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Peer-reviewedCC BY 4.0The Journal of Laryngology and Otology

Tinnitus burden in patients with chronic suppurative otitis media undergoing surgery in Nepal: a cross-sectional study

6 affiliations
  1. 1Department of Otolaryngology, Doncaster Royal Infirmary, UK
  2. 2The Britain Nepal Otology Service, Nepal
  3. 3B.N. Hospital, Ganeshman Chowk, Nepalgunj, Nepal
  4. 42. B.N. Hospital, Ganeshman Chowk, Nepalgunj, Nepal
  5. 5Manchester Academic Health Sciences Centre, The University of Manchester Faculty of Biology Medicine and Health, UK
  6. 6Department of Otolaryngology, Manchester Royal Infirmary, UK

Abstract

Objectives: Tinnitus is a common and potentially distressing symptom associated with chronic ear disease. Its burden in patients with chronic suppurative otitis media in low-resource settings is not well characterised.

Methods: A cross-sectional study was conducted during an ear surgery camp in Nepal. One hundred patients with chronic suppurative otitis media completed the validated Nepali Tinnitus Handicap Inventory. Severity was categorised using established grading systems. Associations between sex and severity were assessed using chi-squared analysis.

Results: Nepali Tinnitus Handicap Inventory scores ranged from 0 to 94. Overall, 62 per cent of patients reported moderate or worse tinnitus, and 36 per cent reported severe or catastrophic symptoms. Female patients demonstrated a greater burden, with a higher proportion in severe and catastrophic categories. This difference was statistically significant (χ2 = 11.05; df = 4; p = 0.026).

Conclusion: Patients undergoing surgery for chronic suppurative otitis media experience a substantial and under-recognised tinnitus burden. Routine assessment may support more comprehensive, patient-centred care.

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BibTeX
@article{capper2026tinnitus,
  title = {{Tinnitus burden in patients with chronic suppurative otitis media undergoing surgery in Nepal: a cross-sectional study}},
  author = {Ruth Capper and Ram Bohara and Govind Bohara and Emma Stapleton},
  journal = {The Journal of Laryngology and Otology},
  year = {2026},
  month = nov,
  doi = {10.1017/s0022215126105209},
  url = {https://doi.org/10.1017/s0022215126105209},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Tinnitus burden in patients with chronic suppurative otitis media undergoing surgery in Nepal: a cross-sectional study
AU  - Ruth Capper
AU  - Ram Bohara
AU  - Govind Bohara
AU  - Emma Stapleton
PY  - 2026
DA  - 2026/11/06
JO  - The Journal of Laryngology and Otology
DO  - 10.1017/s0022215126105209
UR  - https://doi.org/10.1017/s0022215126105209
AB  - Objectives: Tinnitus is a common and potentially distressing symptom associated with chronic ear disease. Its burden in patients with chronic suppurative otitis media in low-resource settings is not well characterised.  Methods: A cross-sectional study was conducted during an ear surgery camp in Nepal. One hundred patients with chronic suppurative otitis media completed the validated Nepali Tinnitus Handicap Inventory. Severity was categorised using established grading systems. Associations between sex and severity were assessed using chi-squared analysis.  Results: Nepali Tinnitus Handicap Inventory scores ranged from 0 to 94. Overall, 62 per cent of patients reported moderate or worse tinnitus, and 36 per cent reported severe or catastrophic symptoms. Female patients demonstrated a greater burden, with a higher proportion in severe and catastrophic categories. This difference was statistically significant (χ2 = 11.05; df = 4; p = 0.026).  Conclusion: Patients undergoing surgery for chronic suppurative otitis media experience a substantial and under-recognised tinnitus burden. Routine assessment may support more comprehensive, patient-centred care.
SN  - 0022-2151
SN  - 1748-5460
ER  -