Clinical evaluation of inner ear changes as result of chronic otitis media and its surgery

Year 2015, Volume: 25 Issue: 1, 22 - 27, 10.02.2015

Çiğdem Kalaycık Ertuğay Semra Külekçi Barış Naiboğlu Ömer Çağatay Ertugay Kerem Sami Kaya Shahrouz Sheidaei Çağatay Oysu

Abstract

Objectives: This study aims to evaluate whether chronic otitis media COM may cause inner ear damages or middle ear surgery may improve this damage with regard to sensorineural hearing loss SNHL and tinnitus and dizziness-related disability. Patients and Methods: An observational prospective study was performed on a series of 65 patients 41 males, 24 females; mean age 26.4±12.6; range 11 to 62 years who were diagnosed with COM and were scheduled for surgical intervention at the Department of Otorhinolaryngology of the Haydarpasa Numune Education and Research Hospital. Patients were divided into two subgroups as tympanoplasty and mastoidectomy group according to the surgical procedure. Standard patient work-up included otomicroscopy, pure tone audiometry and completion of the Turkish translation of Dizziness Handicap Inventory DHI and Tinnitus Handicap Inventory THI before surgery and eight weeks after surgery. Results: We found higher bone conduction thresholds in the group of patients with mastoidectomy preoperatively. There was a statistically significant difference in the mean preoperative and postoperative THI and DHI scores between the groups p<0.05 . Conclusion: Our study results suggest that a successful surgery results in improved tinnitus and vertigo symptoms in patients with COM.

Keywords

Chronic otitis media, tinnitus, vertigo

Kronik otitis media ve cerrahisi sonucunda görülen iç kulak değişikliklerinin klinik değerlendirmesi

Abstract

Amaç: Bu çalışmada kronik otitis media KOM ’nın iç kulak hasarına yol açıp açmadığı veya sensörinöral işitme kaybı, tinnitus ve baş dönmesi açısından, bu hasarın orta kulak cerrahisi ile düzelip düzelmediği değerlendirildi.Hastalar ve Yöntemler: Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Kulak Burun Boğaz Kliniği'nde KOM tanısı konulan ve cerrahi planlanan 65 hasta 41 erkek, 24 kadın; ort. yaş 26.4±12.6 yıl; dağılım 11-62 yıl serili gözlemsel prospektif bir çalışma yapıldı. Hastalar cerrahi işleme göre timpanoplasti ve mastoidektomi grubu olarak iki alt gruba ayrıldı. Standart hasta değerlendirmesi cerrahi öncesi ve cerrahiden sekiz hafta sonra uygulanan otomikroskopi, saf ses odyometrisi, Baş Dönmesi Engellilik Envanteri DHI ve Tinnitus Engellilik Anketinin THI tamamlanmasını içerdi.Bulgular: Mastoidektomili hasta grubunda ameliyat öncesi kemik yolu işitme eşikleri daha yüksek bulundu. Ameliyat öncesi ve ameliyat sonrası THI ve DHI skorları açısından gruplar arasında istatistiksel olarak anlamlı bir fark görüldü p

Keywords

Kronik otitis media, tinnitus, vertigo

References

• Joglekar S, Morita N, Cureoglu S, Schachern PA, Deroee AF, Tsuprun V, et al. Cochlear pathology in human temporal bones with otitis media. Acta Otolaryngol 2010;130:472-6.
• Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990;116:424-7.
• Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg 1996;122:143-8.
• 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;16:420-3.
• Papp Z, Rezes S, Jókay I, Sziklai I. Sensorineural hearing loss in chronic otitis media. Otol Neurotol 2003;24:141-4.
• da Costa SS, Rosito LP, Dornelles C. Sensorineural hearing loss in patients with chronic otitis media. Eur Arch Otorhinolaryngol 2009;266:221-4.
• Juhn SK, Jung TT, Lin J, Rhee CK. Effects of inflammatory mediators on middle ear pathology and on inner ear function. Ann N Y Acad Sci 1997;830:130-42.
• Paparella MM, Oda M, Hiraide F, Brady D. Pathology of sensorineural hearing loss in otitis media. Ann Otol Rhinol Laryngol 1972;81:632-47.
• MacArthur CJ, Pillers DA, Pang J, Kempton JB, Trune DR. Altered expression of middle and inner ear cytokines in mouse otitis media. Laryngoscope 2011;121:365-71.
• 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;44:593-8.
• Baba S, Yagi T, Fujikura T. Subjective evaluation and overall satisfaction after tympanoplasty for chronic simple suppurative otitis media. J Nippon Med Sch 2004;71:17-24.
• Lima Ada S, Sanchez TG, Bonadia Moraes MF, Batezati Alves SC, Bento RF. The effect of timpanoplasty on tinnitus in patients with conductive hearing loss: a six month follow-up. Braz J Otorhinolaryngol 2007;73:384-9.
• Kim DK, Park SN, Kim MJ, Lee SY, Park KH, Yeo SW. Tinnitus in patients with chronic otitis media before and after middle ear surgery. Eur Arch Otorhinolaryngol 2011;268:1443-8.
• Kim HJ, Lee SC, Cho YB, Kim HS, Kim SH. A study of factors affecting the pre- and post- operative tinnitus in patients with chronic otitis media. Korean L Otorhinolaryngol Head Neck Surg 1996;39:1949-54.
• Habesoglu M, Habesoglu TE, Karatas C, Tosun A, Gursel AO, Oysu C. Is there any predictor for tinnitus outcome in different types of otologic surgery? Eur Arch Otorhinolaryngol 2013;270:2225-9.
• Osma U, Cureoglu S, Hosoglu S. The complications of chronic otitis media: report of 93 cases. J Laryngol Otol 2000;114:97-100.
• Goldstein NA, Casselbrant ML, Bluestone CD, Kurs- Lasky M. Intratemporal complications of acute otitis media in infants and children. Otolaryngol Head Neck Surg 1998;119:444-54.
• Meyerhoff WL, Kim CS, Paparella MM. Pathology of chronic otitis media. Ann Otol Rhinol Laryngol 1978;87:749-60.
• Takumida M, Anniko M. Localization of endotoxin in the inner ear following inoculation into the middle ear. Acta Otolaryngol 2004;124:772-7.
• Gianoli GJ, Soileau JS. Chronic suppurative otitis media, caloric testing, and rotational chair testing. Otol Neurotol 2008;29:13-5.
• Park HJ, Kim YM, Kim HN, Lee WS, Cho HL. Air caloric test in tympanic membrane perforation. Korean J Otolaryngol-Head Neck Surg 1986;29:182-90.
• Lee IS, Park HJ, Shin JE, Jeong YS, Kwak HB, Lee YJ. Results of air caloric and other vestibular tests in patients with chronic otitis media. Clin Exp Otorhinolaryngol 2009;2:145-50.