Demographical Variations of Sensory Neural Hearing Loss (SNHL) in Chronic Suppurative Otitis Media (CSOM) patients at JPMC Karachi

Z. Anwar, Saad Abdur Rehman Afaque, Muhammad Imran Bhatti, M. Dogar, Maria Mahmood, A. Anwar
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Abstract

Objectives: CSOM is significantly associated with SNHL but with mixed demographical associations being reported in literature.To determine the demographical variations (age and gender) of SNHL among CSOM patients Study design and setting: Cross-sectional observational study at Jinnah Postgraduate Medical Center, Karachi, Pakistan. Methodology: Using non-probability convenient sampling, diagnosed CSOM patients within six months between 10-50 years and of either gender were included while patients with history of SNHL previously of using ototoxic drugs, ear trauma or refusing to consent were excluded. SPSS v23.0 was used for analysis of data and chi-square was applied keeping p-value <0.05 as statistically significant. Results: From total 200 patients,60 (30%) patients were between 10-18 years, 120 (60%) between 19-35 years and 35-50 years were 20 (10%) patients. 145 (72.5%) were females while 55 (27.5%) males. SNHL was observed in 36 (18%) of patients. Between 10-18 years age group, 10 (16.7%) patients were reported with SNHL, between 19-35 years age group 22 (18.3%) while between 35-50 years, 4 (20%) of patients were found to have SNHL with an insignificant p-value of 0.934. 28 (19.3%) males were reported to have SNHL while 8 (14.5%) females were observed to have SNHL with CSOM. An insignificant p-value of p-0.434 was reported between the genders. Conclusion: According to the results of this study, SNHL was insignificantly associated with CSOM according to demographics (age and gender). Further studies are required to validate the findings of this study. Keywords: Chronic Suppurative Otitis Media, Sensori Neural Hearing Loss, Otitis Media
卡拉奇JPMC慢性化脓性中耳炎(CSOM)患者感觉神经性听力损失(SNHL)的人口统计学变化
目的:CSOM与SNHL显著相关,但文献中报道了混合的人口统计学关联。研究设计和背景:巴基斯坦卡拉奇真纳研究生医学中心的横断面观察研究。方法:采用非概率方便抽样,纳入10-50岁之间6个月内诊断为CSOM的患者,不限性别,排除既往使用过耳毒性药物、耳部创伤或拒绝同意的SNHL患者。采用SPSS v23.0进行数据分析,采用卡方法,以p值<0.05为差异有统计学意义。结果:200例患者中,10 ~ 18岁60例(30%),19 ~ 35岁120例(60%),35 ~ 50岁20例(10%)。其中女性145例(72.5%),男性55例(27.5%)。36例(18%)患者出现SNHL。10-18岁组有10例(16.7%)SNHL, 19-35岁组有22例(18.3%),35-50岁组有4例(20%)SNHL, p值为0.934,差异无统计学意义。男性SNHL 28例(19.3%),女性SNHL合并CSOM 8例(14.5%)。两性间的p值为p-0.434,差异不显著。结论:根据本研究结果,SNHL与CSOM在人口统计学(年龄和性别)上的相关性不显著。需要进一步的研究来验证本研究的结果。关键词:慢性化脓性中耳炎,感觉神经性听力损失,中耳炎
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