Risk factors of sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media

Singer, Abd Elrheem Ahmed; Awad, Osama G. Abdel-Naby; El-Kader, Rafeek Mohamed Abd; Mohamed, Ahmed Rabeh

doi:10.1016/j.amjoto.2018.01.002

Cited by 26 publications

(24 citation statements)

References 21 publications

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“…We showed that mean age of T2DM patients with high frequency hearing impairment is significantly higher than diabetic patients without hearing loss however this relationship in low frequency evaluation had not seen. Previous studies also showed contribution of aging and hearing loss in diabetic patients [8,9].…”

Section: Discussionmentioning

confidence: 82%

“…Most studies believe that T2DM can cause hearing impairment [8,9]. A meta-analysis revealed that hearing loss has higher prevalence among diabetic patients compared with sex and aged-match non-diabetic patients [20,21].…”

Section: Discussionmentioning

confidence: 99%

“…The hearing loss in most of DM patients may not be due to noise exposure and high frequency sensori-neural hearing loss is predominant. [6][7][8] Some studies demonstrated that diabetes effects on hearing are more frequent among patients younger than 50 years old [9][10][11]. So endocrinologists need to control hearing in DM patients, in addition to other common diabetic complications.…”

Section: Introductionmentioning

confidence: 99%

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Is hearing impairment in diabetic patients correlated to other complications?

Ashkezari

Namiranian

Rahmanian

et al. 2018

J Diabetes Metab Disord

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Purpose Diabetes mellitus (DM) is a heterogeneous group of metabolic disorders characterized by chronic hyperglycemia that results by relative or absolute insulin deficiency. Hearing disorders is common otological disorders in diabetic patients. This study aimed to investigate the frequency of hearing impairment among DM patients and its association with diabetes complications and blood sugar control. Methods This analytical cross-sectional study was conducted from 2016 to 2017 on 81 patients with type 2 diabetes mellitus (T2DM), aged 40-65 years who were referred to Yazd diabetic research center. Air conduction pure tone hearing thresholds were obtained for each ear at frequencies of 250, 500, 1000, 2000, 4000 and 8000 Hz. We defined hearing impairment as the pure-tone average ≥ 25 dB hearing level of pure-tone thresholds at low frequencies (500; 1000; and 2000 Hz) and high frequencies (4000 and 8000 Hz. The demographic data and diabetes complications frequency were gathered. All statistical analysis was done in SPSS 22. Results The mean (±SD) age of participants was 56.38 ± 5.68 years (range 40-65 years), 32(39.5%) were males and 49(60.5%) were females. The prevalence of hearing loss in high frequency in right ear was higher in male (p value = 0.047). The grade of diabetic retinopathy and nephropathy were significantly associated with hearing impairment in high frequency in both ears (p value<0.05). Finally, the results showed that even after adjustment of confounding variables using logistic regression analysis there were no relationship between hearing impairment and variables in both ears. Conclusion The hearing impairment was associated with diabetes complications as retinopathy and nephropathy. The association was significant in high frequency.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Is hearing impairment in diabetic patients correlated to other complications?

Ashkezari

Namiranian

Rahmanian

et al. 2018

J Diabetes Metab Disord

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“…Chronic (suppurative) otitis media (COM) is a chronic inflammation of the middle ear and mastoid mucosa characterized by a tympanic perforation lasting > 6t o 12 weeks which usually leads to a persistent or recurrent discharge from the middle ear (1). Chronic otitis media is a leading cause of health care visits, antibiotic prescriptions, and surgery (2,3); it causes preventable conductive hearing loss and increases the risk for permanent sensorineural hearing loss (4)(5)(6). The global incidence rate of COM is estimated at 4.8 new episodes per 1,000 people, with a total annual number of cases of 31 million (35).…”

mentioning

confidence: 99%

Cross-cultural Adaption and Validation of the Zurich Chronic Middle Ear Inventory Translated Into Italian (ZCMEI-21-It)—a Prospective Multicenter Study

Ralli

Quaranta

Canale

et al. 2019

Otology &Amp; Neurotology

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OBJECTIVE: There are no instruments available to comprehensively assess health-related quality of life (HRQoL) in chronic otitis media (COM) in Italian-speaking countries. The Zurich chronic middle ear inventory (ZCMEI-21) is a well-established instrument for the assessment of HRQoL in COM. The objective of this study was to translate and cross-culturally adapt the ZCMEI-21 into Italian and validate this questionnaire for measuring HRQoL in patients with COM. STUDY DESIGN: Prospective multicenter study. SETTING: Three University hospitals (northern Italy, central Italy, southern Italy). PATIENTS: Adult patients suffering from COM (n = 128). INTERVENTION: Following international guidelines, the ZCMEI-21 was translated into Italian (ZCMEI-21-It). Validation was performed by psychometric test statistics. Moreover, ZCMEI-21-It total and subscale scores were compared and correlated with 1) the scores of the original validation study, 2) to a question that directly addresses HRQoL, and 3) to the scores of the EQ-5D-5L, a generic questionnaire assessing HRQoL. RESULTS: From three study centers, a total of 128 patients with COM were included. Cronbach's was 0.86 indicating a high reliability. Between the ZCMEI-21-It total score and the question that directly addresses HRQoL, we found a strong correlation (r = 0.62, p < 0.0001). Between the ZCMEI-21-It total score and the EQ-5D-5L scores, we expectedly found moderate correlations (descriptive system score: r = 0.39, p < 0.0001; visual analog scale: r = 0.30, p = 0.008). CONCLUSION: We translated the ZCMEI-21 questionnaire into Italian and validated the ZCMEI-21-It in a prospective multicenter study. The ZCMEI-21-It is the first instrument that comprehensively assesses relevant dimensions of HRQoL in Italian-speaking patients affected by COM.

