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1.
Artigo em Chinês | MEDLINE | ID: mdl-34074080

RESUMO

Objective: To explore the relationship between the binaural high-frequency mean hearing threshold and the hypertension of female workers exposed to noise, and to understand the application significance of the binaural high-frequency mean hearing threshold as an internal effect indicator of the risk of hypertension in female workers exposed to noise. Methods: From January to December 2018, a total of 20882 female workers exposed to noise in Guangzhou were selected by cluster sampling. Pure tone audiometry, blood pressure, age and length of service were collected. Trend test was used to evaluate the effects of exposure to noise and binaural high-frequency mean hearing threshold on blood pressure. Binary logistic regression model was used to evaluate the risk of hypertension associated with exposure to noise and binaural high-frequency mean hearing threshold. Results: The detection rate of normal hearing threshold, mild hearing loss and severe hearing loss was 80.73% (16858/20882) , 16.21% (3384/20882) and 3.06% (640/20882) respectively. The prevalence of hypertension was 6.04% (1018/16858) in normal hearing group, 10.28% (348/3384) in patients with high frequency mild hearing loss, and 11.25% (72/640) in patients with high frequency severe hearing loss. There was a linear relationship between the increase of working age and high-frequency mean hearing threshold and the increase of systolic and diastolic blood pressure (P< 0.05) . Compared with those exposed to noise for less than 1 year, the risk of hypertension in female workers with 7-9 years and more than 9 years was decreased (OR= 0.79, 0.75, P<0.05) . Compared with normal hearing group, the risk of hypertension in high frequency mild hearing loss group was increased (OR=1.31, P<0.05) . Conclusion: The increase in the binaural high-frequency mean hearing threshold of female workers exposed to noise can increase the blood pressure level and the risk of hypertension, and attention should be paid to female workers with high-frequency mild hearing loss.


Assuntos
Perda Auditiva Provocada por Ruído , Hipertensão , Ruído Ocupacional , Doenças Profissionais , Exposição Ocupacional , Audiometria de Tons Puros , Limiar Auditivo , Feminino , Audição , Perda Auditiva Provocada por Ruído/epidemiologia , Humanos , Hipertensão/epidemiologia , Ruído Ocupacional/efeitos adversos , Doenças Profissionais/epidemiologia
2.
Otol Neurotol ; 42(5): e514-e520, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-33967244

RESUMO

INTRODUCTION: Vitiligo is a disease that is characterized by a deficit of functional melanocytes all over the body including the inner ear. OBJECTIVES: To study the effect of the reduction of melanocytes on the audio-vestibular system in patients with vitiligo. SUBJECTS AND METHODOLOGY: Our study included 35 patients with vitiligo (study group) and 35 healthy volunteers (control group). Audiological and vestibular function assessments were performed in all the participants and the results were compared between the two groups. We assessed the auditory function utilizing pure-tone audiometry and the auditory brainstem response, while vestibular function was assessed by the Dizziness Handicap Inventory, the cervical vestibular-evoked myogenic potential (cVEMP), and videonystagmography. RESULTS: Twelve patients with vitiligo showed impairment of the hearing especially in high frequencies in comparison with the control group. Auditory brainstem response wave III and I-III inter-peak latencies were significantly prolonged in the study group relative to the control subjects. On cVEMP testing, waves P13 and N23 were significantly delayed in the study group and the caloric test results showed that five vitiligo patients had unilateral weakness and three patients had bilateral weakness. CONCLUSION: Vitiligo is a systemic disease that can influence the audio-vestibular system. Screening tests for early detection of audio-vestibular changes in patients with vitiligo are important, as they are more susceptible to oxidative damage of ototoxic medications, noise exposure, and age-related hearing loss.


