Sensorineural hearing loss in the acute phase of a single episode of acute otitis media

Kasemodel, Ana Luiza Papi; Costa, Larissa Di Léo Nogueira; Monsanto, Rafael da Costa; Tomaz, Andreza; Penido, Norma de Oliveira

doi:10.1016/j.bjorl.2019.06.001

Cited by 17 publications

(8 citation statements)

References 36 publications

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“…It is noticeable that hearing impairment has different values in Table 7 Mean hearing loss in subgroups of non-idiopathic sudden sensorineural hearing loss (NISSNHL) In the present study, it was found that acute otitis media and Menière disease showed significantly less absolute hearing loss compared to the other subgroups. Many evaluations [19,22,[35][36][37]. Hearing loss in zoster oticus is reported in 7-85% of patients with an extend of 10dBHL to 20dBHL [20,21,[38][39][40], while hearing loss in case of Borrelia infection is considered in approximately 12% [41].…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Patients with non-idiopathic sudden sensorineural hearing loss show hearing improvement more often than patients with idiopathic sudden sensorineural hearing loss

Thielker

Heuschkel

Boeger

et al. 2021

Eur Arch Otorhinolaryngol

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Introduction To compare inpatient treated patients with idiopathic (ISSNHL) and non-idiopathic sudden sensorineural hearing loss (NISSNHL) regarding frequency, hearing loss, treatment and outcome. Methods All 574 inpatient patients (51% male, median age: 60 years) with ISSNHL and NISSNHL, who were treated in federal state Thuringia in 2011 and 2012, were included retrospectively. Univariate and multivariate statistical analyses were performed. Results ISSNHL was diagnosed in 490 patients (85%), NISSNHL in 84 patients (15%). 49% of these cases had hearing loss due to acute otitis media, 37% through varicella-zoster infection or Lyme disease, 10% through Menière disease and 7% due to other reasons. Patients with ISSNHL and NISSNHL showed no difference between age, gender, side of hearing loss, presence of tinnitus or vertigo and their comorbidities. 45% of patients with ISSNHL and 62% with NISSNHL had an outpatient treatment prior to inpatient treatment (p < 0.001). The mean interval between onset of hearing loss to inpatient treatment was shorter in ISSNHL (7.7 days) than in NISSNHL (8.9 days; p = 0.02). The initial hearing loss of the three most affected frequencies in pure-tone average (3PTAmax) scaled 72.9 dBHL ± 31.3 dBHL in ISSNHL and 67.4 dBHL ± 30.5 dBHL in NISSNHL. In the case of acute otitis media, 3PTAmax (59.7 dBHL ± 24.6 dBHL) was lower than in the case of varicella-zoster infection or Lyme disease (80.11 dBHL ± 34.19 dBHL; p = 0.015). Mean absolute hearing gain (Δ3PTAmaxabs) was 8.1 dB ± 18.8 dB in patients with ISSNHL, and not different in NISSNHL patients with 10.2 dB ± 17.6 dB. A Δ3PTAmaxabs ≥ 10 dB was reached in 34.3% of the patients with ISSNHL and to a significantly higher rate of 48.8% in NISSNHL patients (p = 0.011). Conclusions ISSNHL and NISSNHL show no relevant baseline differences. ISSNHL tends to have a higher initial hearing loss. NISSHNL shows a better outcome than ISSNHL.

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Section: Comparison With Other Studiesmentioning

confidence: 99%

Patients with non-idiopathic sudden sensorineural hearing loss show hearing improvement more often than patients with idiopathic sudden sensorineural hearing loss

Thielker

Heuschkel

Boeger

et al. 2021

Eur Arch Otorhinolaryngol

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“… 1 OM and its respective complications and sequelae have significant social, labor and economic impact. 2 , 3 , 4 , 5 , 6 Although OM in all its clinical presentations (acute, serous and chronic) develops with varying degrees of lesions in the inner ear, the chronic form (COM) is the one that has been shown to result in a higher prevalence of disabling hearing loss, tinnitus and balance and vestibular alterations. 7 , 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media

Tomaz

Monsanto

Cusin

et al. 2022

Brazilian Journal of Otorhinolaryngology

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“…Middle ear pathologies are characterized primarily by a dysfunction of the Eustachian tube due to weakened immune system [ 10 ], leading to unprevented pathogens, causing an accumulation of fluid in the middle ear cavity, and lack of vibratory movement of the tympanic membrane and ossicular chain [ 11 ]. Given the persistence of middle ear pathologies in this population, early identification and intervention must be implemented in order to prevent the potential long-term impacts that may result from late or lack of treatment [ 12 – 14 ]. Sebothoma and Khoza-Shangase [ 15 ] argue for increased efforts towards preventive care for middle ear pathologies through programmatic approaches that are delivered via innovative hybrid service delivery models, such as tele-practice combined with task-shifting, within the South African context.…”

Section: Introductionmentioning

confidence: 99%

The Use of Tele Practice in Assessment of Middle Ear Function in Adults Living with HIV During the COVID-19 Pandemic

Sebothoma

Khoza-Shangase

Masege

et al. 2021

Indian J Otolaryngol Head Neck Surg

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Coronavirus disease (COVID-19) pandemic is the latest threat to global health that causes severe acute respiratory syndrome (SARS). Tele-practice has inadvertently sprung to the forefront to become a common practice amongst healthcare providers during COVID-19. Limited evidence exists on the use of tele-practice in assessing middle ear function in adults living with HIV during the COVID-19 pandemic. The aims of this study were to investigate the use of tele-practice for assessment of middle ear function in adults with HIV during the COVID-19 pandemic. A quantitative observational, cross-sectional design was adopted. A total of 134 adults diagnosed with HIV were purposively selected from the HIV clinic. An audiology researcher, in the role of site-facilitator, captured video otoscopic images of the tympanic membrane using a video otoscopy for all participants through asynchronous tele-practice. All captured images were sent to two independent otorhinolaryngologists for diagnosis. Findings of this study indicated that tele-practice can be used to assess middle ear function in adults living with HIV during COVID-19 pandemic. When asynchronous tele-practice was used, there was a moderate diagnostic agreement (k = 0.58) between the two otorhinolaryngologists on abnormality versus normality, but poor agreement (k = 0.15) on the nature of abnormality (e.g. OME vs CSOM). Current findings highlight the urgent need for a widespread use of tele-practice during the continued clinical follow up and management of adults living with HIV, and the implementation of tele-practice, particularly in low- and middle-income countries (LMICs) where capacity versus demand challenges related to ear and hearing care continue to exists.

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Sensorineural hearing loss in the acute phase of a single episode of acute otitis media

Cited by 17 publications

References 36 publications

Patients with non-idiopathic sudden sensorineural hearing loss show hearing improvement more often than patients with idiopathic sudden sensorineural hearing loss

Patients with non-idiopathic sudden sensorineural hearing loss show hearing improvement more often than patients with idiopathic sudden sensorineural hearing loss

Evaluation of the vestibulo-ocular reflex in patients with chronic otitis media

The Use of Tele Practice in Assessment of Middle Ear Function in Adults Living with HIV During the COVID-19 Pandemic

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