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Sensorineural hearing loss in chronic adhesive otitis.

H Dommerby, M Tos

    Archives of Otolaryngology--Head & Neck Surgery
    |June 1, 1986
    PubMed
    Summary

    Sensorineural hearing loss after adhesive otitis surgery was assessed. While hearing didn't worsen post-operation, many patients experienced significant bone conduction deficits in the treated ear.

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    Area of Science:

    • Otolaryngology
    • Audiology
    • Neurosurgery

    Background:

    • Adhesive otitis is a chronic condition often leading to hearing impairment.
    • Surgical outcomes for adhesive otitis require long-term evaluation of sensorineural hearing.
    • Understanding hearing loss patterns is crucial for patient management.

    Purpose of the Study:

    • To analyze the incidence and degree of sensorineural hearing loss in patients undergoing surgery for adhesive otitis.
    • To evaluate changes in bone conduction over an extended postoperative period.
    • To compare hearing outcomes between treated and untreated ears.

    Main Methods:

    • Retrospective analysis of 67 patients operated on for adhesive otitis.
    • Median follow-up duration of 11 years.
    • Assessment of bone conduction thresholds at various frequencies before and after surgery, comparing treated and contralateral ears.

    Main Results:

    • A sensorineural hearing impairment of 5 dB (500-2,000 Hz) and 10 dB (4,000 Hz) was observed.
    • No significant hearing deterioration occurred during the postoperative observation period.
    • 76% of patients exhibited at least 10 dB poorer bone conduction in the treated ear at one or more frequencies compared to the healthy ear.

    Conclusions:

    • Surgery for adhesive otitis can result in sensorineural hearing impairment.
    • Long-term monitoring reveals persistent bone conduction deficits.
    • Accurate assessment of sensorineural hearing loss in chronic otitis is challenging due to potential bilateral involvement.

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