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“…OM is known to adversely impact the whole family unit, as well as the affected child (Crawford et al, 2017) In addition to the public health factors stated above (i.e., malnutrition, poverty, limited access to medical services), the greater prevalence of OM in low-resourced settings is further due to compromised immunity, early bacterial colonisation of the nasopharynx, limited access to immunisations, inadequate antibiotic treatments, exposure to tobacco smoke, poor hygiene, and crowding in household environments (Berman, 1995;Master, Wilkinson, & Wagner, 2018;Sartori et al, 2017). The severity of the hearing loss associated with OM is reported to be mild to moderate in over 50% of cases, and it may become a permanent sensorineural hearing loss without appropriate medical attention (de Azevedo, Pinto, de Souza, Greco, & Gonçalves, 2007;Ezeanolue, Okafor, & Obiakor, 2003;Kasliwal, Joshi, & Pareek, 2004;Singer, Awad, El-Kader, & Mohamed, 2018;WHO, 2004). Progression to advanced stages of OM may have severe, even fatal, consequences in LMICs (Akinpelu et al, 2008;Emmett, Kokesh, & Kaylie, 2018;Jain, Arora, Meher, Passey, & Bansal, 2017;Kangsanarak, Fooanant, Ruckphaopunt, Navacharoen, & Teotrakul, 1993;Magsi, Jamro, & Sangi, 2012;Maranhão, Andrade, Godofredo, Matos, & Penido, 2014;Maranhão, de Andrade, Godofredo, Matos, & Penido, 2013;Miura, Krumennauer, & Neto, 2005;Mostafa, El Fiky, & El Sharnouby, 2009;Mushi et al, 2016;Vikram, Khaja, Udayashankar, Venkatesha, & Manjunath, 2008;Vikram, Udayashankar, et al, 2008;Wahid, Khan, & Khan, 2014).…”

Section: Otitis Mediamentioning

confidence: 99%

Paediatric ear disease and hearing loss in the Solomon Islands

Kaspar¹

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According to the World Health Organisation (WHO), around 90% of the global burden of hearing loss is found in Low-and Middle-Income Countries (LMICs). It is estimated that 75% of childhood hearing loss in LMICs is preventable. Otitis media (OM) and infectious diseases that may be avoided through immunisations are the leading causes of preventable hearing loss in children. Given the wellknown adverse effects of hearing loss in childhood development, the WHO is leading global efforts to address the burden of hearing loss in children through public health measures. Newborn and Infant Hearing Screening (NIHS) and school-based hearing screening programmes are key strategies that should facilitate early identification and intervention for children with hearing disorders. There is very little in the audiology literature on childhood hearing loss in the Pacific Islands. Yet, this region is estimated to have among the highest global burden of OM and disabling hearing loss. The limited literature indicates that OM begins early in life, and may quickly progress to advanced/chronic stages of disease and potentially fatal complications. Ear, Nose and Throat (ENT) and audiology services are virtually non-existent throughout the Pacific Islands, and public health measures such as community ear/hearing screening programmes may be a feasible option until more sophisticated ENT/audiology services become available. The Solomon Islands are a Pacific Island nation that is currently developing the outreach service of the ENT Clinic at the National Referral Hospital in the capital city, Honiara. The present study was developed to assess community engagement and readiness for ear/hearing screening programmes for children, as well as to assess the prevalence of OM and hearing loss among children in Honiara. Should the results of the study indicate that OM and hearing loss are a significant public health issue among children, and that caregivers are supportive of ear/hearing services, the recommendation for routine community-based ear/hearing screening programmes in Honiara will be justified. Parental knowledge and attitudes to childhood hearing loss and hearing services was assessed through semi-structured interviews with 150 parents attending community clinics in Honiara. The highest level of parental knowledge found regarding causes of hearing loss was for OM (94%). Knowledge of routine childhood immunisations (84%) and breast-feeding (76%) as public health measures to reduce/prevent OM were also high. The knowledge of fathers was generally the same or better than that of mothers. Approximately half of participants (56%) agreed that curses may cause childhood hearing loss. There was high parental support for infant hearing screening programmes (96%) and v Publications included in this thesis

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Risk factors of sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media

Cited by 26 publications

References 21 publications

Is hearing impairment in diabetic patients correlated to other complications?

Is hearing impairment in diabetic patients correlated to other complications?

Cross-cultural Adaption and Validation of the Zurich Chronic Middle Ear Inventory Translated Into Italian (ZCMEI-21-It)—a Prospective Multicenter Study

Paediatric ear disease and hearing loss in the Solomon Islands

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