Harada T, Yamasoba T, Yagi M
Department of Otolaryngology, University of Tokyo School of Medicine, Japan.
ORL J Otorhinolaryngol Relat Spec. 1992;54(2):61-5. doi: 10.1159/000276263.
The clinical records of 1,372 cases of otitis media with effusion (OME) treated during the past 10 years were reviewed in search of associations with sensorineural hearing loss (SNHL). In 14 cases (1.0%), the development of SNHL was considered to be etiologically related to OME. These 14 cases were classified into two groups. In group A, which consisted of 5 cases, the clinical feature was acute onset of SNHL and gradual improvement. In group B of 9 cases, SNHL progressed gradually or insidiously and did not improve. Different pathophysiology may be assumed to underlie these two groups. The results of this study demonstrate that we have to pay attention to a possible development of SNHL during the course of OME.
回顾过去10年中治疗的1372例分泌性中耳炎（OME）患者的临床记录，以寻找与感音神经性听力损失（SNHL）的关联。在14例（1.0%）患者中，SNHL的发生被认为与OME存在病因学关联。这14例患者被分为两组。A组有5例，临床特征为SNHL急性起病并逐渐改善。B组有9例，SNHL逐渐或隐匿性进展且无改善。可能有不同的病理生理学机制导致这两组情况。本研究结果表明，我们必须关注OME病程中SNHL可能的发生。
