Blast injury of the ear: Clinical update from the global war on terror
Blast injury of the ear: Clinical update from the global war on terror
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DOI：
10.7205/milmed.172.7.726
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发表时间：
2007-07-01
影响因子：
1.2
通讯作者：
Chandler, David W.
中科院分区：
文献类型：
--
作者：
Cave, Kara M.;Cornish, Elizabeth M.;Chandler, David W.
本研究的目的是描述爆炸暴露对听力状况的影响。本研究回顾性分析了全球反恐战争中250例爆炸相关损伤患者的听力阈值和耳科主诉。在接受全面诊断评估的患者中，32%报告鼓膜穿孔史，49%报告耳鸣，26%报告耳痛（耳痛），15%报告头晕。预期听力阈值是通过将年龄校正因素应用于服役人员职业生涯早期和最近部署之前进行的听力测试来计算的。预期的听力阈值明显好于实际的部署后阈值，表明患者的听力发生了重大变化，这不能用年龄来解释。这项研究的结果强调需要记录部署前和部署后的听力测试，并及时对爆炸暴露人群进行耳科评估。
The purpose of this study was to describe the effects of blast exposure on hearing status. This study retrospectively analyzed hearing thresholds and otologic complaints for >250 patients with blast-related injuries from the global war on terror. Of patients who received full diagnostic evaluations, 32% reported a history of tympanic membrane perforation, 49% experienced tinnitus, 26% reported otalgia (ear pain), and 15% reported dizziness. Expected hearing thresholds were computed by applying age-correction factors to hearing tests performed earlier in the service members' careers and before their most recent deployment. Expected hearing thresholds were significantly better than actual postdeployment thresholds, indicating that significant changes occurred in the patients' hearing that could not be accounted for by age. Results from this study underline the need for documentation of pre-and postdeployment hearing tests and prompt otologic evaluation for the blast-exposed population.