Sood Rachit, Gupta Kartikesh, Varshney Saurabh, Kumar Amit, Tyagi Amit Kumar, Devi Nongthombam Surjalata
Department of ENT, AIIMS Rishikesh, Uttarakhand, 249201 India.
Department of ENT, Shyam Shah Medical College, Rewa, Madhya Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):4177-4182. doi: 10.1007/s12070-021-02916-y. Epub 2021 Oct 8.
Unilateral Sensorineural Hearing Loss (USNHL) can present with varying symptoms apart from hearing loss, such as dizziness and tinnitus. Impaired sound localization, inability to identify speech in noise and decreased temporal summation can significantly impair the daily activities of an individual. This along with dizziness and tinnitus affects the physical, mental and social health as well. The purpose of this study is to assess and correlate the spectrum of handicap faced by USNHL patients. Validated questionnaires were used to evaluate handicap in 42 USNHL patients due to hearing loss (Hearing Handicap Inventory for Adults-HHIA), dizziness (Dizziness Handicap Inventory-DHI) and tinnitus (Tinnitus Handicap Inventory-THI). These handicaps were then correlated with each other using Spearman's correlation coefficient. Statistically significant strong positive correlation of HHIA was seen with DHI (rho = 0.60, ≤ 0.001) and THI (rho = 0.74, ≤ 0.001). Similarly, strong positive correlation was seen between emotional subscales of HHIA and DHI (rho = 0.73, ≤ 0.001). USNHL can lead to significant emotional and social handicap which is compounded in the presence of hearing loss, dizziness and tinnitus. These handicaps are strongly correlated to one another. Hence, a holistic approach is needed for USNHL rehabilitation. There exists a need to develop a comprehensive measure to assess and grade the handicap faced by these patients.
单侧感音神经性听力损失（USNHL）除听力损失外还可能伴有多种症状，如头晕和耳鸣。声音定位受损、在噪声环境中无法识别言语以及时间总和减少会严重影响个体的日常活动。这与头晕和耳鸣一起还会影响身体、心理和社会健康。本研究的目的是评估和关联USNHL患者所面临的残障范围。使用经过验证的问卷来评估42例因听力损失（成人听力残障量表-HHIA）、头晕（头晕残障量表-DHI）和耳鸣（耳鸣残障量表-THI）导致的残障情况。然后使用斯皮尔曼相关系数将这些残障情况相互关联。HHIA与DHI（rho = 0.60，≤0.001）和THI（rho = 0.74，≤0.001）之间存在统计学上显著的强正相关。同样，HHIA和DHI的情感子量表之间也存在强正相关（rho = 0.73，≤0.001）。USNHL可导致严重的情感和社会残障，在存在听力损失、头晕和耳鸣的情况下会更加严重。这些残障情况彼此密切相关。因此，USNHL康复需要采取整体方法。有必要制定一种综合措施来评估和分级这些患者所面临的残障情况。
