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

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

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