耳闷的临床表现。
Clinical manifestations of aural fullness.
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Korea.
出版信息
Yonsei Med J. 2012 Sep;53(5):985-91. doi: 10.3349/ymj.2012.53.5.985.
PURPOSE
Even though aural fullness is ubiquitous among patients presenting to otolaryngology clinics, the association between aural fullness and disease development has not yet been clearly determined.
MATERIALS AND METHODS
Our study was performed on outpatients from June 2006 to February 2010 whose major complaint was "ear fullness", "aural fullness", or "ear pressure". We assessed their demographic and clinical characteristics, including sex, associated diseases, symptoms, otoscopic findings, audiology test results, and final diagnoses.
RESULTS
Among 432 patients, 165 (38.2%) were males and 267 (61.8%) were females, with mean ages of 42±19 years and 47±17 years, respectively. Tinnitus, hearing disturbance, autophony (p<0.01) as well as nasal obstruction and sore throat (p<0.05) showed a statistically significant correlation with aural fullness. Among patients who complained of hearing fullness, tests and measures such as impedance audiometry, speech reception threshold, and pure tone audiometry generated statistically significant results (p<0.05). Ear fullness was most frequently diagnosed as Eustachian tube dysfunction (28.9%), followed by otitis media with effusion (13.4%) and chronic otitis media (7.2%). However, 13.4% of patients could not be definitively diagnosed.
CONCLUSION
Among patients complaining of ear fullness, Eustachian tube dysfunction, otitis media with effusion, chronic otitis media were most commonly observed. Performance of otoscopy, nasal endoscopy, the Valsalva maneuver, and additional audiological tests is necessary to exclude other diseases.
目的
尽管耳闷在耳鼻喉科就诊患者中普遍存在，但耳闷与疾病发展之间的关系尚未明确。
材料与方法
我们的研究对象为 2006 年 6 月至 2010 年 2 月期间因“耳闷”、“耳闷胀感”或“耳压感”就诊的门诊患者。我们评估了他们的人口统计学和临床特征，包括性别、相关疾病、症状、耳镜检查结果、听力学测试结果和最终诊断。
结果
在 432 例患者中，男性 165 例（38.2%），女性 267 例（61.8%），平均年龄分别为 42±19 岁和 47±17 岁。耳鸣、听力障碍、自听增强（p<0.01）以及鼻塞和咽痛（p<0.05）与耳闷感具有统计学显著相关性。在主诉听力闷胀的患者中，阻抗测听、言语接受阈和纯音测听等检查和测量结果具有统计学显著差异（p<0.05）。耳闷感最常被诊断为咽鼓管功能障碍（28.9%），其次是分泌性中耳炎（13.4%）和慢性中耳炎（7.2%）。然而，仍有 13.4%的患者无法明确诊断。
结论
在主诉耳闷感的患者中，最常见的诊断为咽鼓管功能障碍、分泌性中耳炎和慢性中耳炎。需要进行耳镜检查、鼻内镜检查、瓦尔萨尔瓦动作和其他听力学测试，以排除其他疾病。
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