CORRELATION BETWEEN AIR BONE GAP AND OSSICULAR CHAIN STATUS IN PATIENTS WITH MUCOSAL TYPE CHRONIC SUPPURATIVE OTITIS MEDIA UNDERGOING CANAL WALL UP TYMPANOPLASTY SURGERY

Authors

  • Dandy Pridinaryana Putra
  • Titiek Hidayati Ahadiah
  • Haris Mayagung Ekorini

DOI:

https://doi.org/10.70135/seejph.vi.5375

Abstract

Background: Destruction of the ossicular chain is a common complication of chronic suppurative otitis media (CSOM) and is a major cause of conductive hearing loss. Preoperative pure-tone audiometry results and air-bone gap in CSOM patients serve as useful methods for predicting ossicular chain status and have implications for patient planning, prognosis, and overall management. Objective: This study aims to analyze the correlation between air-bone gap and ossicular chain status in patients with mucosal-type CSOM undergoing CWU tympanoplasty. Method: An observational analytical study with a retrospective cross-sectional design was conducted using secondary data from patient medical records. Sampling was performed using a total sampling technique. Ordinal data were statistically analyzed using the Spearman rank correlation test. Results: A total of 65 patients were included. The average air-bone gap at frequencies of 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz was 57.31 dB, 49.92 dB, 33 dB, and 36 dB, respectively. Ossicular chain status type O (58.46%) was the most frequently found, followed by type C (18.47%), type B (9.23%), type A (7.70%), and types D and E (3.07% each). Statistical analysis using the Spearman rank correlation test at 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz yielded p-values of 0.311, 0.163, 0.037, and 0.079, respectively. Conclusion: There is a correlation between air-bone gap and ossicular chain status in mucosal-type CSOM patients at a frequency of 2000 Hz, but no correlation was found at frequencies of 500 Hz, 1000 Hz, and 4000 Hz.

Downloads

Published

2025-03-04

How to Cite

Putra, D. P., Ahadiah, T. H., & Ekorini, H. M. (2025). CORRELATION BETWEEN AIR BONE GAP AND OSSICULAR CHAIN STATUS IN PATIENTS WITH MUCOSAL TYPE CHRONIC SUPPURATIVE OTITIS MEDIA UNDERGOING CANAL WALL UP TYMPANOPLASTY SURGERY. South Eastern European Journal of Public Health, 3325–3339. https://doi.org/10.70135/seejph.vi.5375

Issue

Section

Articles