The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media
Chronic suppurative otitis media (CSOM) is an infection of the middle ear cavity both partially and totally. It is characterized by ear discharge through a tympanic membrane perforation for over a period of 2 to 6 weeks. Hearing loss is the most common complication of CSOM. One of the degrees of hea...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universitas Gadjah Mada
2022-11-01
|
| Series: | Journal of the Medical Sciences |
| Subjects: | |
| Online Access: | https://jurnal.ugm.ac.id/bik/article/view/70233 |
| _version_ | 1797821296635019264 |
|---|---|
| author | Adhika Banu Wicaksono Edhie Samodra Melysa Fitriana Feri Trihandoko Anisa Haqul Khoiria Dyah Ayu Kartika Dewanti |
| author_facet | Adhika Banu Wicaksono Edhie Samodra Melysa Fitriana Feri Trihandoko Anisa Haqul Khoiria Dyah Ayu Kartika Dewanti |
| author_sort | Adhika Banu Wicaksono |
| collection | DOAJ |
| description | Chronic suppurative otitis media (CSOM) is an infection of the middle ear cavity both partially and totally. It is characterized by ear discharge through a tympanic membrane perforation for over a period of 2 to 6 weeks. Hearing loss is the most common complication of CSOM. One of the degrees of hearing loss in tympanic membrane perforation is depending on the site of perforation, but this premise is still debatable because of pros and contras by some researchers. This study aimed to assess the degree of hearing loss in relation to the site of tympanic membrane perforation. A cross-sectional prospective study design was performed involving 43 patients of safe type CSOM who came to the Department of Otolaryngology Head and Neck Surgery from the period January 2016 to November 2018. All subjects were divided into 4 groups based on the site of perforation. There was a perforation in the posteroinferior, the posterosuperior, the anteroinferior, and the anterosuperior. A statistical analysis using Anova along with multivariate analysis was conducted. Our result showed that the most common site of tympanic membrane perforation was at the anteroinferior (30 samples, 59.8%). The highest hearing threshold was seen at posteroinferior with a mean hearing level of 37.7±2.0 dB, anteroinferior with a mean hearing level of 31.7±0.7 dB, anterosuperior with a mean hearing level 30.7±1.4 dB, and posterosuperior mean hearing level 28.9±1.5 dB. The difference was found significant with p=0.004. Posteroinferior tympanic membrane perforation had a higher number of hearing loss compared to the other sites. In conclusion, the tympanic membrane perforation site has an important role in the hearing level of conductive hearing loss in CSOM. |
| first_indexed | 2024-03-13T09:51:41Z |
| format | Article |
| id | doaj.art-7ccab89cf502496b8f81a6c9a31f71ae |
| institution | Directory Open Access Journal |
| issn | 0126-1312 2356-3931 |
| language | English |
| last_indexed | 2024-03-13T09:51:41Z |
| publishDate | 2022-11-01 |
| publisher | Universitas Gadjah Mada |
| record_format | Article |
| series | Journal of the Medical Sciences |
| spelling | doaj.art-7ccab89cf502496b8f81a6c9a31f71ae2023-05-24T09:07:07ZengUniversitas Gadjah MadaJournal of the Medical Sciences0126-13122356-39312022-11-0154310.19106/JMedSci00540320220632555The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis mediaAdhika Banu Wicaksono0Edhie Samodra1Melysa Fitriana2Feri Trihandoko3Anisa Haqul Khoiria4Dyah Ayu Kartika Dewanti5Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/ Dr. Sardjito General Hospital, YogyakartaDepartment of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/ Dr. Sardjito General Hospital, YogyakartaDepartment of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/ Dr. Sardjito General Hospital, YogyakartaDepartment of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/ Dr. Sardjito General Hospital, YogyakartaDepartment of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/ Dr. Sardjito General Hospital, YogyakartaDepartment of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/ Dr. Sardjito General Hospital, YogyakartaChronic suppurative otitis media (CSOM) is an infection of the middle ear cavity both partially and totally. It is characterized by ear discharge through a tympanic membrane perforation for over a period of 2 to 6 weeks. Hearing loss is the most common complication of CSOM. One of the degrees of hearing loss in tympanic membrane perforation is depending on the site of perforation, but this premise is still debatable because of pros and contras by some researchers. This study aimed to assess the degree of hearing loss in relation to the site of tympanic membrane perforation. A cross-sectional prospective study design was performed involving 43 patients of safe type CSOM who came to the Department of Otolaryngology Head and Neck Surgery from the period January 2016 to November 2018. All subjects were divided into 4 groups based on the site of perforation. There was a perforation in the posteroinferior, the posterosuperior, the anteroinferior, and the anterosuperior. A statistical analysis using Anova along with multivariate analysis was conducted. Our result showed that the most common site of tympanic membrane perforation was at the anteroinferior (30 samples, 59.8%). The highest hearing threshold was seen at posteroinferior with a mean hearing level of 37.7±2.0 dB, anteroinferior with a mean hearing level of 31.7±0.7 dB, anterosuperior with a mean hearing level 30.7±1.4 dB, and posterosuperior mean hearing level 28.9±1.5 dB. The difference was found significant with p=0.004. Posteroinferior tympanic membrane perforation had a higher number of hearing loss compared to the other sites. In conclusion, the tympanic membrane perforation site has an important role in the hearing level of conductive hearing loss in CSOM.https://jurnal.ugm.ac.id/bik/article/view/70233chronic suppurative otitis mediatympanic membrane perforationsite of perforationhearing threshold levelhearing loss |
| spellingShingle | Adhika Banu Wicaksono Edhie Samodra Melysa Fitriana Feri Trihandoko Anisa Haqul Khoiria Dyah Ayu Kartika Dewanti The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media Journal of the Medical Sciences chronic suppurative otitis media tympanic membrane perforation site of perforation hearing threshold level hearing loss |
| title | The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media |
| title_full | The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media |
| title_fullStr | The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media |
| title_full_unstemmed | The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media |
| title_short | The influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media |
| title_sort | influence of tympanic membrane perforation site on the hearing level of conductive hearing loss in chronic suppurative otitis media |
| topic | chronic suppurative otitis media tympanic membrane perforation site of perforation hearing threshold level hearing loss |
| url | https://jurnal.ugm.ac.id/bik/article/view/70233 |
| work_keys_str_mv | AT adhikabanuwicaksono theinfluenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT edhiesamodra theinfluenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT melysafitriana theinfluenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT feritrihandoko theinfluenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT anisahaqulkhoiria theinfluenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT dyahayukartikadewanti theinfluenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT adhikabanuwicaksono influenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT edhiesamodra influenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT melysafitriana influenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT feritrihandoko influenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT anisahaqulkhoiria influenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia AT dyahayukartikadewanti influenceoftympanicmembraneperforationsiteonthehearinglevelofconductivehearinglossinchronicsuppurativeotitismedia |