http://localhost:8080//handle/123456789/18 2026-02-03T02:51:44Z http://localhost:8080//handle/123456789/3038 Title: Pre-Operative and Post-Operative Audiological Evaluation of Type 1 Tympanoplasty and Comparison between Temporalis Fascia Graft and Tragal Perichondrium Graft Authors: Singh, Satguru Saran; Parmar, Sandip M; Sood, Abhey; Saroha, Nilank; Chaudhary, Meenu Abstract: Background: Aim of the study was to evaluate the hearing improvement of type 1 tympanoplasty performed by using autologous temporalis fascia and autologous tragal perichondrium graft in successfully operated and graft uptake cases, with respect to age, sex, size of perforation and type of graft. Methods: This prospective study consists of total 100 patients with chronic suppurative otitis media (CSOM) tubotympanic disease who have undergone type 1 tympanoplasty. Randomization of patients was done. Every alternate patient was divided accordingly in to two groups-one in temporalis fascia graft group and another in tragal perichondrium graft group. Pure tone audiometry (PTA) was performed preoperatively and 3 months after surgery. Cases with successful graft uptake were included in the study. Statistical comparisons were performed using the t test, and ANOVA test. Results: In this study maximum numbers of patients were found in the age group of 15-30 years. Study showed that audiological benefits were more in males in comparison to females. Large size of perforation showed more improvement due to more air bone gap in comparison to medium size and small size perforation of ears. Audiological improvement occurred in 94% of cases, 3% cases worsened and 3% cases showed no change. More improvement was found in temporalis fascia graft in comparison to tragal perichondrium graft. Conclusions: Type 1 tympanoplasty is a safe and effective technique to improve the quality of life of patients. Size of perforation, type of graft was found to have a major effect on the final outcome of surgery. 2021-01-01T00:00:00Z http://localhost:8080//handle/123456789/3037 Title: Role of Electronystagmography as a Definitive Tool in Evaluation of Vertigo: A Clinical Study Authors: Nandyal, C B; Ramchandra Abstract: Background: Vertigo is one of the most distressing symptoms. It is difficult to identify, practically impossible to measure and not easy to treat. Electronystagmography (ENG) objectively records eye movements and thus tests the functional integrity of vestibulo-ocular reflex and its connections from inner ear to the brain. Hence, this present study was taken to evaluate the role of ENG in the diagnosis of vertigo, to know the peripheral, central and other causes of vertigo and to know the side of lesion. The aim of this study was to evaluate the role of ENG in the diagnosis of vertigo, to know the peripheral, central and other causes of vertigo and to know the side of lesion. Methods: This study included 60 patients who presented with primary complaints of vertigo or dizziness. Patients were subjected to ENG under optimal conditions and the results were obtained in the form of a graphical recordings after analysis of the ENG data. Results: Of the 60 patients subjected to ENG, a peripheral cause was seen in 33 patients. 21 patients were diagnosed with benign positional paroxysmal vertigo (BPPV), whereas 06 patients showed a central lesion of the vestibular system. Conclusions: ENG acts as a useful screening tool to differentiate between peripheral cause of vertigo and central cause of vertigo. It has special significance in localizing the side of the lesion. Hence, ENG has proven to be a useful first line investigation in the diagnosis of vertigo. 2021-01-01T00:00:00Z http://localhost:8080//handle/123456789/3036 Title: Awareness of Newborn Hearing Screening in Pediatricians and Gynaecologists in Maharashtra, India Authors: Pathak, Ramji D; Deshpande, Shweta S Abstract: Background: A successful implementation of newborn hearing screening program requires the active participation of several health care professionals like pediatricians, gynaecologists, neonatologists, nurses and audiologists. These professionals help the parents through the process of screening, diagnosis and intervention. If they are made alert and informed regarding the importance of hearing screening, then accurate diagnosis and early intervention of hearing loss will be possible. Hence, the aim was to study the awareness of newborn hearing screening among pediatricians and gynaecologists in the state of Maharashtra, India. Methods: Questionnaire was prepared based on the review of literature and after content validation it was administered on 50 paediatricians and 50 gynaecologists via electronic mail and hard copy. Each participant had to place a tick against correct alternative out of 2 alternatives for each question. Results: The present study revealed that overall awareness level of newborn hearing screening was moderate to high in pediatricians and moderate in gynaecologists. Independent sample t test indicated that there was a significant difference present in the awareness level of pediatricians and gynaecologists. Conclusions: Majority of paediatricians and gynaecologists lacked complete information regarding the protocol, test procedures used in hearing screening and role of audiologists. Thus, continued education programs are necessary for updating the knowledge base regarding newborn hearing screening in primary care physicians. 2021-01-01T00:00:00Z http://localhost:8080//handle/123456789/3033 Title: Music Listening Practices of College-Going Students and Their Impact on Hearing Authors: Gayathri, H; Paul, Christina Mary P Abstract: Background: A billion youngsters are at risk of recreational noise-induced hearing loss. Motivated by WHO’s campaign ‘Make listening safe’, the objective of this study was to estimate the prevalence of the habit of listening to music at high volumes using Personal Listening Devices (PLDs) among college students and to analyze their audiometric findings. Methods: This cross-sectional study was performed between December 2019 and May 2020 on college-going students with a habit of listening to music using PLDs. PTA was performed on the eligible study subjects. A modified LHQ was given to the selected candidates to answer. Results: The study population comprised 62 boys (24.5%) and 191 girls (75.5%) of the age of 17-24 years. 77.1% of the participants listened to music through PLD, at a scale of >5 on 10 (median PLD volume-7). 26.1% of students listened to music for more than 14 hours a week using their headphones or earphones. Fifteen students (5.93%) had evidence of a 4 kHz dip on PTA out of which 9 patients (3.56%) had bilateral and 6 patients (2.37%) had unilateral involvement. Conclusions: Though many students had some awareness regarding safe volume levels while listening to music, not many were aware of daily sound allowance (DSA). Health education to the target population along with the addition of an in-built app in all PLDs for monitoring device volume and DSA may reduce the impact of music on hearing. 2021-01-01T00:00:00Z