听骨重建术对耳鸣的影响

Q4 Medicine pzshkhy blyny bn syn Pub Date : 2022-03-01 DOI:10.52547/ajcm.28.4.203
Mahmoud Sharahi, Elnaz Shariatpanahi, Farank Emami, J. Jahanshahi, F. farahani, Mohammad Ali Seif Rabiei
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引用次数: 0

摘要

背景与目的:耳鸣是一种没有外部来源的声音,发生在头部和单耳或双耳的任何地方。这是慢性中耳炎引起的听力损失最常见的症状之一。本研究旨在探讨自体原发性听骨重建术对慢性中耳炎所致耳鸣恢复的影响。材料和方法:本研究采用前后对照设计,纳入25例年龄18-70岁的耳鸣和慢性中耳炎患者。参与者于2019年在伊朗哈马丹市哈马丹Besat医院耳鼻喉部使用自体移植物进行了骨链的初步重建。使用耳鸣匹配测试和耳鸣障碍量表评估患者的耳鸣。结果:共25例患者参与本研究,其中男性13例(52%),女性12例(48%)。年龄、耳鸣持续时间、耳鸣频次的平均得分分别为45.76±12.76岁、53.25±37.25个月和5000 Hz。术前耳鸣响度平均值(8 dB)与术后耳鸣响度平均值(4 dB)差异有统计学意义(P<0.001)。耳鸣障碍量表评分术前(39.48分)与术后(17.84分)差异有统计学意义(P<0.001)。结论:自体骨链初次重建中耳骨链可改善慢性中耳炎患者的耳鸣及耳鸣所致的残疾。
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Effect of Ossicular Reconstruction on Tinnitus
Background and Objective: Tinnitus is hearing a sound without an external source, which occurs anywhere in the head and one or both ears. It is one of the most common symptoms associated with hearing loss due to chronic otitis media. This study aimed to determine the effect of autologous primary ossicular reconstruction on the recovery of tinnitus due to chronic otitis media. Materials and Methods: This study was conducted based on a before-and-after design and included 25 patients aged 18-70 years with tinnitus and chronic otitis media. The participants had undergone initial reconstruction of the bone chain using an autologous graft in the Department of Ear, Nose, and Throat of the Hamadan Besat Hospital, Hamedan, Iran, in 2019. The Tinnitus Matching Test and the Tinnitus Handicap Inventory were used to assess patients' tinnitus. Results: A total of 25 patients participated in this study, including 13 (52%) men and 12 (48%) women. The mean scores of the age of the subjects, duration of tinnitus, frequency of tinnitus were obtained at 45.76±12.76 years, 53.25±37.25 months, and 5,000 Hz, respectively. The difference between the mean values of tinnitus loudness was significant before (8 dB) and after the surgery (4 dB) (P<0.001). Moreover, a significant difference (P<0.001) was observed between the scores of the Tinnitus Handicap Inventory before (39.48) and after the surgery (17.84). Conclusion: Primary reconstruction of the middle ear bone chain using autologous graft improved tinnitus and its resulting disability in patients with chronic otitis media.
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CiteScore
0.30
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发文量
16
审稿时长
8 weeks
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