Audiological Evaluation of Children below 14 Years Undergoing Tympanoplasty in a Tertiary Teaching Hospital
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Introduction: Chronic suppurative otitis media (CSOM) is at a higher incidence in the pediatric population when compared to adults. CSOM results in conductive deafness resulting in difficulty in learning speech skills. Surgical procedures to correct the hearing loss are regarded both by surgeons and parents to give poor results. Selection of children with CSOM developing speech problem and appropriate tympanoplasty in skilled hands will result in post-operative auditory gain. Aims: To study the audiological results in children following tympanoplasty procedures in a tertiary teaching hospital. Materials and Methods: A total of 85 children aged 9-14 years underwent tympanoplasty procedure between October 2015 and April 2017 was included in the study. Post-operative audiological evaluation, perforation closure, factors playing a role in the success rate were recorded and analyzed. Results: Closure of perforation was successful in 92.94% of the children. Graft take failure occurred in 7.05% (6). Auditory gain of 30-35 dB in air conduction (AC) was found in 77.64% (66) and closure of a-b gap 20-30 dB was observed in 82.35% (70). 17.64% (15) children showed AC auditory gain of 20-30 dB, closure of a-b gap of 10-20 dB in 20% (17). No improvement in hearing was found in 4 (4.70%) children. Conclusion: Tympanoplasty improves hearing in children with CSOM if performed properly. As the follow-up in the study is only 14 months, a study with a longer follow-up would suggest a definitive conclusion.
Authors and Affiliations
N Sateesh, Subbarayudu Yarlagadda
Keywords
Related Articles
- EP ID EP468824
- DOI -
- Views 112
- Downloads 0
Chronic Inflammatory Gingival Enlargement: A Case Report
Gingival enlargement also known as gingival overgrowth is defined as increase in the size of gingiva. Gingival enlargement can be caused by a wide variety of etiologies. Gingival enlargement may result from acute or chro...
Comparison between Two Regimens of Art in Human Immunodeficiency Virus Patients at Tertiary Care Art Centre Jabalpur: A Prospective Observational Study
Objective: The objective of the study was to assess the effectiveness of two regimens (Tenofovir + Lamivudine + Efavirenz [TLE] and Zidovudine + Lamivudine + Nevirapine [ZLN]) on the basis of CD4 count changes among huma...
Prevalence and Etiological Profile of Patients with Acute Confusional State
Background: Confusion is a mental and behavioral state of reduced comprehension, coherence, and capacity to reason. Confused patient is usually subdued, not inclined to speak, and is physically inactive. A state of confu...
Comparison of Ketamine and Propofol in Combination with Fentanyl and Midazolam in Total Intravenous Anaesthesia for Minor Gynecological Procedures
Background: Total intravenous anesthesia (TIVA) is commonly employed for anesthetizing patients for minor gynecological procedures such as dilatation and curettage. Aim: The aim of this study is to compare the effectiven...
Real-World Efficacy and Safety of Novel Second-Generation Antihistamine “Bepotastine” in Management of Pruritus Associated With Skin Disorders
Introduction: Pruritus is one of the most common symptoms of skin diseases affecting quality of life. H1 antihistamines are most commonly used drugs for pruritus management. Bepotastine, a novel second-generation antihis...