Variables with prognostic value in the onset of idiopathic sudden sensorineural hearing loss
Variables with prognostic value in the onset of idiopathic sudden sensorineural hearing loss
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DOI：
10.1016/j.bjorl.2015.07.012
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发表时间：
2015-10-01
影响因子：
2.2
通讯作者：
Penido, Norma de Oliveira
中科院分区：
文献类型：
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作者：
Bogaz, Eduardo Amaro;Maranhão, André Souza de Albuquerque;Penido, Norma de Oliveira
简介：由于病因的多样性，在诊断为特发性突发性感音神经性听力损失（ISSHL）的患者中建立个体化预后评估仍然是一项困难且不精确的任务。确定哪些变量具有预后价值的初步评估的patient. Objective：在临床practice.Objective：确定哪些变量可识别的发病时特发性突发性感音神经性听力损失有预后价值的最终hearingrecovery.Methods：前瞻性，纵向队列研究。纳入了一家四级医院耳科-神经耳科随访的ISSHL患者。以下变量进行了评估，并与最终的听力恢复：年龄，性别，眩晕，耳鸣，听力损失的初始程度，对侧耳听力，和经过的时间treatment.Results：127例ISSHL进行了评估。绝对和相对恢复率分别为23.6dB和37.2%。听力完全改善者占15.7%，明显改善者占27.6%，改善者占57.5%。结论：ISSHL发病时，头晕、极重度听力损失、对侧耳听力受损、治疗延迟等因素与预后不良有关。ISSHL发作时的耳鸣与较好的预后相关。(C)2015年巴西耳鼻喉科和颈面部手术协会。出版社：Elsevier Editora Ltda All rights reserved.
Introduction: The establishment of an individualized prognostic evaluation in patients with a diagnosis of idiopathic sudden sensorineural hearing loss (ISSHL) remains a difficult and imprecise task, due mostly to the variety of etiologies. Determining which variables have prognostic value in the initial assessment of the patient would be extremely useful in clinical practice.Objective: To establish which variables identifiable at the onset of idiopathic sudden sensorineural hearing loss have prognostic value in the final hearing recovery.Methods: Prospective, longitudinal cohort study. Patients with ISSHL followed by the Department of Otology-Neurotology of a quaternary hospital were included. The following variables were evaluated and correlated with final hearing recovery: age, gender, vertigo, tinnitus, initial degree of hearing loss, contralateral ear hearing, and elapsed time to treatment.Results: 127 patients with ISSHL were evaluated. Rates of absolute and relative recovery were 23.6 dB and 37.2% respectively. Complete hearing improvement was observed in 15.7% patients; 27.6% demonstrated significant improvement and improvement was noted in 57.5%.Conclusion: During the onset of ISSHL, the following variables were correlated with a worse prognosis: dizziness, profound hearing loss, impaired hearing in the contralateral ear, and delay to start treatment. Tinnitus at the onset of ISSHL correlated with a better prognosis. (C) 2015 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda. All rights reserved.