Böhme G
HNO-Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München.
Laryngorhinootologie. 1989 Jul;68(7):367-71. doi: 10.1055/s-2007-998356.
Otologic-audiologic examination was carried out in 75 patients (between 42 and 86 years of age; average age: 65 years) with confirmed internal angiologic obliteration of the carotid artery, either unilateral or bilateral. There were 51 unilateral and 24 bilateral stenoses/occlusions. Diseases of the ear were excluded clinically and audiologically. - The mean hearing loss shows a sensorineural high tone loss in the tone audiogram. The range of scatter of high tone loss increases proportionally to the increase of frequency. - Compared with the physiological examination of geriatric patients, the total word comprehension and especially the minimal discrimination loss point towards a pathologic impairment of hearing. The total word comprehension amounts to 250.79% in the 51-60 age group, 237.79% in the 61-70 age group, 175.83% in persons aged 71-80 years, and 118.33% for those over 80 years of age. The minimal discrimination loss comprises 5.83% in the 51-60 age group, 9.79% in the 61-70 age group, 22.50% in patients between 71 and 80 years, and 48.00% in those over 80 years. - No connection between the extent of loss of hearing and the stage of obliteration of the carotid artery can be shown. However, the decompensation of total word comprehension and especially the minimal discrimination loss is a very important sign. - These findings contribute towards a differentiation of physiologic and pathologic hearing diseases in old age with particulas reference to the underlying arteriosclerotic disease.
对75例（年龄在42至86岁之间；平均年龄：65岁）经确诊存在单侧或双侧颈动脉血管造影闭塞的患者进行了耳科-听力学检查。其中有51例单侧和24例双侧狭窄/闭塞。临床上和听力学上均排除了耳部疾病。——平均听力损失在纯音听力图上表现为感音神经性高音损失。高音损失的离散范围随频率增加而成比例增加。——与老年患者的生理检查相比，总单词理解能力，尤其是最小辨别损失表明存在听力病理性损害。51至60岁年龄组的总单词理解率为250.79%，61至70岁年龄组为237.79%，71至80岁的人为175.83%，80岁以上者为118.33%。最小辨别损失在51至60岁年龄组中为5.83%，61至70岁年龄组中为9.79%，71至80岁患者中为22.50%，80岁以上者为48.00%。——无法显示听力损失程度与颈动脉闭塞阶段之间的关联。然而，总单词理解能力的失代偿，尤其是最小辨别损失是一个非常重要的迹象。——这些发现有助于区分老年人的生理性和病理性听力疾病，特别是参考潜在的动脉硬化疾病。
