Title: A Study of Sensorineural Hearing Loss (SNHL) in Patients with Chronic Suppurative Otitis Media (CSOM) Coming to Otorhinolaryngology (ENT) Out-Patient Department

Authors: Dr Shashiraj Ingale, Dr V.P.Narve

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.155

Abstract

Chronic suppurative otitis media is a persistent and insidious disease that often leads to destructive changes and irreversible sequel. sensorineural hearing loss in chronic suppurrative otitis media is well documented.

Method: The prospective study carried out in 100 patients presented in department of ENT, G R Medical College, Gwalior from february2015 to September 2016 with complaint recurrent discharge from ear.

Objective: is to study incidence of age, sex, duration, nature of discharge, type of perforation in CSOM patients on development of SNHL and explore association in CSOM and SNHL. After taking detailed history of the patient, complete examination of ear, nose and throat has been carried out. Puretone audiometry is done.

Result: In present series of 100 patients with CSOM, incidence of Sensorineural hearing loss was found to be 15%.Incidence of SNHL increases with age i.e 40% of patients in age group of 51-60 years developed SNHL. Sex predominance was observed in male (60%) population. With increasing duration of disease, more propensity to develop SNHL, 53.4%patients with ear discharge for more than 10 years developed SNHL. In our study mucosal type of disease had more predisposition to develop SNHL and incidence of SNHL increase with size of perforation.

Conclusion: There was a relation and association between age, sex, disease duration, nature of ear discharge, Disease type, size of perforation in CSOM patients on incidence of SNHL.

Keywords:  Sensorineural hearing loss (SNHL), Chronic suppurative otitis media (CSOM).

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