Audio-vestibular disorders and pregnancy: A systematic review.
Am J Otolaryngol
; 42(5): 103136, 2021.
Article
en En
| MEDLINE
| ID: mdl-34182351
ABSTRACT
PURPOSE:
During pregnancy a woman's body undergoes many physiological changes that involve all systems and organs, including sensory ones. We conducted this systematic review to highlight current evidence and treatment options in pregnant women with audio-vestibular disorders. MATERIALS ANDMETHODS:
A search was made on the following databases PubMed, PubMed Central, Web of Science and Scopus. This research protocol was deposited in the PROSPERO Database.RESULTS:
After application of inclusion-exclusion criteria, 30 manuscripts were included in the review. Many authors (14/15) found a slight alteration of audiometric tests during pregnancy, with a reported recovery postpartum in most of the studies (5/7). Regarding sudden sensorineural hearing loss (SSNHL), we found four articles for a total of 69 patients the treatment of choice was intravenous Dextran 40 and intra-tympanic corticosteroids. Most included studies (4/6) found neither clinical nor epidemiological associations between otosclerosis and pregnancy in large-based sample studies. Few investigations regarded Eustachian tube function and vertigo.CONCLUSIONS:
According to our results, many variations of hearing acuity during pregnancy are slight and transient and require only clinical observation. In large samples, otosclerosis appeared not to be associated with pregnancy. Clinicians should consider intra-tympanic steroids in managing SSNHL during pregnancy. Further more accurate research is needed to deepen and clarify the association between pregnancy and audio-vestibular disorders.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones del Embarazo
/
Dextranos
/
Corticoesteroides
/
Pérdida Auditiva Súbita
/
Pérdida Auditiva Sensorineural
Tipo de estudio:
Guideline
/
Systematic_reviews
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Am J Otolaryngol
Año:
2021
Tipo del documento:
Article
País de afiliación:
Italia