Narożny Waldemar, Tretiakow Dmitry, Skorek Andrzej
Gdański Uniwersytet Medyczny / Medical University of Gdansk, Gdańsk, Poland (Katedra i Klinika Otolaryngologii / Department of Otolaryngology).
Med Pr. 2021 Jun 30;72(3):321-325. doi: 10.13075/mp.5893.01083. Epub 2021 Apr 2.
In 2019, COVID-19, the disease caused by the SARS-CoV-2 virus, evolved into a pandemic which is still going on. The basic clinical symptoms of the SARS-CoV-2 infection are: fever, dry cough, fatigue, muscle pain, respiratory problems, and the loss of smell or taste. Other symptoms, including those related to hearing and balance organs (hearing loss, tinnitus, dizziness), are reported less frequently by patients. They are especially rarely reported as the first symptoms of this infection. In order to answer the question of whether SARS-CoV-2 can cause hearing and balance damage, the authors reviewed the literature sources from 2019-2020 included in EMBASE and PubMed, entering the following words: "hearing loss," "COVID-19," "coronavirus," "sensorineural hearing loss," "vertigo," and "dizziness." Ultimately, 9 studies on the possible relationship between hearing impairment and SARS-CoV-2, and 4 studies on the possible relationship between damage to the balance and SARS-CoV-2, were qualified for the study. The results of the analysis suggest a possible relationship between COVID-19 and hearing loss, with no evidence of a similar relationship between this virus and the balance system. The possible existence of such a relationship should be especially remembered by hospital emergency room doctors, otolaryngologists and audiologists, especially as regards the possibility of a sudden sensironeural hearing loss as the first symptom of COVID-19. This also applies to doctors of other specialties. The authors indicate the need for further, intensive and multifaceted research on this issue. Med Pr. 2021;72(3):321-5.
2019年，由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）病毒引起的2019冠状病毒病演变成了一场仍在持续的大流行。SARS-CoV-2感染的基本临床症状为：发热、干咳、乏力、肌肉疼痛、呼吸问题以及嗅觉或味觉丧失。患者较少报告其他症状，包括与听觉和平衡器官相关的症状（听力丧失、耳鸣、头晕）。这些症状尤其很少作为这种感染的首发症状被报告。为了回答SARS-CoV-2是否会导致听力和平衡损害这一问题，作者回顾了2019年至2020年EMBASE和PubMed中收录的文献来源，输入了以下词汇：“听力丧失”“2019冠状病毒病”“冠状病毒”“感音神经性听力损失”“眩晕”和“头晕”。最终，9项关于听力障碍与SARS-CoV-2可能关系的研究以及4项关于平衡损害与SARS-CoV-2可能关系的研究符合该研究要求。分析结果表明2019冠状病毒病与听力损失之间可能存在关联，没有证据表明该病毒与平衡系统之间存在类似关联。医院急诊室医生、耳鼻喉科医生和听力学家尤其应牢记这种关联可能存在，特别是考虑到突发感音神经性听力损失作为2019冠状病毒病首发症状的可能性。这也适用于其他专科医生。作者指出有必要对这个问题进行进一步、深入和多方面的研究。《医学实践》。2021年；72(3):321 - 325。
