An Investigation of Hearing (250-20000 Hz) in Children with Cardiac Disorders and also Evaluation of Tinnitus and Vertigo Symptoms

IF 0.2 Q4 OTORHINOLARYNGOLOGY ENT Updates Pub Date : 2019-08-01 DOI:10.32448/ENTUPDATES.544723
M. Koçyiğit, H. Bornaun, Selin Üstün Bezgin, S. G. Örtekin, T. Çakabay, G. Ozkaya, Ebru Şahan
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引用次数: 1

Abstract

Objective: Comorbidities accompanying to cardiac disorders  might be as detrimental as the diseases themselves. While it  is not common, comorbidities associated with inner ear functions  may also be seen. This study was planned to investigate  evaluation of hearing which also includes high frequencies,  and the presence of vestibular and tinnitus symptoms in children  with acute rheumatic fever (ARF), Kawasaki disease (KD)  or who underwent open heart surgery (due to atrial septal  defect and/or ventricular septal defect, Tetralogy of Fallot). Methods: This study included a patient group including  214 children patients diagnosed with cardiac disorders (116  males, 98 females; mean age 9.70 [range 6-16]) and a control  group including 44 healthy children who do not have  any kind of chronic disease (21 males, 23 females; mean age  9.38 [range 6-16]). The subjects underwent hearing test with  frequencies between 250-20000 Hz, vestibular and tinnitus  symptoms were evaluated by Symptom Questionnaire Forms. Results: Out of 214 patients in the patient group, 6 (2.8%)  had hearing loss in pure tones, 25 (11.7%) had in high  frequencies, 35 (16.4%) had tinnitus symptoms, and 21 (9.8%)  had vertigo symptoms. Hearing loss in high frequencies was  detected in 11.7% of patients with ARF, in 22.7% of patients  with KD, and in 7.8% of patients who underwent open heart s urgery. The difference between KD patients and the control  group in terms of hearing loss was statistically significant  (p=0.014). Out of 214 patients in the patient group, 4 (1.9%) h ad hearing loss in pure tones and high frequencies, vertigo  and tinnitus symptoms. Conclusions: Our results suggest that some childhood cardiac  disorders can cause some changes in the inner ear, although  the exact cause is unknown. Perhaps, a detailed hearing and  balance examination should be a routine in a child diagnosed  with a cardiac disorders. We think it is necessary to work on  more comprehensive patient groups and tests in the future . .
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心脏病患儿听力(250-20000Hz)的调查及耳鸣和眩晕症状的评估
目的:伴随心脏疾病的合并症可能与疾病本身一样有害。虽然它并不常见,但也可能出现与内耳功能相关的合并症。本研究旨在调查患有急性风湿热(ARF)、川崎病(KD)或接受心脏直视手术(由于房间隔缺损和/或室间隔缺损,法洛四联症)的儿童的听力评估,包括高频,以及前庭和耳鸣症状的存在。方法:本研究包括一个患者组,包括214名被诊断为心脏病的儿童患者(116名男性,98名女性;平均年龄9.70[范围6-16])和一个对照组,包括44名没有任何慢性病的健康儿童(21名男性,23名女性;均数9.38[范围6-16])。受试者接受了频率在250-20000Hz之间的听力测试,前庭和耳鸣症状通过症状调查表进行评估。结果:在患者组的214名患者中,6名(2.8%)有纯音听力损失,25名(11.7%)有高频听力损失,35名(16.4%)有耳鸣症状,21名(9.8%)有眩晕症状。11.7%的ARF患者、22.7%的KD患者和7.8%的心脏直视手术患者出现高频听力损失。KD患者与对照组在听力损失方面的差异具有统计学意义(p=0.014)。在患者组的214名患者中,有4名(1.9%)患者出现纯音和高频听力损失、眩晕和耳鸣症状。结论:我们的研究结果表明,一些儿童心脏病会引起内耳的一些变化,尽管确切的原因尚不清楚。也许,对被诊断为心脏病的儿童来说,详细的听力和平衡检查应该是一项常规检查。我们认为有必要在未来进行更全面的患者分组和测试。
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ENT Updates
ENT Updates OTORHINOLARYNGOLOGY-
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