Title:
Chronic otitis media surgery in the only hearing ear
Authors:
M. T. Kalcioglu , Z. Cetinkaya , Y. Toplu , F. M. Hanege and N. Kokten 1
Institutions:
1Department of Otorhinolaryngology, Istanbul Medeniyet University Medical Faculty, Goztepe Research and Training Hospital, Istanbul, Turkey; Department of Otorhinolaryngology, Inonu University Medical Faculty, Malatya, Turkey
Keywords:
Only hearing ear; chronic otitis media; surgery
Pages:
223 - 227
Abstract:
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 patients 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. Twenty­three patients with OHE who underwent surgical treatment were retrospectively analyzed. The patients age, sex, treated ear,  Results: Of the 23 patients with OHE, 15 regularly attended follow­up for at least two years. In all cases, the tympanic membrane  perforations were closed and the ear drum became dry. An air­bone gap gain of  20 dB was measured in five patients,  10 dB in seven,  and two patients showed no significant change (4­10 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.
Issue:
Vol. 11, 2015, 3rd trimester


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Chronic otitis media surgery in the only hearing ear