Assuntos
Doenças Vestibulares , Potenciais Evocados Miogênicos Vestibulares , Vitiligo , Audiometria de Tons Puros , Estudos de Casos e Controles , Humanos , Estudos Prospectivos , Vitiligo/complicações
3.
Med Sci Monit ; 27: e930232, 2021 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-34001843

RESUMO

BACKGROUND Indications for cochlear implantation (CI) are constantly being updated, and with them, the audiometric results achieved by patients. Patient satisfaction should always be considered, even in patients with lower audiological results. The aim of the present study was to compare quality of life (QoL), self-perceived hearing benefit, and audiometric results between prelingually and postlingually deafened patients, with and without sound deprivation, after CI. MATERIAL AND METHODS The sample included 46 patients with bilateral sensorineural hearing loss: 22 postlingually deafened and 24 prelingually deafened, further subdivided into sound-deprived (n=10) and non-sound-deprived (n=14). Auditory performance was evaluated with pure tone audiometry, speech recognition scores (SRS), and self-perceived hearing benefit, whereas QoL was evaluated with 2 self-reported questionnaires (Comprehensive Cochlear Implant Questionnaire and World Health Organization Quality of Life-BREF). RESULTS Audiometric results were worse in the prelingually deafened than in the postlingually deafened group, and worse in the prelingually deafened patients with sound deprivation. There was no marked difference in perceived CI benefit or QoL between the 2 groups or within the 2 prelingually deafened subgroups. No correlation was found between SRS and duration of CI use or between QoL and SRS in the prelingually and postlingually deafened groups. CONCLUSIONS Our findings demonstrate better auditory performance for the postlingually deafened group and no differences in perceived QoL or benefit of CI between the groups. The sound-deprived patients had equal scores on the perceived QoL questionnaire. These analyses suggest that sound-deprived, prelingually deafened patients may benefit from CI.


Assuntos
Implante Coclear/estatística & dados numéricos , Implantes Cocleares/estatística & dados numéricos , Surdez/cirurgia , Adulto , Audiometria de Tons Puros/estatística & dados numéricos , Feminino , Audição/fisiologia , Perda Auditiva Neurossensorial/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Estudos Retrospectivos , Som , Testes de Discriminação da Fala/métodos , Inquéritos e Questionários , Adulto Jovem
4.
Yonsei Med J ; 62(5): 446-452, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33908216

RESUMO

PURPOSE: To investigate the relationship between hearing loss and cognitive disorder with memory dysfunction in South Korea using data from the Korean Health Insurance claims database for 2009-2015. MATERIALS AND METHODS: We analyzed cross-sectional data of 66-year-old individuals who completed the Korea National Health and Nutrition Examination Surveys. Auditory function was evaluated using pure-tone audiometric testing. Cognitive disorder with memory dysfunction was assessed using standardized scores of the Prescreening Korean Dementia Screening Questionnaire. RESULTS: Among 1815835 participants at the age of 66 years, the prevalence of unilateral hearing loss was 5.84%, and that of bilateral hearing loss was 3.40%. The normal cognitive group comprised 86.35% of the participants, and the high-risk group for cognitive disorder with memory dysfunction totaled 13.65% of the participants. The bilateral hearing loss group had the highest percentage of subjects who responded "sometimes or frequently" to all five questions about cognitive disorder with memory dysfunction, compared to the normal hearing group or the unilateral hearing loss group. After adjusting for sex, smoking status, alcohol intake, exercise, income, diabetes, hypertension, dyslipidemia, and depression, the odds ratios for cognitive disorder with memory dysfunction was 1.183 [95% confidence interval (CI): 1.163-1.203] for bilateral hearing loss and 1.141 (95% CI: 1.126-1.156) for unilateral hearing loss, compared to the normal cognitive group. CONCLUSION: Hearing loss has a significant effect on cognitive function in the Korean population. In our study, individuals with bilateral hearing loss showed poorer cognitive function than those with unilateral hearing loss.


Assuntos
Perda Auditiva , Idoso , Audiometria de Tons Puros , Cognição , Estudos Transversais , Perda Auditiva/epidemiologia , Humanos , Prevalência , República da Coreia/epidemiologia
5.
Artigo em Inglês | MEDLINE | ID: mdl-33919574

RESUMO

(1) Background: The purpose of this study was to assess the prevalence of hearing loss in school-age children from rural and urban areas of mid-eastern Poland using standard audiological tests-pure tone audiometry (PTA), impedance audiometry (IA), and otoacoustic emissions (OAEs). (2) Methods: Data were collected from a group of 250 children aged 8 to 13, made up of 122 children from urban areas and 128 children from rural areas of mid-eastern Poland. Hearing was assessed in each of the subjects by means of PTA, IA (tympanometry), and transient-evoked OAEs (TEOAEs). Otoscopy was also performed. (3) Results: There were significantly fewer abnormal results in children from urban than rural areas: they were, respectively, 10.1% and 23.1% for IA, 3% and 9.7% for PTA, and 17.3% and 31.8% for TEOAEs. For hearing-impaired ears in rural areas (failed TEOAE), hearing thresholds were, on average, 11.5 dB higher at 0.5 kHz than for children in urban areas. Comparison of each PTA result with the corresponding IA showed that all cases of hearing loss were related to malfunction of the middle ear. (4) Conclusions: The results of all three hearing tests were significantly worse in children from rural areas compared to those from urban areas. This indicates that audiological healthcare in rural areas needs improvement and that universal hearing screening programs for school-age children would be helpful.


