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听力正常的耳鸣患者是否有必要进行内耳道颞骨计算机断层扫描？

Is it necessary to do temporal bone computed tomography of the internal auditory canal in tinnitus with normal hearing?

作者信息

Kumral Tolgar Lutfi, Yıldırım Guven, Yılmaz Huseyin Baki, Ulusoy Seckin, Berkiten Guler, Onol Suzan Deniz, Ozturkçu Yusuf, Uyar Yavuz

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Okmeydanı Training and Research Hospital, Darülaceze Caddesi, No. 25 Okmeydanı, Şişli, İstanbul 34384, Turkey.

Tuzla State Hospital Otolaryngology Clinic, Istanbul, Turkey.

出版信息

ScientificWorldJournal. 2013 Nov 26;2013:689087. doi: 10.1155/2013/689087. eCollection 2013.

DOI:10.1155/2013/689087
PMID:24379749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3860130/
Abstract

OBJECTIVE

To investigate the compression of the vestibulocochlear nerve in the etiology of the tinnitus in the normal hearing ears with temporal bone computed tomography scans.

METHODS

A prospective nonrandomized study of 30 bilateral tinnitus and 30 normal hearing patients enrolled in this study.

RESULTS

A total of 60 patients (ages ranged from 16 to 87) were included. The tinnitus group comprised 11 males and 19 females (mean age 49,50 ± 12,008) and the control group comprised 6 males and 24 females (mean age 39,47 ± 12,544). Regarding the right and left internal acoustic canals measurements (inlet, midcanal, and outlet canal lengths), there were no significant differences between the measurements of the control and tinnitus groups (P > 0.005). There was no narrowness in the internal acoustic canal of the tinnitus group compared with the control group. High-frequency audiometric measurements of the right and left ears tinnitus group at 8000, 9000, 10000, 11200, 12500, 14000, 16000, and 18000 Hz frequencies were significantly lower than the control group thresholds (P < 0.05). There was high-frequency hearing loss in the tinnitus group.

CONCLUSION

There were no anatomical differences in the etiology of tinnitus rather than physiological degeneration in the nerves.

摘要

目的

通过颞骨计算机断层扫描研究正常听力耳耳鸣病因中前庭蜗神经的受压情况。

方法

对30例双侧耳鸣患者和30例听力正常患者进行前瞻性非随机研究。

结果

共纳入60例患者（年龄16至87岁）。耳鸣组包括11例男性和19例女性（平均年龄49.50±12.008），对照组包括6例男性和24例女性（平均年龄39.47±12.544）。关于左右内耳道测量（入口、中段和出口管长度），对照组和耳鸣组的测量结果之间无显著差异（P>0.005）。与对照组相比，耳鸣组内耳道无狭窄。耳鸣组左右耳在8000、9000、10000、11200、12500、14000、16000和18000Hz频率的高频听力测量结果显著低于对照组阈值（P<0.05）。耳鸣组存在高频听力损失。

结论

耳鸣病因中不存在解剖学差异，而是神经的生理性退变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/3860130/8210b1456b6f/TSWJ2013-689087.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/3860130/8210b1456b6f/TSWJ2013-689087.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0232/3860130/8210b1456b6f/TSWJ2013-689087.001.jpg

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Tinnitus with a normal audiogram: physiological evidence for hidden hearing loss and computational model.正常听力图伴耳鸣：隐匿性听力损失的生理学证据和计算模型。
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An arteriovenous malformation within the internal acoustic meatus and cerebellopontine angle cistern.
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