突发性感音神经性听力损失治疗失败后单词识别能力的改善。
Improvement in word recognition following treatment failure for sudden sensorineural hearing loss.
作者信息
Jan Taha A, Kozin Elliott D, Kanumuri Vivek V, Sethi Rosh K, Jung David H
机构信息
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USA.
出版信息
World J Otorhinolaryngol Head Neck Surg. 2016 Nov 24;2(3):168-174. doi: 10.1016/j.wjorl.2016.06.002. eCollection 2016 Sep.
OBJECTIVES
Patients with sudden sensorineural hearing loss (SSNHL) may have word recognition scores (WRS) that correlate with pure tone average (PTA). We hypothesize that there is a subset of patients with SSNHL who have improved WRS despite stable PTA.
METHODS
Retrospective case review at a tertiary otolaryngology practice.
RESULTS
We identified 13 of 113 patients with SSNHL whose WRS increased despite overall stable pure tone averages. There was an observed average improvement in WRS by 23.8 points in this patient cohort at follow-up, with mean initial PTA in the affected ear at 48.7 dB.
CONCLUSIONS
We identify a novel cohort of SSNHL patients that have failed treatment as measured by PTA, but who have increased WRS over time. These data have implications for patient counseling and lend insight into the pathophysiology of SSNHL.
目的
突发性感音神经性听力损失（SSNHL）患者的言语识别得分（WRS）可能与纯音平均听阈（PTA）相关。我们假设，存在一部分SSNHL患者，尽管其PTA稳定，但WRS仍有所改善。
方法
在一家三级耳鼻喉科诊所进行回顾性病例审查。
结果
我们在113例SSNHL患者中识别出13例，尽管总体纯音平均听阈稳定，但他们的WRS有所提高。在该患者队列的随访中，观察到WRS平均提高了23.8分，患耳的初始平均PTA为48.7dB。
结论
我们识别出一组新的SSNHL患者，根据PTA衡量，他们治疗失败，但随着时间推移WRS有所提高。这些数据对患者咨询具有启示意义，并有助于深入了解SSNHL的病理生理学。
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