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流行性腮腺炎相关性听力损失的临床特征及预后:日本一项回顾性多机构调查

The clinical features and prognosis of mumps-associated hearing loss: a retrospective, multi-institutional investigation in Japan.

作者信息

Morita Shinya, Fujiwara Keishi, Fukuda Atsushi, Fukuda Satoshi, Nishio Shin-Ya, Kitoh Ryosuke, Hato Naohito, Ikezono Tetsuo, Ishikawa Kotaro, Kaga Kimitaka, Matsubara Atsushi, Matsunaga Tatsuo, Murata Takaaki, Naito Yasushi, Nishizaki Kazunori, Ogawa Kaoru, Sano Hajime, Sato Hiroaki, Sone Michihiko, Suzuki Mikio, Takahashi Haruo, Tono Tetsuya, Yamashita Hiroshi, Yamasoba Tatsuya, Usami Shin-Ichi

机构信息

a Department of Otolaryngology - Head and Neck Surgery , Hokkaido University Graduate School of Medicine , Sapporo , Japan.

b Department of Otorhinolaryngology , Shinshu University School of Medicine , Matsumoto, Nagano , Japan.

出版信息

Acta Otolaryngol. 2017;137(sup565):S44-S47. doi: 10.1080/00016489.2017.1290826. Epub 2017 Mar 24.

DOI:10.1080/00016489.2017.1290826
PMID:28338374
Abstract

CONCLUSIONS

The majority of hearing loss due to mumps presents as unilateral profound sensorineural hearing loss, which is refractory to treatment. In rare cases of bilateral total deafness, cochlear implants were beneficial for speech perception. Vaccination against mumps is recommended to prevent mumps-associated hearing loss.

OBJECTIVE

The objective of this study is to investigate the clinical characteristics of hearing loss due to mumps and to evaluate hearing outcomes.

SUBJECTS AND METHODS

The clinical parameters were analyzed under a retrospective multi-institutional study design in patients diagnosed with hearing loss due to mumps at the Otolaryngology departments of 19 hospitals between 1987 and 2016.

RESULTS

Sixty-seven patients with hearing loss due to mumps were enrolled. The study population consisted of 35 males and 32 females, ranging in age from 1 to 54, with a median age of 9.5 years. Sixty-three patients presented with unilateral, and 4 with bilateral hearing loss. Profound hearing loss was observed in 65 ears. Only one ear with severe hearing loss showed complete recovery. Four patients with bilateral hearing loss received cochlear implant surgery. Most of the patients with hearing loss due to mumps had no history of vaccination.

摘要

结论

腮腺炎所致听力损失大多表现为单侧严重感音神经性听力损失,治疗无效。在罕见的双侧全聋病例中,人工耳蜗植入对言语感知有益。建议接种腮腺炎疫苗以预防与腮腺炎相关的听力损失。

目的

本研究的目的是调查腮腺炎所致听力损失的临床特征并评估听力结果。

对象与方法

在一项回顾性多机构研究设计中,对1987年至2016年间19家医院耳鼻喉科诊断为腮腺炎所致听力损失的患者的临床参数进行分析。

结果

纳入67例腮腺炎所致听力损失患者。研究人群包括35名男性和32名女性,年龄从1岁至54岁不等,中位年龄为9.5岁。63例为单侧听力损失,4例为双侧听力损失。65耳出现严重听力损失。仅1耳重度听力损失完全恢复。4例双侧听力损失患者接受了人工耳蜗植入手术。大多数腮腺炎所致听力损失患者无疫苗接种史。

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