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耳部感染对听力的影响:关于中耳炎并发症的叙述性综述

Effect of Ear Infections on Hearing Ability: A Narrative Review on the Complications of Otitis Media.

作者信息

Jamal Abdullah, Alsabea Abdulla, Tarakmeh Mohammad

机构信息

Otolaryngology, Zain Hospital, Kuwait City, KWT.

Cardiology, Mohammed Bin Khalifa Bin Salman Al Khalifa Specialist Cardiac Centre, Awali, BHR.

出版信息

Cureus. 2022 Jul 28;14(7):e27400. doi: 10.7759/cureus.27400. eCollection 2022 Jul.

Abstract

Otitis media (OM) is an infection that occurs in the middle ear and can affect the structures around the ear, as well as the auditory system. It is one of the most frequent diseases affecting young children each year, especially those aged around six years, due to the anatomical structure and developing immune system. Although some cases of OM resolve spontaneously, children often need medical care since difficulties persist with such infections. The incidence of OM is higher among children than adults, and therefore, their speaking, hearing, and learning capabilities and general development are impaired by recurring middle ear infections. The literature over the last 40 years has documented the impact of early auditory deprivation produced by early OM with effusion (OME) on central auditory processing (CAP). This study aimed to review the impact of acute ear infections on hearing capacity, assess the complications of OM, and document the scientific evidence around the implications of early OME-induced hearing loss in children. Studies have reported the association between hearing loss owing to early OME and alterations in CAP in both children and adolescents. The auditory foundation enables hearing capacity, but this is continually depleted. Therefore, the use of strong antibiotics, sound amplification, hearing rehabilitation, and ear surgery in children must be improved.

摘要

中耳炎(OM)是一种发生在中耳的感染,可影响耳部周围结构以及听觉系统。由于解剖结构和免疫系统发育的原因,它是每年影响幼儿,尤其是6岁左右儿童的最常见疾病之一。尽管一些中耳炎病例可自行痊愈,但由于此类感染持续存在困难,儿童通常需要医疗护理。中耳炎在儿童中的发病率高于成人,因此,反复的中耳感染会损害他们的语言、听力、学习能力以及总体发育。过去40年的文献记录了早期渗出性中耳炎(OME)导致的早期听觉剥夺对中枢听觉处理(CAP)的影响。本研究旨在综述急性耳部感染对听力的影响,评估中耳炎的并发症,并记录有关早期OME引起儿童听力损失影响的科学证据。研究报告了儿童和青少年中早期OME导致的听力损失与CAP改变之间的关联。听觉基础使听力得以实现,但这种基础不断被消耗。因此,必须改进儿童强效抗生素的使用、声音放大、听力康复和耳部手术。

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本文引用的文献

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The effects of otitis media with effusion on the measurement of auditory evoked potentials.中耳积液对听觉诱发电位测量的影响。
Int J Pediatr Otorhinolaryngol. 2020 Jun;133:109978. doi: 10.1016/j.ijporl.2020.109978. Epub 2020 Mar 5.
3
Otitis Media: Long-Term Effect on Central Auditory Nervous System.中耳炎:对中枢听觉神经系统的长期影响
Biomed Res Int. 2019 Mar 28;2019:8930904. doi: 10.1155/2019/8930904. eCollection 2019.
8
Auditory processing abilities in children with chronic otitis media with effusion.分泌性中耳炎患儿的听觉处理能力
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10
Long-term hearing deficits after childhood middle ear disease.儿童期中耳疾病后的长期听力缺陷
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