Log in

Sensorineural Hearing Loss in Unilateral Mucosal Type of Chronic Otitis Media

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Sensorineural hearing loss is relatively well established in the squamosal chronic otitis media. However, its association with mucosal COM is still debated. The present study aimed at evaluating the prevalence of sensorineural hearing loss in unilateral mucosal COM. The study was conducted at a tertiary care hospital in New Delhi, and 60 patients with unilateral mucosal chronic otitis media were recruited. Pure tone thresholds were ascertained for air and bone conduction in an acoustically treated room and matched against certain patient and disease characteristics. In this study, the combined prevalence of SNHL/Mixed Hearing loss in mucosal COM was found to be 8.3%. A statistically significant association between SNHL/Mixed HL was seen in the 40–50-year age group (p-0.004). Prevalence with a disease duration of more than 10 years was 33% (p-0.019). All the patients who presented with SNHL/Mixed HL had an actively discharging ear. 80% of the patients who presented with SNHL/Mixed HL had large perforations. SNHL/Mixed HL prevalence of 28.6% was found in smokers, compared to 5.7% in non-smokers (p-0.039). The risk of develo** SNHL/Mixed HL increased with increasing patients' age, disease duration, and size of the perforation and smokers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (France)

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data Availability

Data analyzed can be provided on request.

Code Availability

Not applicable.

References

  1. Brar S, Watters C, Winters R (2022) Tympanoplasty. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK565863/. Accessed 13 Apr 2022

  2. Bhatta R, Kidwai SM, Pyakurel M, Neupane Y (2019) Hearing loss in chronic otitis media-mucosal type, active versus inactive stage. Nepalese J ENT Head Neck Surg 10:8–14

    Google Scholar 

  3. Kasliwal N, Joshi S, Pareek SM (2004) Determinants of sensorineural hearing loss in chronic middle-ear disease. Indian J Otolaryngol Head Neck Surg 56:269–273

    Article  PubMed  PubMed Central  Google Scholar 

  4. Acuin J (2004) Chronic suppurative otitis media: burden of illness and management options. In: Chronic suppurative otitis media: burden of illness and management options. World Health Organization (WHO). https://apps.who.int/iris/handle/10665/42941. Accessed 13 Apr 2022

  5. Nanda M, Luthra D (2015) Sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media. Int J Res Med Sci 3:551

    Article  Google Scholar 

  6. de Azevedo AF, Pinto DCG, de Souza NJA, Greco DB, Gonçalves DU (2007) Sensorineural hearing loss in chronic suppurative otitis media with and without cholesteatoma. Braz J Otorhinolaryngol 73:671–674

    Article  PubMed  Google Scholar 

  7. Ikeda K, Sakagami M, Morizono T, Juhn SK (1990) Permeability of the round window membrane to middle-sized molecules in purulent otitis media. Arch Otolaryngol Head Neck Surg 116:57–60

    Article  CAS  PubMed  Google Scholar 

  8. McCormack A, Fortnum H (2013) Why do people fitted with hearing aids not wear them? Int J Audiol 52:360–368

    Article  PubMed  PubMed Central  Google Scholar 

  9. Schilder AG (1999) Assessment of complications of the condition and of the treatment of otitis media with effusion. Int J Pediatr Otorhinolaryngol 49:S247–S251

    Article  PubMed  Google Scholar 

  10. Sano S, Kamide Y, Schachern PA, Paparella MM (1994) Micropathologic changes of pars tensa in children with otitis media with effusion. Arch Otolaryngol Head Neck Surg 120:815–819

    Article  CAS  PubMed  Google Scholar 

  11. Thakur CK, Gupta A, Kumar A (2019) Does mucosal chronic otitis media leads to sensorineural hearing loss. Indian J Otolaryngol Head Neck Surg 205:1–3

    Google Scholar 

  12. Cusimano F, Cocita VC, D’Amico A (1989) Sensorineural hearing loss in chronic otitis media. J Laryngol Otol 103:158–163

    Article  CAS  PubMed  Google Scholar 

  13. Kaur K, Sonkhya N, Bapna AS (2003) Chronic suppurative otitis media and sensorineural hearing loss: Is there a correlation? Indian J Otolaryngol Head Neck Surg 55:21–24

    Article  PubMed  PubMed Central  Google Scholar 

  14. Jesic SD, Jotic AD, Babic BB (2012) Predictors for sensorineural hearing loss in patients with tubotympanic otitis, cholesteatoma, and tympanic membrane retractions. Otol Neurotol 33:934–940

    Article  PubMed  Google Scholar 

  15. Singer AEA, Abdel-NabyAwad OG, El-Kader RMA, Mohamed AR (2018) Risk factors of sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media. Am J Otolaryngol 39:88–93

    Article  PubMed  Google Scholar 

  16. Viswanatha B, Sadasivan SS, Vijayashree MS, Ravikumar R, Krishna N (2014) Sensorineural hearing loss in mucosal type of chronic otitis media. Res Otolaryngol 3:37–40

    Google Scholar 

  17. Yunus TM, Molina RM, Prevatt AR, Gajewski BJ, Sedwick JD, Antonelli PJ (2004) Hearing loss with semicircular canal fistula in exotoxin A-deficient Pseudomonas otitis media. Otolaryngol Head Neck Surg 130:430–436

    Article  PubMed  Google Scholar 

  18. Laurell G, Bagger-Sjöbäck D (1991) Degeneration of the organ of Corti following intravenous administration of cisplatin. Acta Otolaryngol (Stockh) 111:891–898

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

None.

Author information

Authors and Affiliations

Authors

Contributions

SKS and VM formulated the concept and design of the study. SKS and RS performed the data acquisition, analysis and literature review. JCP make relevant inferences based on the available data and formulated the discussion and recommendations. All authors have contributed to the manuscript and approved the final version of the manuscript prior to the submission.

Corresponding author

Correspondence to Raman Sharma.

Ethics declarations

Conflict of interest

None.

Ethics Approval

Approved by Institutional Ethical Committee [F.1/IEC/MAMC/(70/05/2019)/No. 438].

Informed Consent

Consents were received from all patients participating in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Soni, S., Malhotra, V., Sharma, R. et al. Sensorineural Hearing Loss in Unilateral Mucosal Type of Chronic Otitis Media. Indian J Otolaryngol Head Neck Surg 75, 2149–2154 (2023). https://doi.org/10.1007/s12070-023-03759-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-023-03759-5

Keywords

Navigation