JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (3): 24-28.doi: 10.6040/j.issn.1673-3770.0.2015.012

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Audiologic features and differences ofchronic suppurativeotitis media or cholesteatoma of middleear in adults and elderly patients

LIU Qianxu1, ZHANG Zhigang2, ZHAO Xiaoming1, LI Haiou1   

  1. 1. Zhuhai Hospital of Jinan University, Zhuhai 519000, Guangdong, China;
    2. The Second Affiliated Hospital of Sun Yat-sen University, Guangzhou 510120, Guangdong, China
  • Received:2015-01-05 Revised:2015-04-17 Published:2015-06-16

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Abstract: Objective To explore the audiologic features and differences between the adult and elderly patients with chronic suppurative otitis media (CSOM) or cholesteatoma of middle ear(CME). Methods A retrospective study was carried out on pure tone tests (at speech frequencies 0.5, 1.0, 2.0 and 4.0 kHz)in 74 adult patients (18-59 years) and 68 elderly patients (over 60 years) with unilateral CSOM or CME.The audiologic features and differences were analyzed between the ill ears and healthy ears, as well as between the two age groups. Results In adult patients, the thresholds of air and bone conduction at all speech frequencies were significantly higher in ill ears compared with healthy ears. In elderly patients, the same results were observed between ill ears and healthy ears, except at 4.0 kHz of bone conduction. Compared with the adult patients, interaural thresholds of air and bone conduction at all speech frequencies were higher in elderly patients.In non-cholesteatoma and normal ossicular chain groups, interaural thresholds of air conduction at 0.5, 1.0, 2.0 kHz and bone conduction at 4.0 kHz were significantly higher in elderly patients compared with the adult patients.Furthermore, in both the cholesteatoma and abnormal ossicular chain groups, elderly patients showed significantly higher interaural thresholds of air and bone conduction at all speech frequencies as compared with the adult patients. Conclusion CSOM and CME can cause air conduction and bone conduction damage in both adult and elderly patients. In addition, the damage to elderly patients is worse than adult patients. At severe levels of middle ear disease, hearing loss is more severe in elderly patients versus adult patients.

Key words: Otitis media, Cholesteatoma, Adult, Elderly, Audiology

CLC Number: 

  • R764.2
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