Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locations
Abstract Objective To investigate the effect of size, site, and activity of tympanic membrane (TM) perforation on hearing loss (HL) in Aboriginal and Torres Strait Islander (ATSI) children. Design Observational study. Methodology Children aged 5–18 years who identified as ATSI at seven Anangu commun...
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| Language: | English |
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Wiley
2022-12-01
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| Series: | Laryngoscope Investigative Otolaryngology |
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| Online Access: | https://doi.org/10.1002/lio2.953 |
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| author | Jack Morris Zoe Lee Linnett Sanchez Andrew Simon Carney |
| author_facet | Jack Morris Zoe Lee Linnett Sanchez Andrew Simon Carney |
| author_sort | Jack Morris |
| collection | DOAJ |
| description | Abstract Objective To investigate the effect of size, site, and activity of tympanic membrane (TM) perforation on hearing loss (HL) in Aboriginal and Torres Strait Islander (ATSI) children. Design Observational study. Methodology Children aged 5–18 years who identified as ATSI at seven Anangu community schools within the Anangu Pitjantjatjara Yankunytjatjara Lands and Maralinga Lands of South Australia underwent 4‐frequency pure‐tone audiometry (0.5, 1, 2, and 4 kHz) and video‐otoscopy (VO). VO data was reviewed by surgeons for a middle ear diagnosis and VO files with TM perforations were then classified by perforation site (AS, AI, PS, PI, A, P, I) and size (<25%, 25%–50%, 50%–75%, or 75%–100%). Results Five hundred seventy‐five VO files with matching audiological data were obtained. Active perforations (35 dBHL; 28–44 IQR) demonstrated greater HL than inactive perforations (31 dBHL; 29–39 IQR) p = .0029. For inactive perforations there was a significant difference between <25% and all larger perforations (p < .0001) whereas for active perforations the significance changed to between <25% (p < .0001) and 25%–50% (p < .05) when compared to larger perforations. When perforation site was compared within all size/activity groups, no statistically different findings were identified. In all analyses, findings did not change when individual frequencies were compared to 4‐frequency pure‐tone average dBHL. Conclusion In ATSI children from remote communities, HL is greater in ears with larger perforations and active middle ear disease but there was no relationship between perforation site and HL. Level of evidence: Level 4. |
| format | Article |
| id | doaj-art-a9073f103cfa4f37a24340c25f70fac0 |
| institution | OA Journals |
| issn | 2378-8038 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj-art-a9073f103cfa4f37a24340c25f70fac02025-08-20T01:48:03ZengWileyLaryngoscope Investigative Otolaryngology2378-80382022-12-01762050205610.1002/lio2.953Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locationsJack Morris0Zoe Lee1Linnett Sanchez2Andrew Simon Carney3College of Medicine and Public Health Flinders University Adelaide South Australia AustraliaCollege of Medicine and Public Health Flinders University Adelaide South Australia AustraliaCollege of Nursing and Health Sciences Flinders University Adelaide South Australia AustraliaCollege of Medicine and Public Health Flinders University Adelaide South Australia AustraliaAbstract Objective To investigate the effect of size, site, and activity of tympanic membrane (TM) perforation on hearing loss (HL) in Aboriginal and Torres Strait Islander (ATSI) children. Design Observational study. Methodology Children aged 5–18 years who identified as ATSI at seven Anangu community schools within the Anangu Pitjantjatjara Yankunytjatjara Lands and Maralinga Lands of South Australia underwent 4‐frequency pure‐tone audiometry (0.5, 1, 2, and 4 kHz) and video‐otoscopy (VO). VO data was reviewed by surgeons for a middle ear diagnosis and VO files with TM perforations were then classified by perforation site (AS, AI, PS, PI, A, P, I) and size (<25%, 25%–50%, 50%–75%, or 75%–100%). Results Five hundred seventy‐five VO files with matching audiological data were obtained. Active perforations (35 dBHL; 28–44 IQR) demonstrated greater HL than inactive perforations (31 dBHL; 29–39 IQR) p = .0029. For inactive perforations there was a significant difference between <25% and all larger perforations (p < .0001) whereas for active perforations the significance changed to between <25% (p < .0001) and 25%–50% (p < .05) when compared to larger perforations. When perforation site was compared within all size/activity groups, no statistically different findings were identified. In all analyses, findings did not change when individual frequencies were compared to 4‐frequency pure‐tone average dBHL. Conclusion In ATSI children from remote communities, HL is greater in ears with larger perforations and active middle ear disease but there was no relationship between perforation site and HL. Level of evidence: Level 4.https://doi.org/10.1002/lio2.953audiometryconductive hearing lossotoscopytympanic membrane perforation |
| spellingShingle | Jack Morris Zoe Lee Linnett Sanchez Andrew Simon Carney Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locations Laryngoscope Investigative Otolaryngology audiometry conductive hearing loss otoscopy tympanic membrane perforation |
| title | Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locations |
| title_full | Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locations |
| title_fullStr | Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locations |
| title_full_unstemmed | Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locations |
| title_short | Hearing loss increases with size but not site of tympanic membrane perforation in Aboriginal Australian children in remote locations |
| title_sort | hearing loss increases with size but not site of tympanic membrane perforation in aboriginal australian children in remote locations |
| topic | audiometry conductive hearing loss otoscopy tympanic membrane perforation |
| url | https://doi.org/10.1002/lio2.953 |
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