Article Sidebar

PDF
Date Published: 30/12/2024
Online Published: 30/12/2024
Abstract Views: 1
Views PDF: 1
DOI: https://doi.org/10.60137/tmhvn.v69i67.184
Issue
Vol. 69 No. 67
Section
Articles
How to Cite
Khieu, T. H., Dang, T. P., Tran, C. M., Vu, N. T., Le, T. T. A., Nguyen, Y. T. H., Panhchakrith, T., Vu, K. T., & Ngo, B. T. (2024). FACTORS AFFECTING THE AIR-BONE GAP IN PATIENTS WITH CHRONIC OTITIS MEDIA INDICATED FOR SURGERY AT THAI BINH MEDICAL UNIVERSITY HOSPITAL. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 69(67), 7-12. https://doi.org/10.60137/tmhvn.v69i67.184

FACTORS AFFECTING THE AIR-BONE GAP IN PATIENTS WITH CHRONIC OTITIS MEDIA INDICATED FOR SURGERY AT THAI BINH MEDICAL UNIVERSITY HOSPITAL

Thanh Huu Khieu1,2, , Phong Tuan Dang3, Cuong Manh Tran3, Ngoc Thoan Vu3, Tuyet Thi Anh Le3, Yen Thi Hai Nguyen3, Thong Panhchakrith3, Kien Trung Vu1,2, Binh Thanh Ngo1,2
1 Thai Binh University of Medicine and Pharmacy
2 Thai Binh Medical University Hospital
3 Student of class K49D, Thai Binh University of Medicine and Pharmacy

Main Article Content

Abstract

Objective: To analyze some factors affecting the air-bone gap (ABG) in patients with chronic otitis media at Thai Binh Medical University Hospital.

Method: A case series study was conducted on 94 patients with chronic otitis media undergoing tympanoplasty at Thai Binh Medical University Hospital from 2017-2023.

Results: Large perforations had the highest incidence (39.4%). Conductive hearing loss accounted for the majority of cases (75.5%), with most cases being mild (54.3%). The site and size of the perforation, as well as ossicular chain lesions, had a statistically significant effect on ABG. The anterior perforation group and the small perforation group exhibited the least hearing loss, both with a median ABG of 17.5 dB. In the presence of ossicular chain lesions, the ABG was even greater, with a value of 32.5 dB. Only ossicular chain lesions had a statistically significant effect on the ABG on multivariate linear regression

Conclusion: The condition of ossicles chain lesions significantly affect the ABG in chronic otitis media.

Keywords

air-bone gap, chronic otitis media

Article Details

References

1. Nguyen TV, Tran HPT, Duong HN. Evaluating the results of endoscopic tympanoplasty on patients with chronic otitis media having tympanic perforation at can tho general hospital and can tho university of medical and pharmacy hospital in 2019-2021. Vietnam Medical Journal. 03/13 2022;510(2):5-10. doi:10.51298/vmj.v510i2.1952
2. Quan TN, Nghiem DT, Nguyen PL. Some characteristics of chronic otitis media and results of endoscopic tympanoplasty surgery at military hospital 103. Military Medical University. 09/28 2023;48(7):53-62. doi:10.56535/jmpm.v48i7.386
3. Mahato R, Jha A. Intra-operative ossicular chain findings in chronic otitis media mucosal inactive type. Journal of Chitwan Medical College. 2023;13(43):60-63. doi:0.54530/jcmc.1247
4. Carrillo RJ, Yang NW, Abes GT. Probabilities of ossicular discontinuity in chronic suppurative otitis media using pure-tone audiometry. Otol Neurotol. Dec 2007;28(8):1034-7. doi:10.1097/MAO.0b013e31815882a6
5. Maeng JW, Kim HJ. Effects of middle ear lesions on pre and postoperative hearing outcomes in patients with chronic otitis media. Korean J Audiol. Apr 2012;16(1):18-26. doi:10.7874/kja.2012.16.1.18
6. Dobrev I, Dillinger D, Meier L, et al. Conductive Hearing Loss with Age—A Histologic and Audiometric Evaluation. Journal of Clinical Medicine. 2021;10(11):2341.
7. Rana AK, Upadhyay D, Yadav A, Prasad S. Correlation of Tympanic Membrane Perforation with Hearing Loss and Its Parameters in Chronic Otitis Media: An Analytical Study. Indian J Otolaryngol Head Neck Surg. Jun 2020;72(2):187-193. doi:10.1007/s12070-019-01740-9
8. Zheng Y, Dong X, Zhao Y, et al. Clinical analysis of audiology in two hundred seventy-seven patients with myringosclerosis. Clin Otolaryngol. May 2019;44(3):465-470. doi:10.1111/coa.13317
9. Bayat A, Saki N, Nikakhlagh S, Farshad MA, Lotfinia M. Ossicular chain defects in adults with chronic otitis media. Int Tinnitus J. Jan 1 2019;23(1):6-9. doi:10.5935/0946-5448.20190002