Assuntos
Audição , Emissões Otoacústicas Espontâneas , Adolescente , Audiometria de Tons Puros , Criança , Humanos , Polônia/epidemiologia , Instituições Acadêmicas
6.
Artigo em Inglês | MEDLINE | ID: mdl-33802657

RESUMO

Audiometric booths are used to reduce background noise levels at testing locations to below values specified in the standards. As such, they are considered inherent parts of the audiometric testing equipment. This paper presents the results from a literature search of solutions that could ensure that background noise levels are acceptable outside booths. The technology used is especially valuable for survey tests and for locations where booths are unavailable or cannot be used for different reasons. However, its use is recommendable for only screening hearing tests but not for clinical or research applications.


Assuntos
Programas de Rastreamento , Audiometria de Tons Puros , Humanos
7.
Artigo em Chinês | MEDLINE | ID: mdl-33910285

RESUMO

Objective: To analyze the effects of noise exposure on the hearing at different frequencies in workers from the automobile manufacturing industry. Methods: A total of 4723 noise workers in a large automobile manufacturing company in Guangzhou were chosen as the research object by using judgment sampling method between April and July, 2018, and carried out 0.5, 1.0, 2.0, 3.0, 4.0 and 6.0 kHz pure tone audiometry threshold to analyze the characteristics of the status of hearing loss at different frequencies and its relationship with the noise exposure time. Results: The detection rate of hearing loss in noise-exposed workers was 29.8% (1406/4723) . Among them, the binaural hearing loss was 21.2% (999/4723) , and single unilateral hearing loss accounted for 8.6% (407/4723) . The hearing loss detection rate of right ear was higher than that of the left ear (P<0.05) , especially in the 6.0 kHz (P<0.001) . The detection rate of increased speech frequency hearing threshold was 1.9% (90/4723) , and the detection rate of increased high-frequency hearing threshold was 28.9% (1366/4723) . The detection rate of increased threshold in both the left and the right ear increased with the increase of frequency (P<0.001) , the increased hearing threshold was the highest at the frequency of 6.0 kHz. The auditory threshold of left ear in 0.5 kHz were higher than that of right ear at the same frequency (P<0.05) . The detection rate of hearing loss increased with the increase of noise exposure time (P<0.001) , and the increased threshold of 3.0, 4.0 and 6.0 kHz from workers increased with the increase of noise exposure time (P<0.001) . Conclusion: There is a significant increased threshold in workers exposed to noise frequency of 6.0 kHz, right ear is more easily damaged than left ear, there is a dose-response relationship for the noise exposure time and high-frequency hearing loss.


Assuntos
Perda Auditiva Provocada por Ruído , Ruído Ocupacional , Exposição Ocupacional , Audiometria de Tons Puros , Limiar Auditivo , Automóveis , Perda Auditiva Provocada por Ruído/epidemiologia , Humanos , Indústria Manufatureira , Ruído Ocupacional/efeitos adversos
8.
Med Sci Monit ; 27: e929300, 2021 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-33744908

