Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-24T09:01:54.065Z Has data issue: false hasContentIssue false
  • English
  • Français

Determinants of hearing loss severity in tympanic membrane perforations in a sub-Saharan African setting

Published online by Cambridge University Press:  09 November 2018

E Choffor-Nchinda ,
F Djomou ,
R-C Meva'a Biouele ,
D Mindja ,
A Bola ,
I Kewe ,
J-E Vokwely  and
R Njock
E Choffor-Nchinda*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon
F Djomou
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon Otolaryngology – Head and Neck Surgery Unit, Yaounde University Teaching Hospital, Yaounde, Cameroon
R-C Meva'a Biouele
Affiliation:
Otolaryngology – Head and Neck Surgery Unit, Yaounde Central Hospital, Yaounde, Cameroon
D Mindja
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon Otolaryngology – Head and Neck Surgery Unit, Yaounde Central Hospital, Yaounde, Cameroon
A Bola
Affiliation:
Otolaryngology – Head and Neck Surgery Unit, Yaounde University Teaching Hospital, Yaounde, Cameroon
I Kewe
Affiliation:
Otolaryngology – Head and Neck Surgery Unit, Yaounde Gyneco-Obstetric and Paediatric Hospital, Yaounde, Cameroon
J-E Vokwely
Affiliation:
Otolaryngology – Head and Neck Surgery Unit, Essos Health Centre, Yaounde, Cameroon
R Njock
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon Otolaryngology – Head and Neck Surgery Unit, Douala General Hospital, Cameroon
*
Author for correspondence: Dr Emmanuel Choffor-Nchinda, Department of Otolaryngology – Head and Neck Surgery, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Factors specific to sub-Saharan Africa could have an impact on tympanic membrane perforation characteristics. Obtaining precise information on these characteristics and determinants of hearing loss severity would enable better management.

Objective

To determine the relationship between characteristics of tympanic membrane perforation and subsequent hearing impairment.

Methods

A cross-sectional study of consenting patients presenting with tympanic membrane perforation was conducted. They were examined using otoendoscopy with a digital camera to obtain precise measurements, followed by pure tone audiometry.

Results

Eighty-six cases of tympanic membrane perforation were included. Mean tympanic membrane perforation proportion was 34.1 ± 18.4 per cent. Medium-sized tympanic membrane perforations were predominant (47.7 per cent). Median tympanic membrane perforation duration was 20 years. Tympanic membrane perforation size was found to be a predictor of hearing loss severity (odds ratio = 2.5, 95 per cent confidence interval = 1.02–6.13, p = 0.04).

Conclusion

Tympanic membrane perforation size was a predictor of hearing loss severity in our setting. Site, duration and aetiology seem to have no impact on hearing loss severity.

Keywords

Tympanic Membrane PerforationHearing LossOtitis MediaAfricaEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 11 , November 2018 , pp. 1013 - 1017
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr E Choffor-Nchinda takes responsibility for the integrity of the content of the paper

References

1Mehta, RP, Rosowski, JJ, Voss, SE, O'Neil, E, Merchant, SN. Determinants of hearing loss in perforations of the tympanic membrane. Otol Neurotol 2006;27:136–43Google Scholar
2Park, H, Hong, SN, Kim, HS, Han, JJ, Chung, J, Suh, MW et al. Determinants of conductive hearing loss in tympanic membrane perforation. Clin Exp Otorhinolaryngol 2015;8:92–6Google Scholar
3Ribeiro Fde, A, Gaudino, VR, Pinheiro, CD, Marcal, GJ, Mitre, EI. Objective comparison between perforation and hearing loss [in Portugese]. Braz J Otorhinolaryngol 2014;80:386–9Google Scholar
4Medscape. Otitis Media. In: http://emedicine.medscape.com/article/994656 [9 October 2018]Google Scholar
5Ludman, H. Clinical examination of the ear. In: Ludman, H, Wright, T, eds. Diseases of the Ear, 6th edn. London: Arnold, 1998Google Scholar
6Irwin, AG, Thomas, PW. Otologic disorders and examinations. In: Katz, J, ed. Handbook of Clinical Audiology. Baltimore: Williams and Wilkins, 1994;14Google Scholar
7Voss, SE, Rosowski, JJ, Merchant, SN, Peake, WT. Middle-ear function with tympanic-membrane perforations. I. Measurements and mechanisms. J Acoust Soc Am 2001;110:1432–44Google Scholar
8Berger, G, Finkelstein, Y, Avraham, S, Himmelfar, M. Pattern of hearing loss in non-explosive blast injury of the ear. J Laryngol Otol 1997;111:1137–41Google Scholar
9Ibekwe, TS, Ijaduola, TG, Nwaorgu, OG. Tympanic membrane perforation among adults in West Africa. Otol Neurotol 2007;28:348–52Google Scholar
10Ijaduola, GT, Okeowo, PA. Foreign body in the ear and its importance: the Nigerian experience. J Trop Pediatr 1986;32:4–6Google Scholar
11Kelly, HA, Weeks, SA. Ear disease in three aboriginal communities in Western Australia. Med J Aust 1991;154:240–5Google Scholar
12Benitez, JT. Otopathology of Egyptian mummy Pum II: final report. J Laryngol Otol 1988;102:485–90Google Scholar
13Voss, SE, Rosowski, JJ, Merchant, SN, Peake, WT. How do tympanic-membrane perforations affect human middle-ear sound transmission? Acta Otolaryngol 2001;121:169–73Google Scholar
14Voss, SE, Rosowski, JJ, Merchant, SN, Peake, WT. Middle-ear function with tympanic-membrane perforations. II. A simple model. J Acoust Soc Am 2001;110:1445–52Google Scholar
15Bureau International d'Audiophonologie. Audiometric classification of hearing impairments. 1997. In: https://www.biap.org/en/component/content/article/65-recommendations/ct-2-classification/5-biap-recommendation-021-bis [in French] [9 October 2018]Google Scholar
16Lokberg, OJ, Hogmoen, K, Gundersen, T. Vibration measurement of the human tympanic membrane in vivo. Acta Otolaryngol 1980;89:37–42Google Scholar
17Gyo, K, Aritomo, H, Goode, RL. Measurement of the ossicular vibration ratio in human temporal bones by use of a video measuring system. Acta Otolaryngol 1987;103:87–95Google Scholar
18Lerut, B, Pfammatter, A, Moons, J, Linder, T. Functional correlations of tympanic membrane perforation size. Otol Neurotol 2012;33:379–86Google Scholar
19Ibekwe, TS, Nwaorgu, OG, Ijaduola, TG. Correlating the site of tympanic membrane perforation with hearing loss. BMC Ear Nose Throat Disord 2009;9:1Google Scholar
20Varshney, S, Nangia, A, Bist, SS, Singh, RK, Gupta, N, Bhagat, S. Ossicular chain status in chronic suppurative otitis media in adults. Indian J Otolaryngol Head Neck Surg 2010;62:421–6Google Scholar
21Haidar, H, Sheikh, R, Larem, A, Elsaadi, A, Abdulkarim, H, Ashkanani, S et al. Ossicular chain erosion in chronic suppurative otitis media. Otolaryngol (Sunnyvale) 2015;5:203Google Scholar
22Kuo, CL, Shiao, AS, Yung, M, Sakagami, M, Sudhoff, H, Wang, CH et al. Updates and knowledge gaps in cholesteatoma research. BioMed Res Int 2015;2015:854024Google Scholar