Hultcrantz M, Sylvén L
Department of Otorhinolaryngology, Karolinska Hospital, Stockholm, Sweden.
Hear Res. 1997 Jan;103(1-2):69-74. doi: 10.1016/s0378-5955(96)00165-7.
Forty women with Turner's syndrome aged 16-34 years were tested clinically and audiometrically according to their ear problems and hearing. A high incidence of middle-ear infections was demonstrated. A mid-frequency sensorineural hearing loss was frequently diagnosed and could be correlated to the karyotype. The dip showed a progression with age. Middle-ear problems were more common among women with a dip. An early high-frequency hearing loss could be noted in the present group among the older women. In some cases this had already led to social hearing problems and use of hearing aids. When comparing these women with a group of elderly Turner women the dip was not as deep, the maximum peak was seen in the 2 kHz region and social hearing problems and hearing aids were not as frequent. If no dip was found no major hearing problems could be detected or expected in future life. The data emphasize the importance of early audiological evaluation and information about predisposition to hearing impairment in Turner's syndrome.
对40名年龄在16至34岁之间的特纳综合征女性患者,根据她们的耳部问题和听力情况进行了临床和听力测试。结果显示中耳感染的发生率很高。中频感音神经性听力损失经常被诊断出来,并且与核型相关。听力下降呈随年龄进展的趋势。在有听力下降的女性中,中耳问题更为常见。在该组年龄较大的女性中可以注意到早期高频听力损失。在某些情况下,这已经导致了社交听力问题并需要使用助听器。将这些女性与一组老年特纳综合征女性进行比较时,听力下降没有那么严重,最大峰值出现在2千赫兹区域,社交听力问题和使用助听器的情况也没有那么频繁。如果没有发现听力下降,在未来生活中就检测不到或预计不会出现重大听力问题。这些数据强调了早期听力评估以及关于特纳综合征患者听力损害易感性信息的重要性。