Comparison of Sudden Deafness in Adults and Children
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives. Although many studies have assessed sudden deafness in adults, sudden deafness has not been evaluated in children. We therefore evaluated the differences in sudden deafness between children and adults. Methods. We compared clinical manifestations, including gender, audiogram pattern of initial hearing loss, and recovery rate after treatment in 87 children and 707 adults diagnosed with sudden deafness from September 2003 and August 2012. Results. There were no differences in sex, side, or audiogram between children and adults (P>0.05 each). Hearing recovery rates in children and adults were 72.4% and 70.6%, respectively (P>0.05). Both children and adults with mild hear- ing loss showed significantly greater hearing recovery rates than individuals with profound hearing loss (P<0.05 each). The percentage with initially mild and moderate hearing loss was higher in children than in adults, as were the recovery rates of children compared to adults with initially mild, moderate-severe, and profound hearing loss (P<0.05 each). In regard to final hearing outcome after treatment, a low percentage of children showed no improvement whereas a high percentage showed complete recovery; a higher percentage of children than of adults showed com- plete recovery (P<0.05). Recovery rate from profound hearing loss was significantly higher in children than in adults (60.0% vs. 45.4%, P<0.05). Conclusion. Degree of hearing loss, gender, side, and recovery rate were similar in children and adults, but the rate of com- plete recovery was higher in children.
Abstract
Objectives. Although many studies have assessed sudden deafness in adults, sudden deafness has not been evaluated in children. We therefore evaluated the differences in sudden deafness between children and adults. Methods. We compared clinical manifestations, including gender, audiogram pattern of initial hearing loss, and recovery rate after treatment in 87 children and 707 adults diagnosed with sudden deafness from September 2003 and August 2012. Results. There were no differences in sex, side, or audiogram between children and adults (P>0.05 each). Hearing recovery rates in children and adults were 72.4% and 70.6%, respectively (P>0.05). Both children and adults with mild hear- ing loss showed significantly greater hearing recovery rates than individuals with profound hearing loss (P<0.05 each). The percentage with initially mild and moderate hearing loss was higher in children than in adults, as were the recovery rates of children compared to adults with initially mild, moderate-severe, and profound hearing loss (P<0.05 each). In regard to final hearing outcome after treatment, a low percentage of children showed no improvement whereas a high percentage showed complete recovery; a higher percentage of children than of adults showed com- plete recovery (P<0.05). Recovery rate from profound hearing loss was significantly higher in children than in adults (60.0% vs. 45.4%, P<0.05). Conclusion. Degree of hearing loss, gender, side, and recovery rate were similar in children and adults, but the rate of com- plete recovery was higher in children.
참고문헌 (15)
- Wilson WR, "Why treat sudden hearing loss", Am J Otol, 5(6), pp.481~483 (1984)
- Fetterman BL, "Prognosis and treatment of sudden sensorineural hearing loss", Am J Otol, 17(4), pp.529~536 (1996)
- Mattox DE, "Natural history of sudden sensorineural hearing loss", Ann Otol Rhinol Laryngol, 86(4), pp.463~480 (1977)
- Xenellis J, "Idiopathic sudden sensorineural hearing loss: prognostic factors", J Laryngol Otol, 120(9), pp.718~724 (2006)
- Meyerhoff WL, "Sudden deafness", Tex Med, 72(1), pp.80~83 (1976)
- Siegel LG, "The treatment of idiopathic sudden sensorineural hearing loss", Otolaryngol Clin North Am, 8(2), pp.467~473 (1975)
- Byl FM, "Seventy-six cases of presumed sudden hearing loss occurring in 1973: prognosis and incidence", Laryngoscope, 87(5 Pt 1), pp.817~825 (1977)
- Chon KM, "The presumptive factors concerning to the prognosis of sudden deafness", Korean J Otolaryngol-Head Neck Surg, 31(2), pp.250~258 (1988)
- Chen YS, "Idiopathic sudden sensorineural hearing loss in children", Int J Pediatr Otorhinolaryngol, 69(6), pp.817~821 (2005)
- Sheehy JL, "Vasodilator therapy in sensory-neural hearing loss", Trans Am Laryngol Rhinol Otol Soc, 1960, pp.570~602 (1960)
- Roman S, "Prognostic factors of sudden hearing loss in children", Int J Pediatr Otorhinolaryngol, 19(1), pp.17~21 (2001)
- 차창일, "Comparison of Facial Nerve Paralysis in Adults and Children", Yonsei Medical Journal, 49(5), pp.725~734 (2008), 연세대학교의과대학
- Park HM, "Vestibular diagnosis as prognostic indicator in sudden hearing loss with vertigo", Acta Otolaryngol Suppl, 545, pp.80~83 (2001)
- Byl FM Jr, "Sudden hearing loss: eight years’ experience and suggested prognostic table", Laryngoscope, 94(5 Pt 1), pp.647~661 (1984)
- Nakashima T, "Outcome of sudden deafness with and without vertigo", Laryngoscope, 103(10), pp.1145~1149 (1993)