RESUMO

BACKGROUND We aimed to explore the correlation between patients' sigmoid sinusoidal tinnitus (SST) and low-frequency sensorineural hearing loss (LFSHL) and illustrate the underlying mechanism. MATERIAL AND METHODS Seven healthy volunteers with normal hearing were subjected to 125-, 250-, and 500-Hz pure sound and different white noise-masking intensities. A retrospective analysis was made on the clinical data and postoperative follow-up data of 59 patients with SST in the First Affiliated Hospital of Chongqing Medical University. The patients' sex, age, chief complaints, affected site, concomitant symptoms, course of disease, pure-tone audiometry (PTA) results, tinnitus discomfort loudness scale results, imaging examination, and complications were collected. RESULTS The results of the simulation experiment showed that the threshold of each frequency segment was higher after noise masking than before masking; the intensity of noise masking was positively correlated with hearing loss, and the changes of the hearing threshold of the 3 frequencies before and after masking were statistically significant (P<0.05). Fifty-nine patients with SST were documented between January 2015 and January 2020. After the operation, their low-frequency hearing was recovered to normal; 11 cases had significantly alleviated tinnitus and 9 cases were cured. CONCLUSIONS SST often causes corresponding pseudo-low-frequency hearing loss due to the noise-masking effect. The center frequency of tinnitus appears not to be 250-Hz or 500-Hz octave frequency of PTA, barring the detection of the pseudo-hearing loss in the audiometry chart of most patients. Surgery positively affects patients with SST, and the pseudo-LFSHL can be completely recovered after the operation as a result of tinnitus elimination.


Assuntos
Limiar Auditivo/fisiologia , Perda Auditiva Neurossensorial/fisiopatologia , Zumbido/fisiopatologia , Adulto , Audiometria de Tons Puros/métodos , Percepção Auditiva/fisiologia , Feminino , Audição/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Ruído/efeitos adversos , Estudos Retrospectivos
9.
Clinics (Sao Paulo) ; 76: e2370, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33787654

RESUMO

OBJECTIVES: To investigate the association among hypertension, tinnitus, and sensorineural hearing loss and evaluate the influence of other covariates on this association. METHODS: Baseline data (2008-2010) from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) were analyzed. Altogether, 900 participants were evaluated. The baseline assessment consisted of a 7-hour examination to obtain clinical and laboratory variables. Hearing was measured using pure-tone audiometry. RESULTS: Overall, 33.3% of the participants had hypertension. Participants with hypertension were more likely to be older, male, and diabetic compared to those without hypertension. The prevalence of tinnitus was higher among hypertensive participants and the odds ratio for tinnitus was higher in participants with hypertension than in those without hypertension. However, the difference was not significant after adjusting for age. Audiometric results at 250-8,000 Hz were worse in participants with hypertension than in those without hypertension in the crude analysis; however, the differences were not significant after adjustment for age, sex, diagnosis of diabetes, and exposure to noise. No significant difference was observed in hearing thresholds among participants having hypertension for <6 years, those having hypertension for ≥6 years, and individuals without hypertension. CONCLUSION: Hearing thresholds were worse in participants with hypertension. However, after adjusting for age, sex, diagnosis of diabetes, and exposure to noise, no significant differences were observed between participants with and without hypertension. A higher prevalence of tinnitus was observed in participants with hypertension compared to those without hypertension, but without significance after adjusting for age.


Assuntos
Perda Auditiva , Hipertensão , Zumbido , Adulto , Audiometria de Tons Puros , Limiar Auditivo , Brasil/epidemiologia , Perda Auditiva/diagnóstico , Perda Auditiva/epidemiologia , Humanos , Hipertensão/complicações , Hipertensão/epidemiologia , Estudos Longitudinais , Masculino , Zumbido/epidemiologia
10.
J Laryngol Otol ; 135(4): 310-314, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33726879

RESUMO

OBJECTIVE: This study aimed to analyse the differences between underwater continuous drilling and traditional intermittent drilling for attic cholesteatoma. METHODS: The clinical data of 61 patients with attic cholesteatoma who underwent an endoscopic approach procedure were analysed. Forty patients underwent underwater continuous drilling (group A), and 21 patients underwent traditional intermittent drilling (group B). RESULTS: The operation time was 64.61 ± 12.90 minutes in group A and 79.60 ± 16.81 minutes in group B (p < 0.05). The anaesthesia time was 102.69 ± 17.93 minutes in group A and 119.82 ± 19.28 minutes in group B (p < 0.05). The dry ear time, the hearing improvement rate and the post-operative complications were no different in the two groups. CONCLUSION: Group A and group B had no differences in surgical outcome or hearing recovery. However, treatment in the former group resulted in a significantly shortened operation and anaesthesia time.


