Abstract
Otitis media is an important and a highly prevalent disease of the middle ear and poses serious health problem world wide especially in developing countries where large percentage of the population lack specialized medical care, suffer from malnutrition and live in poor hygienic environmental conditions. It has been a general view that the hearing loss increases with the size of the perforation, more so if it is in the posterio inferior quadrant. It was found that the maximum average loss occurred at 250 Hz. The hearing loss is less in small perforations (less than 2 mm diameter) then in larger ones; less in perforations touching the manubrium than in those away from it, and also less in perforations of the anterioinferior quadrant than in those on posterio-inferior quadrant. A normally functioning eustachian tube is also an essential physiologic requirement for a healthy middle ear and normal hearing.
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Bibliography
Ahmad SW, Ramani GV (1979) Hearing loss in perforation of the tympanic membrane. J Laryngol Otol 93:1091–1098
Alberti PWRM, Kristensen J (1970) The clinical application of impedance audiometry. Laryngoscope 80:785
Andereasson L, Harris S (1979) Middle ear mechanics and eustachian tube function in tympanoplasty. Acta Otolaryngol 360:141–147
Arora MML, Mehra YN, Sharma VL (1978) Mastoid pneumatisation in chronic suppurative otitis media and its clinical significance. J Laryngol Otol 62:295–398
Austin DF (1978) Sound conduction in the diseased ear. J Laryngol Otol 92:367–392
Ballal M et al (1992) Chronic suppurative otitis media—a bacteriological and mycological study. Indian J Otolaryngol Head Neck 1:10–13
Ballenger JJ (1977) Eustachian tube dysfunction. In: Disease of the nose, throat and ear. Lea & Febiger, Philadelphia
Baruah PC, Aggarwal SC, Arora MML, Mehra YN (1972) Clinical and Microbiological studies in suppurative otitis media in Chandigarh 1965. Indian J Otolaryngol 24:11–60
Beales PH (1979) Chronic otitis media-assessment. In: Ballantyne JC, Groves J (eds) Scott Brown’s diseases of ear, nose and throat, vol 2. Butterworths, London, pp 240–241
Bluestone CD, Cantekin EL, Douglas GS (1979) Eustachian tube function related to the results of tympanoplasty in children. Laryngoscope 89:450
Booth JB (1976) Closure of perforation of tympanic membrane. In: Ballantyne J (ed) Rob and Smith’s operative surgery ear. Butterworths, London
Census (1991) Provisional population total: rural urban distribution by Nanda AR, Ministry of Home Affairs, Series 1, Paper 2
Chandra R, Mishra RN (1964) Some observations on the total and subtotal perforations of tympanic membrane. Indian J Otolaryngol 8:1–20
Chaturvedi VN, Grewal BS, Cad MS (1980) Bacterial flora in chronic suppurative otitis media Benghazi. Garyounis Med J 6(2):161
Chhangani DL, Goyal OP (1976) Bacteriological study, in chronic suppurative otitis media. Indian J Otolaryngol 28:41–48
Cohn AM, Schwaber MK, Anthony LS, Jerger JF (1979) Eustachian tube function and tympanoplasty. Ann Otol Rhinol Laryngol 88:339–447
Desai B, Hussain M, Malhotra BR (1985) Chronic suppurative otitis media—a bacteriological study. Indian Pediatr 22:417
Dutta NN, Kacker SK, Sinha A (1971) Eustachian tube function in health and disease. Indian J Otolaryngol 23:169–176
Ekvall L (1970) Eustachian tube function in tympanoplasty. Acta Otolaryngologica 263:33–42
Eliachar Z (1978) Audiologic Manifestations in otitis media. Otolaryngol Clin North Am 11:769–776
Farmer JC (1985) Eustachian tube function physiology and role in otitis media. Ann Otol Rhinol Laryngol 94(Suppl 120):1–6
Fatma A, Assiry S, Siray ZM (1998) Microbiological evaluation and aspects on management of chronic suppurative otitis media in Riyadh. Indian J Otol 4(3):115–120
Frootko NJ (1987) Reconstruction of the ear. In: Booth JB, Kerr AG (eds) Scott Brown’s Otolaryngology, vol 3, 5th edn. Butterworth, London, pp 238–263
Ghosh AK, Mehra YN (1975) Eustachian tube in suppurative otitis media. Indian J Otolaryngol 27:141–145
Goycoolea MV, Hueb M, Ruah C (1991) Definations and terminology. Otolaryngol Clin North Am 24:20
Gulati SK (1997) Investigative profile in patients of chronic suppurative otitis media. Indian J Otol 3(2):59–62
Holmquist J, Lindeman P (1987) Eustachian tube function and hearing after myringoplasty. Otolaryngol Head Neck Surg 96:80–82
Kulkarni RD, Dharmadhikari CA, Kulkarni VA, Udgaonkar US, Pawar SG (1993) Bacteriological study of chronic otitis media. Indian J Otolaryngol Head Neck Surg 2(2):110–112
Logan Turner (1988) Logan Turner diseases of the nose, throat and ear. John Wright and Son’s Ltd, London
Mahajan BK (1989) Methods in biostatistics. Jaypee Brothers, New Delhi
Mann SBS, Grewal BS, Nanar MS, Mehra YN, Arora MML (1986) Incidence of chronic suppurative otitis media in general population (a rural survey). Indian J Otolaryngol 28:5–40
Mawson SR (1979) Diseases of the ear, 4th edn. Edward Annold, London
Mishra RN, Bhatia NL, Bhatia BPR (1961) Investigations of hearing in school children. Indian J Otolaryngol 13:107–127
Mittal VK (1985) Assessment of eustachian tube functions in patients with eardrum perforation. Indian J Otolaryngol 37:23–25
Paperella MM, Shumrick DA (1973) Otolaryngology. W.B. Saunders Co, Philadelphia
Pickles JO (1987) Physiology of the ear. In: Wright D (ed) Scott Brown’s Otolaryngology, 5th edn. Butterworths, London
Sen S, Guha S, Biswas A, Ghosh LM (1999) A comparative study of methods of evaluating eustachian tube function in chronic suppurative otitis media. Indian J Otol 5(2):67–70
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Kumar, N., Chilke, D. & Puttewar, M.P. Clinical Profile of Tubotympanic CSOM and Its Management With Special Reference to Site and Size of Tympanic Membrane Perforation, Eustachian Tube Function and Three Flap Tympanoplasty. Indian J Otolaryngol Head Neck Surg 64, 5–12 (2012). https://doi.org/10.1007/s12070-010-0114-5
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DOI: https://doi.org/10.1007/s12070-010-0114-5