Quality of Life and Hearing Eight Years After Sudden Sensorineural Hearing Loss
Quality of Life and Hearing Eight Years After Sudden Sensorineural Hearing Loss
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DOI：
10.1002/lary.26133
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发表时间：
2017-04-01
期刊：
影响因子：
2.6
通讯作者：
Vasama, Juha-Pekka
中科院分区：
文献类型：
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作者：
Harkonen, Kati;Kivekas, Ilkka;Vasama, Juha-Pekka
### 目的/假设
探讨特发性突发性感音神经性听力损失（ISSNHL）后患者的长期听力结果、生活质量（QoL）、听力质量（QoH）、工作相关压力、耳鸣及平衡问题。
### 研究设计
横断面研究。
### 方法
我们回顾了680例单侧ISSNHL患者在听力受损后平均8年的听力图，然后根据ISSNHL是否恢复至正常水平（纯音平均听阈[PTA]≤30 dB）将患者分为两个研究组。纳入标准为患耳在72小时内至少三个连续频率的听力阈值下降30 dB或更多，且对侧耳听力正常。217例患者的听力图符合标准。我们查阅了他们的病历；使用特定问卷评估当前的生活质量、听力质量及工作相关压力；并更新听力状况。
### 结果
ISSNHL后听力预后不佳与年龄、听力损失严重程度以及ISSNHL伴眩晕相关。听力恢复患者的生活质量和听力质量在统计学上显著更好，且这些患者的耳鸣和平衡问题在统计学上显著更少。在8年的随访期间，患耳的PTA平均恶化7 dB，健耳恶化6 dB。
### 结论
未恢复的特发性突发性感音神经性听力损失对长期生活质量和听力质量有负面影响。患耳和健耳的听力均随年龄增长而恶化，且两组之间无差异。ISSNHL的累积复发率为3.5%。
### 证据等级
4 《喉镜》，2017年，第127卷，第927 - 931页
Objectives/HypothesisTo explore long-term hearing results, quality of life (QoL), quality of hearing (QoH), work-related stress, tinnitus, and balance problems after idiopathic sudden sensorineural hearing loss (ISSNHL).Study DesignCross-sectional study.MethodsWe reviewed the audiograms of 680 patients with unilateral ISSNHL on average 8 years after the hearing impairment, and then divided the patients into two study groups based on whether their ISSNHL had recovered to normal (pure tone average [PTA] 30 dB) or not (PTA > 30 dB). The inclusion criteria were a hearing threshold decrease of 30 dB or more in at least three contiguous frequencies occurring within 72 hours in the affected ear and normal hearing in the contralateral ear. Audiograms of 217 patients fulfilled the criteria. We reviewed their medical records; measured present QoL, QoH, and work-related stress with specific questionnaires; and updated the hearing status.ResultsPoor hearing outcome after ISSNHL was correlated with age, severity of hearing loss, and vertigo together with ISSNHL. Quality of life and QoH were statistically significantly better in patients with recovered hearing, and the patients had statistically significantly less tinnitus and balance problems. During the 8-year follow-up, the PTA of the affected ear deteriorated on average 7 dB, and healthy ear deteriorated 6 dB.ConclusionIdiopathic sudden sensorineural hearing loss that failed to recover had a negative impact on long-term QoL and QoH. The hearing deteriorated as a function of age similarly both in the affected and the healthy ear, and there were no differences between the groups. The cumulative recurrence rate for ISSNHL was 3.5%.Level of Evidence4 Laryngoscope, 127:927-931, 2017