Assuntos
Colesteatoma da Orelha Média/cirurgia , Endoscopia/métodos , Substituição Ossicular/métodos , Procedimentos Cirúrgicos Otológicos/métodos , Adulto , Audiometria de Tons Puros , Colesteatoma da Orelha Média/patologia , Orelha Média/patologia , Orelha Média/cirurgia , Feminino , Audição , Humanos , Masculino , Estudos Retrospectivos , Resultado do Tratamento
11.
J Laryngol Otol ; 135(4): 304-309, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33745469

RESUMO

OBJECTIVES: This study aimed to evaluate hearing outcomes and device safety in a large, single-surgeon experience with the totally implantable active middle-ear implants. METHODS: This was a retrospective case series review of 116 patients with moderate-to-severe sensorineural hearing loss undergoing implantation of active middle-ear implants. RESULTS: Mean baseline unaided pure tone average improved from 57.6 dB before surgery to 34.1 dB post-operatively, signifying a mean gain in pure tone average of 23.5 dB (p = 0.0002). Phonetically balanced maximum word recognition score improved slightly from 70.5 per cent to 75.8 per cent (p = 0.416), and word recognition score at a hearing level of 50 dB values increased substantially from 14.4 per cent to 70.4 per cent (p < 0.0001). Both revision and explant rates were low and dropped with increasing surgeon experience over time. CONCLUSION: This study showed excellent post-operative hearing results with active middle-ear implants with regard to pure tone average and word recognition score at a hearing level of 50 db. Complication rates in this case series were significantly lower with increasing experience of the surgeon. Active middle-ear implants should be considered in appropriate patients with moderate-to-severe sensorineural hearing loss who have struggled with conventional amplification and are good surgical candidates.


Assuntos
Correção de Deficiência Auditiva/métodos , Orelha Média/cirurgia , Perda Auditiva Neurossensorial/reabilitação , Prótese Ossicular , Implantação de Prótese/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Audiometria de Tons Puros , Feminino , Audição , Perda Auditiva Neurossensorial/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Estudos Retrospectivos , Resultado do Tratamento , Adulto Jovem
12.
Otol Neurotol ; 42(4): e393-e398, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33710988

RESUMO

OBJECTIVE: Review surgical outcomes of stapedectomy for otosclerosis in patients with Menierè's disease. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral center. PATIENTS: Patients with otosclerosis and Menière's disease undergoing stapedectomy between 2010 and 2017. INTERVENTION: Stapedectomy. MAIN OUTCOME MEASURES: Pre- and postoperative hearing and complications. Hearing was measured by air conduction (AC) and bone conduction (BC) pure-tone frequency, pure-tone averages (PTA), air-bone gap (ABG), and word recognition scores (WRS). RESULTS: Among 1,499 patients with otosclerosis, the incidence of concomitant Menière's disease was 1.7%. Fifteen patients with otosclerosis and Menière's disease underwent stapedectomy, 12 primary and three revisions. Mean AC PTA was 43 dB preoperatively, and 25 dB postoperatively (p = 0.0007), while the ABG improved on average from 20 to 5 dB (p = 0.0001). There was no significant difference in BC PTA or WRS postoperatively. Two patients experienced fluctuation of hearing in the postoperative period, one of which resolved with a course of steroids. The mean follow-up time was 41 months. CONCLUSIONS: In patients with otosclerosis and Menière's disease, stapedectomy provides excellent hearing outcomes in a majority of patients. As is characteristic of Menière's disease, some patients will continue to experience fluctuating hearing postoperatively, which may progress to severe sensorineural hearing loss. Menière's disease may not be an absolute contraindication to stapes surgery.


Assuntos
Doença de Meniere , Otosclerose , Cirurgia do Estribo , Audiometria de Tons Puros , Contraindicações , Humanos , Doença de Meniere/complicações , Doença de Meniere/cirurgia , Otosclerose/complicações , Otosclerose/cirurgia , Estudos Retrospectivos , Resultado do Tratamento
14.
Laryngoscope ; 131(6): E2026-E2030, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33576524

