우리나라(한국)의 이명검사 현황 및 이명검사 방법제안
Current Trends in the Assessment of Patients with Tinnitus and the Proposal of Tinnitus Assessment in Korea
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초록
Background and Objectives The effective management of tinnitus should start with an accurate diagnosis, but no concensus has been developed in Korea concerning how to measure the features of tinnitus. This study surveyed otologists in the training hospitals and hospitals specialized in otologic care in Korea to identify the current status in the assessment of patients with tinnitus. Subjects and Method The questionnaire on the assessment of tinnitus was sent by email to otologists in training and to specialized hospitals specializing in otologics in Korea. The questionnaire included inquiry about various types of tests conducted, such as the audiologic test, tinnitus test, blood test, radiologic test, and the methods of history taking and physical examination for somatic tinnitus. Results Regarding the audiologic assessment of tinnitus, all the otologist were using pure tone audiometry, 97% speech audiometry, and 87% tinnitus test. For the psychophysical measure of tinnitus, both loudness and pitch matching were conducted by all the otologists. The performance rate of blood test were 38.5%, and the most preferred radiologic test in pulsatile tinnitus was temporal bone computed tomography (59%). Finally, the rate of investigation including the history taking and physical examination of somatic tinnitus was between 74-84%. Conclusion Our results showed that although the tests perfermed by otologists varied, the essential tests for assessing tinnitus were commonly practiced. We analyzed the current status of tinnitus assessment and supplemented guidlines to help measure tinnitus. Further concensus on tinnitus diagnosis is needed, particularly about the standadized and unified principles. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(10):671-86
Abstract
Background and Objectives The effective management of tinnitus should start with an accurate diagnosis, but no concensus has been developed in Korea concerning how to measure the features of tinnitus. This study surveyed otologists in the training hospitals and hospitals specialized in otologic care in Korea to identify the current status in the assessment of patients with tinnitus. Subjects and Method The questionnaire on the assessment of tinnitus was sent by email to otologists in training and to specialized hospitals specializing in otologics in Korea. The questionnaire included inquiry about various types of tests conducted, such as the audiologic test, tinnitus test, blood test, radiologic test, and the methods of history taking and physical examination for somatic tinnitus. Results Regarding the audiologic assessment of tinnitus, all the otologist were using pure tone audiometry, 97% speech audiometry, and 87% tinnitus test. For the psychophysical measure of tinnitus, both loudness and pitch matching were conducted by all the otologists. The performance rate of blood test were 38.5%, and the most preferred radiologic test in pulsatile tinnitus was temporal bone computed tomography (59%). Finally, the rate of investigation including the history taking and physical examination of somatic tinnitus was between 74-84%. Conclusion Our results showed that although the tests perfermed by otologists varied, the essential tests for assessing tinnitus were commonly practiced. We analyzed the current status of tinnitus assessment and supplemented guidlines to help measure tinnitus. Further concensus on tinnitus diagnosis is needed, particularly about the standadized and unified principles. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(10):671-86
참고문헌 (27)
- Møller AR, "Textbook of Tinnitus" (2011), Springer
- 조양선, "Prevalence of Otolaryngologic Diseases in South Korea: Data from the Korea National Health and Nutrition Examination Survey 2008", Clinical and Experimental Otorhinolaryngology, 3(4), pp.183~193 (2010), 대한이비인후과학회
- Møller AR, "Textbook of Tinnitus", pp.95~102 (2011), Springer
- Landgrebe M, "The Tinnitus Research Initiative (TRI) database: a new approach for delineation of tinnitus subtypes and generation of predictors for treatment outcome", BMC Med Inform Decis Mak, 10(42) (2010)
- Langguth B, "Consensus for tinnitus patient assessment and treatment outcome measurement: Tinnitus Research Initiative meeting, Regensburg, July 2006", Prog Brain Res, 166, pp.525~536 (2007)
- 유화종, "이명 클리닉을 내원한 환자의 진단적 분류에 따른 빈도와 임상적 특성", 대한이비인후과학회지 두경부외과학, 54(6), pp.392~398 (2011), 대한이비인후과학회
- Ambrosetti U, "Textbook of Tinnitus", pp.409~416 (2011), Springer
- Chon KM, "Korean Society of Otorhinolaryngology-Head and Neck Surgery, Otorhinolaryngology-Head and Neck Surgery", pp.938~950 (2009), Ilchokak
- Bauer CA, "Cummings Otolaryngology-Head and Neck Surgery", pp.2010, Mosby
- Park SN, "Tinnitus test, The Korean Audiological Society, Practical manual of Hearing tests", pp.269~285 (2008), Hakjisa
- Japan Tinnitus Research Society, "Standard Tinnitus Test", ~ (1993)
- Chon KM, "Diagnosis and treatment of tinnitus", J Clin Otolaryngol, 7(2), pp.326~339 (1996)
- Levine SB, "Pulsatile tinnitus", Laryngoscope, 97(4), pp.401~406 (1987)
- Lockwood AH, "Tinnitus: Theory and Management", pp.255~264 (2004), BC Decker Inc
- Sismanis A, "Pulsatile tinnitus", Otolaryngol Clin North Am, 36(2), pp.389~402 (2003)
- Liyanage SH, "Pulsatile tinnitus", J Laryngol Otol, 120(2), pp.93~97 (2006)
- Sismanis A, "Pulsatile tinnitus: contemporary assessment and management", Curr Opin Otolaryngol Head Neck Surg, 19(5), pp.348~357 (2011)
- Madani G, "Imaging in pulsatile tinnitus", Clin Radiol, 64(3), pp.319~328 (2009)
- 배성천, "Single-Center 10-Year Experience in Treating Patients With Vascular Tinnitus: Diagnostic Approaches and Treatment Outcomes", Clinical and Experimental Otorhinolaryngology, 8(1), pp.7~12 (2015), 대한이비인후과학회[DOI]
- Levine RA, "Tinnitus: Theory and Management", pp.109~124 (2004), BC Decker Inc
- Sanchez TG, "Textbook of Tinnitus", pp.429~433 (2011), Springer
- Levine RA, "Mechanisms of tinnitus", pp.149~162 (1995), Allyn and Bacon
- Nam EC, "Somatic tinnitus", Kyung Hee Tinnitus Serminar, pp.25~42 (2009)
- Yeo SW, "Current Opinion on Tinnitus" (2011), The Korean Otologic Society
- Henry JA, "Clinical guide for audiologic tinnitus management I: Assessment", Am J Audiol, 14(1), pp.21~48 (2005)
- 박시내, "이명재훈련치료의 적용 방법과 치료 효과", 대한이비인후과학회지 두경부외과학, 45(3), pp.231~237 (2002), 대한이비인후과학회
- Henry JA, "Comparison of manual and computer-automated procedures for tinnitus pitch-matching", J Rehabil Res Dev, 41(2), pp.121~138 (2004)