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探索耳硬化症患者的用手偏好与听力障碍偏向性之间的相关性。

In search of correlation between hand preference and laterality of hearing impairment in patients with otosclerosis.

作者信息

Migirov Lela, Wolf Michael

机构信息

Department of Otolaryngology Head and Neck Surgery, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, 5262l, Tel Hashomer, Israel,

出版信息

Eur Arch Otorhinolaryngol. 2014 Oct;271(10):2835-7. doi: 10.1007/s00405-014-3173-5. Epub 2014 Jun 29.

Abstract

The aim of this study was to investigate a possible correlation between handedness and laterality of hearing impairment due to otosclerosis. All patients operated for otosclerosis between August 2008 and February 2014 were queried about their handedness. The study group consisted of 218 right-handed and 21 left-handed (8.9%) patients [139 female (58.2%) and 100 male] with an age range of 18-75 years (mean 46.1 years). One-hundred and fifty-seven patients had a bilateral otosclerosis (BO) and 82 (34.3%) had a unilateral otosclerosis (UO). There were 11 left-handed male and 10 left-handed female (11% vs. 7.2 %, p = 0.305). In patients with UO, the left ear (LE) was affected in 6/11 (58.3%) left handed ones, and the right ear (RE) in 41/71 (57.7%) right handed ones (p = 0.842). In patients with BO, the LE was more affected in the left-handed ones, and the RE in the right-handed ones (7/10, 70% and 87/147, 59.2 %, respectively, p = 0.5). Overall, 13/21 (61.9%) left-handed patients presented with only/mostly left-sided otosclerosis, while 128/218 (58.7%) right-handed patients presented with only/mostly right-sided otosclerosis (p = 0.584). Clinical relevance of presented findings is unclear yet nevertheless current study may contribute one more element in the multifactorial process of otosclerosis-related hearing loss.

摘要

本研究的目的是调查耳硬化症所致听力损失的利手性与偏侧性之间可能存在的相关性。对2008年8月至2014年2月间因耳硬化症接受手术的所有患者询问其利手性情况。研究组包括218名右利手患者和21名左利手患者(8.9%),年龄范围为18 - 75岁(平均46.1岁),其中女性139名(58.2%),男性100名。157例患者患有双侧耳硬化症(BO),82例(34.3%)患有单侧耳硬化症(UO)。有11名左利手男性和10名左利手女性(分别为11%和7.2%,p = 0.305)。在患有UO的患者中,左利手患者的左耳(LE)受累比例为6/11(58.3%),右利手患者的右耳(RE)受累比例为41/71(57.7%)(p = 0.842)。在患有BO的患者中,左利手患者的LE受累更多,右利手患者的RE受累更多(分别为7/10,70%和87/147,59.2%,p = 0.5)。总体而言,13/21(61.9%)的左利手患者仅/主要表现为左侧耳硬化症,而128/218(58.7%)的右利手患者仅/主要表现为右侧耳硬化症(p = 0.584)。目前所呈现结果的临床相关性尚不清楚,但本研究可能会为耳硬化症相关听力损失的多因素过程增添一个要素。

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