RESUMO

OBJECTIVE/HYPOTHESIS: Stapes surgery is occasionally complicated by an intraoperative tympanic membrane perforation (ITMP), traditionally indicating abortion of the procedure due to concerns for postoperative infection and sensorineural hearing loss (SNHL). This work examines outcomes and complications in completed primary stapes surgeries with and without ITMP. STUDY DESIGN: Retrospective review. METHODS: All patients diagnosed with otosclerosis between February 2008 and September 2017 at a tertiary otology referral center were reviewed retrospectively. Primary outcome measures were post-operative air-bone gap (ABG), air conduction and bone conduction pure tone averages, and post-operative complications. RESULTS: Review revealed 652 primary stapes operations meeting inclusion criteria, of which ITMP occurred in 10. There were no significant differences in pre-operative hearing metrics or demographic characteristics between ears with and without ITMP. There were also no significant differences in post-operative ABG (6.4 vs. 8.0 dB HL, P = .43) or change in ABG after surgery (-21.6 vs. -18.2 dB, P = .34) between these two groups. Patients with ITMP were more likely to complain of post-operative dysgeusia (30.0% vs. 5.3%, P = .015) but were no more likely to develop reparative granuloma, otitis media, or SNHL (P > .05). CONCLUSIONS: The first review of ITMP and hearing outcomes after stapes surgery is presented. Our findings suggest that it is likely safe and appropriate to proceed with primary stapes surgery and concurrent tympanoplasty in the presence of a small ITMP with minimal risk of infection, SNHL, or worsened hearing outcomes. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:E2026-E2030, 2021.


Assuntos
Otosclerose/cirurgia , Complicações Pós-Operatórias/etiologia , Cirurgia do Estribo , Perfuração da Membrana Timpânica/etiologia , Audiometria de Tons Puros , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco
15.
Artigo em Chinês | MEDLINE | ID: mdl-33540963

RESUMO

Objective:To analyze the clinical features and prognosis of sudden sensorineural hearing loss(SSNHL) with rheumatoid arthritis(RA), and evaluate the effect of the course of RA on the hearing recovery. Methods:We collected the clinical data of 43 SSNHL patients(46 ears) with RA(RA group) who were hospitalized in our hospital, and compared their clinical characteristics and prognosis with 386 SSNHL patients(400 ears) without RA(non-RA group). 43 SSNHL patients with RA were further grouped into <5 years group, 5-10 years group and >10 years group, and the hearing recovery was compared among three groups. Results:In the RA group, the initial pure tone average(PTA) of SSNHL and non-SSNHL ears were (64.53±12.77) dB HL and (31.28±8.53) dB HL, which were higher than those in the non-RA group(54.31±13.45) dB HL and(24.83±6.06) dB HL(P<0.05). After treatment, in the RA group, posttreatment PTA of SSNHL and non-SSNHL ears were (48.26±13.49) dB HL and (27.93±10.22) dB HL, which were higher than those in the non-RA group (33.65±9.22) dB HL and (21.86±6.88) dB HL(P<0.05), and the hearing gains of SSNHL ear and the rate of overall recovery were (16.27±6.01) dB HL and 52.17%, which were lower than those in the non-RA group (20.66±6.21) dB HL and 75.00%. No statistic difference was observed in the hearing gains of non-SSNHL ear between the two groups(P>0.05). The hearing gains in the <5 years group, 5-10 years group and >10 years group were (20.77±8.63) dB HL, (17.00±6.81) dB HL and (11.94±5.73) dB HL, statistic differences were observed among the three groups(P=0.010), but no statistic difference was observed in the rate of complete recovery, marked recovery, recovery and no recovery(P>0.05). Conclusion:SSNHL patients with RA often suffers a severe hearing loss, and the hearing recovery is poor. The longer the course of RA, the worse the prognosis.


Assuntos
Artrite Reumatoide , Perda Auditiva Neurossensorial , Perda Auditiva Súbita , Artrite Reumatoide/complicações , Audiometria de Tons Puros , Perda Auditiva Súbita/diagnóstico , Humanos , Prognóstico , Estudos Retrospectivos
16.
Otol Neurotol ; 42(3): 402-407, 2021 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33555746

