Jati Monalisa, Arora Ripu Daman, Koutsu Ruuzeno, Nagarkar Nitin M, Marandi Roshan, Agrawal Kartik
Department of Ear, Nose, and Throat - Head and Neck Surgery, All India Institute of Medical Sciences, Raipur, Raipur, Chhattisgarh, India.
Department of Ear, Nose, and Throat - Head and Neck Surgery, All India Institute of Medical Sciences, Guwahati, Guwahati, Assam, India.
Int Arch Otorhinolaryngol. 2025 Aug 7;29(3):1-7. doi: 10.1055/s-0045-1802578. eCollection 2025 Jul.
Mucormycosis, a fungal infection with severe consequences, gained prominence during the coronavirus disease 2019 (COVID-19) pandemic. While significant efforts were made to understand the systemic implications of mucormycosis, its effect on the auditory system remains unexplored. This study aimed to investigate the auditory implications of mucormycosis through a comprehensive case-control study focusing on hearing loss and middle ear dysfunction. A total of 30 mucormycosis patients without prior auditory issues, and 30 age and gender-matched controls, underwent comprehensive hearing assessment, including pure-tone and immittance audiometry. Statistical analyses, including descriptive statistics, Mann-Whitney U test, Pearson chi-square test, and multiple logistic regression were performed to analyze the data. Mucormycosis patients exhibited significantly higher auditory thresholds across all frequencies compared to controls ( < 0.05). Approximately half of these patients experienced some degree of hearing loss, predominantly mild. Immittance measurement showed a higher prevalence of abnormal tympanograms in mucormycosis patients, indicating middle ear dysfunction. Acoustic reflex was absent in half of the mucormycosis patients suggesting impaired auditory function. The present study revealed significant auditory health impacts of mucormycosis, finding a notable prevalence of hearing loss and middle ear dysfunction, which emphasizes the need for routine audiological evaluations and increased awareness of mucormycosis-related auditory issues. Despite the study's limitations, we identified potential risk factors for hearing impairment, suggesting a need for further large-scale studies to confirm these findings and understand the mechanisms. These insights aim to improve diagnosis, treatment, and prevention strategies for better clinical outcomes.
毛霉病是一种后果严重的真菌感染,在2019冠状病毒病(COVID-19)大流行期间备受关注。尽管人们为了解毛霉病的全身影响付出了巨大努力,但其对听觉系统的影响仍未得到探索。 本研究旨在通过一项针对听力损失和中耳功能障碍的全面病例对照研究,调查毛霉病对听觉的影响。 共有30名无既往听觉问题的毛霉病患者以及30名年龄和性别匹配的对照者接受了全面的听力评估,包括纯音听力计测试和声导抗测试。进行了包括描述性统计、曼-惠特尼U检验、皮尔逊卡方检验和多元逻辑回归在内的统计分析以分析数据。 与对照组相比,毛霉病患者在所有频率下的听觉阈值均显著更高(<0.05)。这些患者中约有一半经历了某种程度的听力损失,主要为轻度。声导抗测量显示毛霉病患者中鼓室图异常的患病率更高,表明存在中耳功能障碍。一半的毛霉病患者声反射消失,提示听觉功能受损。 本研究揭示了毛霉病对听觉健康有重大影响,发现听力损失和中耳功能障碍的患病率显著,这强调了进行常规听力学评估以及提高对毛霉病相关听觉问题认识的必要性。尽管本研究存在局限性,但我们确定了听力障碍的潜在风险因素,表明需要进一步开展大规模研究以证实这些发现并了解其机制。这些见解旨在改善诊断、治疗和预防策略,以获得更好的临床结果。
Int Arch Otorhinolaryngol. 2025-8-7
Cochrane Database Syst Rev. 2016-8-18
Cochrane Database Syst Rev. 2005-1-25
Cochrane Database Syst Rev. 2014-7-12
Health Technol Assess. 2007-8
Cell Commun Signal. 2025-7-26
JAMA Netw Open. 2025-3-3
Lancet Microbe. 2022-7
Indian J Otolaryngol Head Neck Surg. 2022-10
Curr Res Microb Sci. 2021-12
Environ Res. 2021-10
Diabetes Metab Syndr. 2021
J Laryngol Otol. 2021-5
Indian J Ophthalmol. 2021-2
Am J Emerg Med. 2021-4
Clin Microbiol Infect. 2018-7-21