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儿童头部受伤后的听觉障碍

Auditory disorders following head injury in children.

作者信息

Vartiainen E, Karjalainen S, Kärjä J

出版信息

Acta Otolaryngol. 1985 May-Jun;99(5-6):529-36. doi: 10.3109/00016488509182257.

Abstract

199 children with blunt head injury were examined. Eighteen fractures of the temporal bone were found, two of which were transverse. In both cases the damaged ear remained completely deaf. Of the 16 longitudinal fracture patients, one was left with a persistent 27 dB conductive hearing loss. In another, surgery revealed fractures of the stapedial crura. Persistent sensorineural hearing loss (greater than or equal to 30 dB) at high frequencies (4 to 8 kHz) was observed in 7% of patients. The results of the audiological tests led to the conclusion that sensorineural hearing loss in association with head injury is generally located in the inner ear. The auditory sequelae after head injury in children were found to be similar to those reported earlier in adults.

摘要

对199名钝性头部损伤患儿进行了检查。发现18例颞骨骨折,其中2例为横行骨折。在这两例中,受伤耳朵完全失聪。16例纵行骨折患者中,1例遗留27 dB的持续性传导性听力损失。另一例手术显示镫骨脚骨折。7%的患者在高频(4至8 kHz)出现持续性感音神经性听力损失(大于或等于30 dB)。听力测试结果得出结论,与头部损伤相关的感音神经性听力损失通常位于内耳。发现儿童头部损伤后的听觉后遗症与早期报道的成人相似。

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