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突发性不明原因感音神经性听力损失后是否应避免短期飞行?

Should air travel be avoided shortly after an idiopathic sudden sensorineural hearing loss?

机构信息

Department of Otolaryngology, Head & Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

出版信息

Acta Otolaryngol. 2020 Aug;140(8):659-663. doi: 10.1080/00016489.2020.1754461. Epub 2020 Apr 22.

DOI:10.1080/00016489.2020.1754461
PMID:32319331
Abstract

: The effect of air travel on the recovery rate after idiopathic sudden sensorineural hearing loss (ISSNHL) has not been established. The advice to avoid flights is essentially based upon conjecture.: To analyze the recovery rate of patients who traveled by air shortly after they were treated for ISSNHL.: The hospital records of 115 newly diagnosed adult patients with unilateral ISSNHL were retrospectively collected. Included were patients who traveled by air within 90 days since the ISSNHL occurrence. The treatment protocol included oral prednisone and intratympanic dexamethasone injection when indicated. Audiograms performed upon presentation and 90 days later were compared.: Twelve patients were included (median age 45.5 years). The median treatment delay was 3 days. The average time from the ISSNHL to air-travel was 37 days, and the average air-travel distance was 13,362 km. The degree of HL was moderate, moderately severe, and severe (4 patients each). Seven patients (58%) underwent full recovery. No patients experienced further deterioration of their audiometric results after air-travel.: This study does not support the avoidance of air-travel after ISSNHL.: This study is the first to investigate the effect of air-travel on ISSNHL recovery rates, a clinical question that rises commonly.

摘要

航空旅行对特发性突发性聋(ISSNHL)患者恢复率的影响尚未确定。建议避免飞行主要是基于推测。

分析航空旅行后不久接受 ISSNHL 治疗的患者的恢复率。

回顾性收集了 115 例新诊断的单侧 ISSNHL 成年患者的医院记录。包括在 ISSNHL 发生后 90 天内乘坐飞机的患者。治疗方案包括口服泼尼松和有指征时鼓室内注射地塞米松。比较就诊时和 90 天后的听力图。

纳入 12 例患者(中位年龄 45.5 岁)。中位治疗延迟 3 天。从 ISSNHL 到航空旅行的平均时间为 37 天,平均航空旅行距离为 13362 公里。听力损失程度为中度、中重度和重度(各 4 例)。7 例(58%)患者完全康复。航空旅行后,没有患者的听力测试结果进一步恶化。

本研究不支持 ISSNHL 后避免航空旅行。

本研究首次调查了航空旅行对 ISSNHL 恢复率的影响,这是一个常见的临床问题。

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