Dr Kartikeya Mishra, Dr Poonam K Saidha, Dr Pooja Das and Dr Aditi Bhawsar

Department of ENT, RAMA Medical College, Hospital and Research Institute, Kanpur, India

*Corresponding Author: Dr Pooja Das, Department of ENT, RAMA Medical College, Hospital and Research Institute, Kanpur, India.

Received: June 16, 2023; Published: July 28, 2023

Abstract

Aim: To evaluate the type of hearing loss using audiometry in acute otitis media before and after management.

Methods: All selected patients were evaluated by Otoscopy, Pure Tone Audiometry and Impedance Tympanometry at the time of presentation (Day 1) in ENT OPD, treatment was given for two weeks, and all these patients were revaluated on 14^th day of follow up by Otoscopy, Pure Tone Audiometry and Impedance Tympanometry, i.e. patients were assessed before commencement and after completion of treatment followed by evaluation and comparison of audiometric changes.

Results: After comparing the audiometric changes prior and after treatment in patients diagnosed with AOM, it was evident that acute otitis media is an inflammatory disease of the middle ear which is not only prevalent in pediatric but also in the adult age group and its diagnosis at an early stage with proper line of treatment can help to ameliorate associated hearing loss either conductive or sensorineural, as few studies have showed the spike of sensorineural hearing loss after acute bouts of otitis media

Conclusion: Acute otitis media is not only prevalent in pediatric age group but also in the adults, which is potentially curable. Medical management is the primary modality of the treatment, while surgical intervention is rarely required. Prompt diagnosis and treatment is crucial to prevent the serious sequelae and complication and permanent handicap in form of hearing loss.

 Keywords: Acute Otitis Media; Tympanometry; Audiometric Changes; Otoscopy; Hearing Loss

References

1. Diagnosis and treatment of otitis media in children. Bloomington, MN: Institute for Clinical Systems Improvement (ICSI); (2001).
2. Appleman CLM., et al. “NGH-standard Otitis Media Acuta (eerste herziening)”. Huisarts Wet 42 (1999): 362-366.
3. Monasta L., et al. “Burden of disease caused by otitis media: systematic review and global estimates”. PLoS One 7 (2012): e36226.
4. Park JH., et al. “Sensorineural hearing loss: A complication of acute otitis media in adults”. European Archives of Otorhinolaryngology 271 (2014): 1879-1884.
5. Cordeiro FP., et al. “Extended high-frequency hearing loss following the first episode of otitis media”. Laryngoscope 128 (2018): 2879-284.
6. Tambs K., et al. “Hearing loss associated with ear infections in Nord-Trondelag, Norway”. Ear Hear 25 (2004): 388-396.
7. Aarhus L., et al. “Childhood otitis media: A cohort study with 30-year follow-up of hearing (the HUNT study)”. Ear Hear 36 (2015): 302-308.
8. Aarhus L., et al. “Association between childhood hearing disorders and tinnitus in adulthood”. JAMA Otolaryngology–Head and Neck Surgery 141 (2015): 983-989.
9. Paparella MM., et al. “Sensorineural hearing loss in otitis media”. Annals of Otology, Rhinology and Laryngology 93 (1984): 623-629.
10. Bluestone CD. “Clinical course, complications and sequel of acute otitis media”. The Pediatric Infectious Disease Journal 19 (2000): S37-46.
11. Rettig E and Tunkel DE. “Acute otitis media in children”. In Infections of the Ears, Nose, Throat, and Sinuses (pp. 45-55). Springer International Publishing (2018).
12. Michael E. “Pichichero Otitis media”. Pediatric Clinics of North America 2 (2013): 391-407.
13. Lorenzo Monasta., et al. “Burden of Disease Caused by Otitis Media: Systematic Review and Global Estimates”. PLoS ONE4 (2012): e36226.
14. Redyy VG. “Secretory otitis media”. Indian Journal of Otology4 (1998): 157-160.
15. Rosenfeld RM., et al. “Clinical practice guideline: Otitis media with effusion”. Otalaryngology and Head and Neck Surgery 130 (2004): S95-118.
16. Mozaffarinia K., et al. “Secretory otitis media in pre-school children”. Iranian Journal of Otorhinolaryngology 22 (2010): 87-92.
17. Edenb AN., et al. “The rise of acute otitis media”. Patient Care 15 (1995): 22-51.
18. Ana Luiza Papi Kasemodel., et al. “Universidade Sensorineural hearing loss in the acute phase of a single episode of acute otitis media”. Brazilian Journal of Otorhinolaryngology (2019).
19. Karan Sharma., et al. “Clinico-audio-radiological and operative evaluation of otitis media with effusion”. Indian Journal of Otology3 (2015).
20. McCormick DP., et al. “Laterality of acute otitis media: diff erent clinical and microbiologic characteristics”. The Pediatric Infectious Disease Journal 7 (2007): 583-588.
21. Farrior J. “Complications of otitis media in children”. South Medical Journal 83 (1990): 645.
22. Asher E., et al. “Accuracy of acute otitis media diagnosis in community and hospital settings”. Acta Paediatrics 94 (2005): 423-428.
23. Swart SM., et al. “A survey of ear and hearing disorders amongst a representative sample of grade 1 school children in Swaziland”. International Journal of Pediatric Otorhinolaryngology 32 (1995): 23-34.

Citation

Citation: Pooja Das., et al. “Evaluation and Comparison of Audiometric Findings Before and After Treatment in Acute Otitis Media".Acta Scientific Otolaryngology 5.8 (2023): 36-42.

Copyright

Copyright: © 2023 Pooja Das., 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.