGoogle ScholarPubMed
3 Walby, AP, Barrera, A, Schuknecht, HF. Cochlear pathology in chronic suppurative otitis media. Ann Otol Rhinol Laryngol Suppl 1983;103 (suppl):1–19Google ScholarPubMed
4 Cusimano, F, Cocita, VC, D'Amico, A. Sensorineural hearing loss in chronic otitis media. J Laryngol Otol 1989;103:158–63CrossRefGoogle ScholarPubMed
5 El-Sayed, Y. Bone conduction impairment in uncomplicated chronic suppurative otitis media. Am J Otolaryngol 1998;19:149–53CrossRefGoogle ScholarPubMed
6 Papp, Z, Rezes, S, Jokay, I, Sziklai, I. Sensorineural hearing loss in chronic otitis media. Otol Neurotol 2003;24:141–4CrossRefGoogle ScholarPubMed
7 Redaelli, de Zinis, LO, Campovecchi, C, Parrinello, G, Antonelli, AR. Predisposing factors for inner ear hearing loss association with chronic otitis media. Int J Audiol 2005;44:593–8CrossRefGoogle Scholar
8 Levine, BA, Shelton, C, Berliner, KI, Sheehy, JL. Sensorineural loss in chronic otitis media. Is it clinically significant? Arch Otolaryngol Head Neck Surg 1989;115:814–16CrossRefGoogle ScholarPubMed
9 Noordzij, JP, Dodson, EE, Ruth, RA, Arts, HA, Lambert, PR. Chronic otitis media and sensorineural hearing loss: is there a clinically significant relation? Am J Otol 1995;16:420–3Google Scholar
10 Tonndorf, J. A new concept of bone conduction. Arch Otolaryngol 1968;87:595–600CrossRefGoogle ScholarPubMed
11 Tsai, V, Ostroff, J, Korman, M, Chen, JM. Bone-conduction hearing and the occlusion effect in otosclerosis and normal controls. Otol Neurotol 2005;26:1138–42CrossRefGoogle ScholarPubMed
12 Browning, GG, Gatehouse, S. Hearing in chronic suppurative otitis media. Ann Otol Rhinol Laryngol 1989;98:245–50CrossRefGoogle ScholarPubMed
13 Eisenman, DJ, Parisier, SC. Is chronic otitis media with cholesteatoma associated with neurosensory hearing loss? Am J Otol 1998;19:20–5Google ScholarPubMed
14 MacAndie, C, O'Reilly, BF. Sensorineural hearing loss in chronic otitis media. Clin Otolaryngol Allied Sci 1999;24:220–2CrossRefGoogle ScholarPubMed
15 Linstrom, CJ, Silverman, CA, Rosen, A, Meiteles, LZ. Bone conduction impairment in chronic ear disease. Ann Otol Rhinol Laryngol 2001;110:437–41CrossRefGoogle ScholarPubMed
16 Tuz, M, Dogru, H, Uygur, K, Gedikli, O. Improvement in bone conduction threshold after tympanoplasty. Otolaryngol Head Neck Surg 2000;123:775–8CrossRefGoogle ScholarPubMed
17 Vartiainen, E, Seppa, J. Results of bone conduction following surgery for chronic ear disease. Eur Arch Otorhinolaryngol 1997;254:384–6CrossRefGoogle ScholarPubMed