노인의 돌발성 난청
Sudden Deafness in the Elderly
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참고문헌
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초록
Abstract
Background and Objectives：Sudden deafness in the elderly is rare and its prognosis is porer than in adults. The unafected ear also may have hearing impairment of variable severity and physiological hearing threshold shift termed presbycusis in the to evaluate clinical manifestations and prognosis of sudden deafness in the elderly and to compare with sudden deafness in adults and children. Subjects and Method：We reviewed the medical and audiological records of 96 patients (102 ears) who are more than 60 years of age, and admited to the Department of Otolaryngology, Pusan National University Hospital from January 1990 to December 2001. Results：Hearing recovery was significantly porer in the patients with diabetes and hypertension. Hearing recovery was significantly poor in the patients with profound degree of hearing los. The patients who had been treated within 7 days after onset of hearing los showed better recovery rate than those treated 7 days later. Conclusion：We consider the efect of treatment of sudden deafness patients with the concurrent disease is likely to have been brought about by preexisting microvascular diseases of the hearing organ, which is highly afected by aging. Good hearing recovery in the elderly is considered to be associated with time of initial treatment and expected in patients without concurrent diseases.
참고문헌 (19)
- "Clinical practice of sudden hearing loss. 1st ed." (1995), Pusan:Jung myung dang Co
- "Hearing loss due to aging (presbycusis).", 15, pp.239~244 (1986)
- "The treatment of idiopathic sudden sensorineural hearingloss", 8, pp.467~473 (1975)
- "Treatment of suddensensorineural hearing loss with systemic steroids and valacyclovir", 23, pp.301~308 (2002)
- "Sudden hearing loss:Eight years experience and suggestedprognostic table", 94, pp.647~661 (1984)
- "Natural history of sudden sensorineuralhearing loss", 86, pp.463~480 (1997)
- "Sudden sensorineural hearing impairment. Areport of 1,220 cases.", 86, pp.389~398 (1976)
- "Clinical analysis of idiopathic suddensensorineural hearing loss", 29, pp.191~200 (1986)
- "Clinical analysis ofsudden hearing loss", 38, pp.834~841 (1995)
- "Vasodilator therapy in sensorineural hearing loss", 70, pp.885~914 (1960)
- "Sudden hearing loss:An update", 9, pp.211~215 (1988)
- "Prognosis of sudden deafness with special reference to risk factorsof microvascular pathology", 26, pp.111~115 (1999)
- "Clinical analysis of sudden deafness", 2, pp.39~43 (1993)
- "Clinical observation of suddendeafness in children", 45, pp.456~461 (2002)
- "Evaluation of a "shotgun" regimenfor sudden hearing loss.", 97, pp.474~480 (1987)
- "Seventy-six case of presumed sudden hearing loss occurringin 1973:Prognosis and incidence", 87, pp.817~824 (1977)
- "Sudden deafness in the elderly", 97, pp.233~239 (1994)
- "Sudden sensorineural hearing loss", 16, pp.189~195 (1983)
- "Clinical analysis of suddensensorineural hearing loss", 37, pp.231~239 (1994)