Thakur Chandan Kumari, Gupta Ankur, Kumar Ashok
Department of Otorhinolaryngology, PGIMER Dr. Ram Manohar Lohia Hospital, Room No. 205, Second Floor, New Delhi, India.
Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):13-15. doi: 10.1007/s12070-019-01761-4. Epub 2019 Nov 8.
Sensori-neural hearing loss (SNHL) results from inner ear damage or injury to the neural pathways that relay signals from the inner ear to the brain. A serious sequelae of COM is damage to the inner ear. This study aimed at finding the occurrence of SNHL in unilateral mucosal COM. One Hundred patients who had unilateral mucosal COM were enrolled in the study and underwent pure tone audiometry using Audio 4002 system in acoustically treated room. Bone conduction (BC) threshold less than 20 dB was taken as normal. Significant SNHL of 23% was seen in mucosal COM. Unilateral mucosal COM leads to significant impact on BC thresholds. The risk of SNHL increases with larger perforation size and increasing duration and active stage of disease.
感音神经性听力损失(SNHL)是由内耳损伤或从内耳向大脑传递信号的神经通路损伤引起的。慢性中耳炎(COM)的一个严重后遗症是内耳损伤。本研究旨在探讨单侧黏膜性COM中SNHL的发生率。100例单侧黏膜性COM患者纳入本研究,并在声学处理室使用Audio 4002系统进行纯音听力测试。骨导(BC)阈值小于20dB被视为正常。在黏膜性COM中观察到23%的显著SNHL。单侧黏膜性COM对BC阈值有显著影响。SNHL的风险随着穿孔尺寸增大、疾病持续时间延长和活动期增加而增加。