Chronic otitis media surgery in the only hearing ear
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Royal Belgian Soc Ear, Nose, Throat, Head & Neck Surgery
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Chronic otitis media surgery in the only hearing ear. Objectives: The present study aimed to investigate how quality of life was impacted in patients who underwent surgery for chronic otitis media in their only remaining hearing ear (OHE). Such surgical treatment is controversial, and avoided by many surgeons due to the high risk of hearing loss due to surgery. However, if the patient is left untreated, hearing may further deteriorate over time, decreasing the patient's quality of life to an undesirable level. Method: We performed a retrospective single-institution study of a prospectively collected database in a tertiary university hospital. Twenty-three patients with OHE who underwent surgical treatment were retrospectively analyzed. The patients' age, sex, treated ear, indications, and preoperative and postoperative hearing levels were recorded. The data were statistically analyzed. Results: Of the 23 patients with 01-1E, 15 regularly attended follow-up for at least two years. In all cases, the tympanic membrane perforations were closed and the ear drum became dry. An air-bone gap gain of <= 20 dB was measured in five patients, <= 10 dB in seven, and two patients showed no significant change (4-10 dB). One patient showed minimal hearing deterioration of -2 dB. Conclusion: Patients with OHE can be treated surgically to improve hearing levels and quality of life. Modern surgical techniques and instruments - especially in experienced hands - may reduce the possible surgical risks. If hearing deteriorates due to surgery, it may be improved, for example, with cochlear implantation surgery.
Açıklama
Anahtar Kelimeler
Only hearing ear, chronic otitis media, surgery
Kaynak
B-Ent
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
11
Sayı
3
