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冲浪者的外耳道骨瘤:全面而系统的综述。

External auditory exostosis among surfers: a comprehensive and systematic review.

机构信息

Department of Epidemiology and Public Health, Foch Hospital, Suresnes, France.

出版信息

Eur Arch Otorhinolaryngol. 2024 Feb;281(2):573-578. doi: 10.1007/s00405-023-08258-5. Epub 2023 Sep 30.

DOI:10.1007/s00405-023-08258-5
PMID:37777626
Abstract

OBJECTIVE

External auditive exostosis (EAE), known as surfer's ear, is a temporal bone outgrowth resulting from ear exposure to cold air and water. This review aims to shed light on the prevalence of EAE among worldwide surfers.

METHODS

By a thorough retrieval of the PubMed, we found all original investigations performed on EAE among suffers. The retrieval time was from the construction of the database to December 2022. Agency for Healthcare Research and Quality (AHRQ) methodology checklist for assessing the quality of cross-sectional/prevalence study was performed.

RESULTS

19 articles were selected involving 2997 surfers on whom 2032 presented EAE. The prevalence of EAE was ranged from 53 to 90% with a mean at 67.8%. 3 investigations were performed from USA, five from UK and Ireland, five from Australia and New Zealand and six from Japan and Europe.

CONCLUSION

Cold water exposure, combined with wind and prolonged surfing activity, contributes to the development of EAE. Symptoms range from mild discomfort to hearing loss and recurrent infections. Preventive measures, such as raising awareness and promoting the use of ear protection, are crucial. Further research is needed to improve prevention strategies and understand the underlying mechanisms of EAE.

摘要

目的

外耳骨性外生(EAE),俗称冲浪耳,是由于耳朵暴露于冷空气和水中而导致的颞骨外生。本综述旨在阐明全球冲浪者中 EAE 的流行情况。

方法

通过对 PubMed 的全面检索,我们找到了所有针对冲浪者 EAE 的原始研究。检索时间从数据库建立到 2022 年 12 月。我们对评估横断面/患病率研究质量的美国医疗保健研究与质量局(AHRQ)方法检查表进行了执行。

结果

共选择了 19 篇文章,涉及 2997 名冲浪者,其中 2032 名患有 EAE。EAE 的患病率范围为 53%至 90%,平均为 67.8%。有 3 项研究来自美国,5 项来自英国和爱尔兰,5 项来自澳大利亚和新西兰,6 项来自日本和欧洲。

结论

冷水暴露、风和长时间的冲浪活动共同导致了 EAE 的发生。症状从轻微不适到听力损失和反复感染不等。提高认识和推广使用耳朵保护装置等预防措施至关重要。需要进一步研究以改善预防策略并了解 EAE 的潜在机制。

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External auditory exostosis among surfers: a comprehensive and systematic review.冲浪者的外耳道骨瘤:全面而系统的综述。
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本文引用的文献

1
An awareness and prevalence study of Irish cold-water athletes and external auditory canal exostoses.爱尔兰冷水运动员与外耳道外生骨疣的认知与流行研究。
J Laryngol Otol. 2022 Jul;136(7):659-667. doi: 10.1017/S0022215121004369. Epub 2022 Jan 7.
2
Evaluation of a Wearable Non-Invasive Thermometer for Monitoring Ear Canal Temperature during Physically Demanding (Outdoor) Work.评估一种可穿戴的非侵入式耳温计,用于监测体力要求高(户外)工作期间的耳道温度。
Int J Environ Res Public Health. 2021 May 4;18(9):4896. doi: 10.3390/ijerph18094896.
3
Auditory exostosis in Australian warm water surfers: a cross-sectional study.
澳大利亚温水冲浪者的外耳道外生骨疣:一项横断面研究。
BMC Sports Sci Med Rehabil. 2021 May 15;13(1):52. doi: 10.1186/s13102-021-00281-5.
4
Australian surfers' awareness of 'surfer's ear'.澳大利亚冲浪者对“冲浪者耳”的认知。
BMJ Open Sport Exerc Med. 2020 Feb 24;6(1):e000641. doi: 10.1136/bmjsem-2019-000641. eCollection 2020.
5
Methodological quality (risk of bias) assessment tools for primary and secondary medical studies: what are they and which is better?主要和次要医学研究的方法学质量(偏倚风险)评估工具:它们是什么,哪个更好?
Mil Med Res. 2020 Feb 29;7(1):7. doi: 10.1186/s40779-020-00238-8.
6
External auditory exostoses among western Eurasian late Middle and Late Pleistocene humans.西方欧亚大陆晚更新世中晚期人类的外耳外生骨赘。
PLoS One. 2019 Aug 14;14(8):e0220464. doi: 10.1371/journal.pone.0220464. eCollection 2019.
7
Bilateral External Auditory Exostoses Causing Conductive Hearing Loss: A Case Report and Literature Review of the Surfer's Ear.双侧外耳道外生骨疣导致传导性听力损失:冲浪者耳的病例报告及文献综述
Cureus. 2017 Oct 30;9(10):e1810. doi: 10.7759/cureus.1810.
8
Acute Illness Among Surfers After Exposure to Seawater in Dry- and Wet-Weather Conditions.在干燥和潮湿天气条件下接触海水后冲浪者中的急性疾病
Am J Epidemiol. 2017 Oct 1;186(7):866-875. doi: 10.1093/aje/kwx019.
9
Ear discomfort in a competitive surfer.一名竞技冲浪者的耳部不适
Aust Fam Physician. 2016 Sep;45(9):644-6.
10
Awareness and attitudes towards external auditory canal exostosis and its preventability in surfers in the UK: cross-sectional study.英国冲浪者对外耳道外生骨疣及其可预防性的认知与态度:横断面研究
J Laryngol Otol. 2016 Jul;130(7):628-34. doi: 10.1017/S0022215116008082. Epub 2016 Jun 6.