RESUMO

OBJECTIVE: To identify redundancy in the cochlear implant candidacy evaluation and assess its financial impact. STUDY DESIGN: Retrospective chart review. SETTING: Tertiary care academic cochlear implant center. PATIENTS: One hundred thirty-five patients referred for cochlear implant candidacy evaluation from 2004 through 2019. INTERVENTION: Community and academic audiometry were compared in a matched-pair analysis. MAIN OUTCOME MEASURES: Pure-tone audiometry and word recognition scores (WRS) were compared using the Wilcoxon signed-rank test. Cost of repeated audiometry was estimated using the Medicare Provider Utilization and Payment data. RESULTS: The majority of pure-tone thresholds (PTT) and pure-tone averages (PTA) had no statistically significant differences between community and academic centers. Only air PTT at 2000 Hz on the right and air PTA on the right demonstrated differences with α = 0.05 after Bonferroni correction. Despite statistical differences, mean differences in PTT and PTA were all under 3.5 dB. WRS were on average lower at the academic center, by 14.7% on the right (p < 0.001) and 10.6% on the left (p = 0.003). Repeating initial audiometry costs patients up to $60.58 and costs the healthcare system up to $42.94 per patient. CONCLUSIONS: Pure-tone audiometry between community and academic centers did not demonstrate clinically significant differences. Lower academic WRS implies that patients identified as potential cochlear implant candidates based on community WRS are likely suitable to proceed to sentence testing without repeating audiometry, saving patients and the healthcare system time and resources.


Assuntos
Implante Coclear , Implantes Cocleares , Percepção da Fala , Idoso , Audiometria de Tons Puros , Humanos , Medicare , Estudos Retrospectivos , Estados Unidos
17.
Otol Neurotol ; 42(4): e476-e482, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33534387

RESUMO

OBJECTIVE: To determine reasons for premature termination in surgery for congenital aural atresia (CAA). STUDY DESIGN: Retrospective chart review. SETTING: High-volume tertiary care center. PATIENTS: Patients undergoing primary surgical repair of CAA whose surgeries were aborted for various indications. INTERVENTION: Patients with CAA who underwent elective aural atresia surgery at the University of Virginia from July 2004 to January 2020 were identified from the medical record and an institutional database of patients with CAA. Patients undergoing revision surgery or surgery not for hearing correction were excluded. All included candidates were noted to be good surgical candidates for atresia repair based on preoperative Jahrsdoerfer score of 6 or greater. Reasons for terminating surgery prematurely were categorized by anatomical constraints (inability to identify middle ear space, position of the facial nerve, or other anatomic abnormality), stapes fixation, and middle ear and/or mastoid inflammatory disease. MAIN OUTCOME MEASURES: Reasons for premature termination in CAA surgery. RESULTS: Over the interval, 319 patients underwent primary surgery for CAA. Surgery was terminated prematurely without completing the primary objective in 14 patients (4.4%); surgery was terminated in 8 (57%) due to anatomic constraints, 4 (29%) due to stapes fixation, and 2 (14%) due to middle ear space and/or mastoid inflammatory disease. CONCLUSIONS: Premature termination in surgery for CAA is a rare occurrence with careful study of the preoperative high-resolution computed tomography of the temporal bone. Of the reasons for premature termination, anatomic constraints were the most common. Knowing limitations in surgery-both technical and anatomic-is critical to optimize outcomes and prevent complications.


Assuntos
Anormalidades Congênitas , Orelha , Audiometria de Tons Puros , Anormalidades Congênitas/cirurgia , Orelha/cirurgia , Orelha Média , Humanos , Processo Mastoide , Estudos Retrospectivos
18.
West Afr J Med ; 38(2): 125-130, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33641146

RESUMO

BACKGROUND: The effect of hypertension on the vascular system leads to Target Organ Damage (TOD). The cochlea is one of the target organs affected by hypertension, giving rise to Sensorineural Hearing Loss (SNHL). OBJECTIVE: To determine the prevalence and pattern of Sensorineural Hearing Loss (SNHL) among hypertensives. DESIGN: Case-Control Study. SETTING: Tertiary hospital. SUBJECTS: Two hundred and twenty six hypertensives, aged 21 to 60 years and a corresponding number of age and sex matched control. METHODOLOGY: Eligible participants were prospectively evaluated. Their blood pressures were verified, hearing thresholds assessed through Pure Tone Audiometry, Pure Tone Average were calculated and the types and degree of hearing loss were confirmed. Data was analyzed using SPSS 21 and statistical significance was set at p-value 0.05. RESULTS: Each group had 127 (56.19% ) females and 99 ( 43.81 % ) males. The difference in the mean age between the cases (40.02 ± 0.70years) and the controls (37.42 ± 0.47years) was not statistically significant (p = 0.542).The difference in the mean Pure Tone Average in dBHL between the cases (15.53± 6.95) and the controls (13.98 ± 4.35) was significant (p = 0.005) with a 12.83% prevalence of SNHL among the hypertensives against 1.77% in the controls. Majority (96.6 %) of them demonstrated bilateral, symmetrical, mild SNHL with 51.7% of them being above 50 years. The odds ratio in this study was 8.17 (p = 0.0001). CONCLUSION: This study demonstrated a SNHL prevalence of 12.83% with a mild, bilateral, symmetrical pattern among hypertensives; increasing with advanced age and an eight-fold risk of occurrence.


