A review on the impacts of COVID-19 on the auditory system: Implications for public health promotion research

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Perspectives Pub Date : 2023-12-16 DOI:10.34172/hpp.2023.33
Samin Shibafar, Fatemeh Jafarlou
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Abstract

Background: Currently, there are few studies on the relationship between COVID-19 and the auditory system. In the current study, a review of the studies conducted in the fields of etiopathology, clinical manifestations, research, and treatment of hearing loss caused byCOVID-19 was conducted, which can be used as a baseline for future studies. Methods: We utilized the research approach suggested by Arksey and O’Malley to carry out this scoping review. Search was conducted in Farsi and English with a focus on the onset of hearing loss in patients with COVID-19 through Medline and PubMed, and Google Scholar search engine. Studies included were those involving adult patients diagnosed with COVID-19 who experienced hearing loss, ear pain, ear discharge, and otitis media. Studies were eligible for inclusion if there was a description of the otologic dysfunction, specifically onset, duration, or clinical outcomes. Results: Among 90 studies identified, 35 studies were included in the review process. Our findings suggest several possible mechanisms for sudden sensorineural hearing loss (SSNHL) in COVID-19 patients, and COVID-19 infection could have deleterious effects on the inner ear, specifically on the hair cells of the cochlea despite patients being asymptomatic and early identification of SSNHL in COVID-19patients can save the hearing and also patient. Conclusion: Hearing loss in COVID-19 infection has not received much attention by health care professionals. Sensorineural hearing loss (SNHL), tinnitus, and/or vertigo have been shown to occur during and following COVID-19 infection. Due to lack of research studies, and the inconsistency and even contradictory of the findings, it remains questionable whether COVID-19 contributes to the high incidence of hearing loss. The proper understanding of the mechanisms behind hearing loss in COVID-19 infections needs further research. However, it seems likely that SNHL could be included among the manifestations of those-called "long COVID" syndrome.
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COVID-19 对听觉系统的影响综述:对公共健康促进研究的影响
背景:目前,有关 COVID-19 与听觉系统之间关系的研究很少。本研究对 COVID-19 引起的听力损失的病因病理学、临床表现、研究和治疗等领域的研究进行了综述,可作为今后研究的基线。研究方法我们采用 Arksey 和 O'Malley 建议的研究方法来进行此次范围界定综述。通过 Medline 和 PubMed 以及 Google Scholar 搜索引擎,以波斯语和英语进行了搜索,重点关注 COVID-19 患者听力损失的发病情况。纳入的研究涉及确诊为 COVID-19 的成年患者,这些患者出现听力损失、耳痛、耳流脓和中耳炎。如果研究描述了耳科功能障碍,特别是发病、持续时间或临床结果,则符合纳入条件。结果:在确定的 90 项研究中,有 35 项研究被纳入审查过程。我们的研究结果表明,COVID-19 患者的突发性感音神经性听力损失(SSNHL)可能有多种机制,COVID-19 感染可能会对内耳,特别是耳蜗毛细胞产生有害影响,尽管患者没有症状,而早期识别 COVID-19 患者的 SSNHL 可以挽救听力和患者。结论COVID-19感染引起的听力损失尚未引起医护人员的重视。有研究表明,在感染 COVID-19 期间和之后会出现感音神经性听力损失 (SNHL)、耳鸣和/或眩晕。由于缺乏研究,而且研究结果不一致甚至相互矛盾,COVID-19 是否会导致听力损失的高发病率仍然是个问题。正确理解 COVID-19 感染导致听力损失的机制还需要进一步研究。不过,SNHL似乎有可能是所谓的 "长COVID "综合征的表现之一。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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