Md Mashiur Rahman¹*, Md Ashraful Islam², Md Asaduzzaman³, Md Mahmudul Amin Sakik⁴, Md Mahmudul Hasan Khan⁵ and Mohammad Wakilur Rahman⁶

¹Associate Professor, Department of Otolaryngology and Head Neck Surgery, Basundhara Ad-Din Medical College and Hospital, Dhaka, Bangladesh
²Professor and Head, Department of Otolaryngology and Head Neck Surgery, Bangladesh Medical College and Hospital, Dhaka, Bangladesh
³Associate Professor and Head, Department of ENT and Head Neck Surgery, Shaheed Monsur Ali Medical College and Hospital, Dhaka, Bangladesh
⁴Registrar, National Institute of ENT, Tejgaon, Dhaka, Bangladesh
⁵Associate Professor, Department of Otolaryngology and Head Neck Surgery, Ad-Din Women’s Medical College and Hospital, Dhaka, Bangladesh
⁶Junior Consultant, Specialized ENT Hospital of SAHIC, Mohakhali, Dhaka, Bangladesh

*Corresponding Author: Md Mashiur Rahman, Associate Professor, Department of Otolaryngology and Head Neck Surgery, Basundhara Ad-Din Medical College and Hospital, Dhaka, Bangladesh. ORCID ID: https://orcid.org/0000-0002-0724-1195, E-mail ID: drmashiurent84@gmail.com.

Received: April 20, 2023; Published: April 25, 2023

Abstract

Background: Chronic otitis media (COM) which keeps fluid from draining from the middle ear is an infection behind the eardrum, can happen after any condition. Such conditions include allergies, cold, sore throat, respiratory infection and even short or long-time hair loss., Although ciliated and non-ciliated cells accumulate on different part of the middle ear cleft, the lining of the middle ear is a modified respiratory epithelium. We have very limited research-based data regarding mucosal variety in chronic otitis media patients and the long-term impact on their hearing loss.

Aim of the Study: The aim of this study was to assess the mucosal variety in chronic otitis media patients and the long-term impact on their hearing loss.

Methods: This prospective observational study initiated in the Department of Otolaryngology and Head Neck Surgery, Dhaka, Bangladesh during the period from July 2021 to June 2022. In total 64 patients with chronic otitis media (COM) suffered for the past three months or more attended the mentioned hospital were included as the study subjects for this study. An ethical approval had been taken from the concerned authority. Ear drums of patients were inspected on both sides suction under microscope wherever necessary. The patients’ hearing levels in decibel were tested by a biologically calibrated AA 222 diagnostic audiometer. Data were analyzed by SPSS version 23.0.

Results: Among all our participants, 39% were with hearing loss in left ear, 25% were with hearing loss in right ear and 36% were found with hearing loss in both the ears. The mean ± SD right dB grade of the participants was 49.11 ± 22.50. The mean ± SD left dB grade of the participants was 51.63 ± 21.80. As the right ear comments of patients, we observed that, 33% and 20% patients were with mild conductive type hearing loss and moderate conductive type hearing loss respectively which were noticeable. On the other hand, as the left ear comments of patients we observed that, 23% 20% and 12.5% patients were with mild conductive type hearing loss, moderate conductive type hearing loss and moderately severe conductive type hearing loss respectively which were noticeable.

Conclusion: In development of COM in terms of presence of cholesteatoma, these distinct physiopathologic mechanisms may play a role. Cholesteatoma may lead to demolition of vascular arrangements of patient’s ear. So long time untreated ears are at the risks of partially or even total hearing loss.

 Keywords: Mucosal Variety; Chronic Otitis Media; Hearing Loss; Tuning Fork Test

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Citation

Citation: Md Mashiur Rahman., et al. “Mucosal Variety of Chronic Otitis Media (COM) and the Long-Term Impact on Hearing Loss".Acta Scientific Otolaryngology 5.5 (2023): 43-47.

Copyright

Copyright: © 2023 Md Mashiur Rahman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.