Assuntos
Perda Auditiva Neurossensorial , Hipertensão , Adulto , Audiometria de Tons Puros , Estudos de Casos e Controles , Feminino , Perda Auditiva Neurossensorial/diagnóstico , Perda Auditiva Neurossensorial/epidemiologia , Humanos , Hipertensão/epidemiologia , Masculino , Prevalência
19.
Medicine (Baltimore) ; 100(3): e24056, 2021 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-33546006

RESUMO

ABSTRACT: Few epidemiological studies have examined the relationship between earphone usage and hearing loss in adolescents. This study identified the prevalence of hearing loss in South Korean adolescents using representative national survey data and evaluated the relationship between earphone usage in a noisy environment and hearing loss. This study analyzed 532 subjects (12-19 years) who participated in a 2012 national survey and completed health and noise environment exposure questionnaires and pure tone audiometry (PTA) test. Hearing loss was defined as an average hearing threshold of 26 Decibel-A (dBA) or higher in PTA. The relationship between earphone usage and hearing loss was analyzed using a hierarchical logistic regression model. Adolescents who were exposed to high noise levels via headphones in a noisy environment had a hearing loss prevalence of 22.6% and adolescents who used earphones 80 minutes or more per day on average had the hearing loss prevalence of 22.3%. The results of the logistic regression analysis revealed that adolescents who used earphones in a noisy environment had a 4.5-fold higher risk of hearing loss and an 8.4 times higher risk of having a subjective hearing problem than those who did not use earphones (prevalence odds ratio (pOR) = 4.54, 95% confidence interval (CI): 1.35-15.24; pOR = 8.39, 95% CI: 1.12-62.83, respectively). Additionally, adolescents who used earphones more than 80 minutes per day in a noisy environment had a 4.7 times higher risk of hearing loss than those who used them less than 80 minutes per day (pOR = 4.68, 95% CI: 1.08-20.22). Longitudinal studies are needed to provide evidence of causality between earphone usage and hearing loss.


Assuntos
Dispositivos de Proteção das Orelhas/estatística & dados numéricos , Exposição Ambiental/análise , Perda Auditiva/epidemiologia , Ruído/efeitos adversos , Estudantes/estatística & dados numéricos , Adolescente , Audiometria de Tons Puros , Limiar Auditivo , Criança , Exposição Ambiental/efeitos adversos , Feminino , Perda Auditiva/etiologia , Humanos , Modelos Logísticos , Masculino , Razão de Chances , Prevalência , República da Coreia/epidemiologia , Autorrelato , Fatores de Tempo , Adulto Jovem
20.
Trends Hear ; 25: 2331216520983110, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33487139

RESUMO

The relation between degree of sensorineural hearing loss and maximum speech identification scores (PBmax) is commonly used in audiological diagnosis and rehabilitation. It is important to consider the relation between the degree of hearing loss and the lower boundary of PBmax, as the PBmax varies largely between subjects at a given degree of hearing loss. The present study determines the lower boundary by estimating the lower limit of the one-tailed 95% confidence limit (CL) for a Dantale I, word list, in a large group of young and older subjects with primarily sensorineural hearing loss. PBmax scores were measured using Dantale I, at 30 dB above the speech reception threshold or at the most comfortable level from 1,961 subjects with a wide range of pure-tone averages. A nonlinear quantile regression approach was applied to determine the lower boundary (95% CL) of PBmax scores. At a specific pure-tone average, if the measured PBmax is poorer than the lower boundary (95% CL) of PBmax, it may be considered disproportionately poor.


Assuntos
Perda Auditiva Neurossensorial , Perda Auditiva , Percepção da Fala , Audiometria de Tons Puros , Audiometria da Fala , Perda Auditiva Neurossensorial/diagnóstico , Humanos , Fala
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