급성 저주파수 난청 치료에 따른 이명의 양상 및 예후
Characteristics and Prognosis of Tinnitus after Treatment in Acute Low-Frequency Sensorineural Hearing Loss
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: Acute Low-frequency sensorineural Hearing Loss (ALHL) is characterized by earfullness, tinnitus and hearing loss restricted to the low frequency region. The aim of this study was to investigate the characteristics and prognosis of tinnitus in ALHL. Methods: We investigated tinnitus characteristics with analyzing tinnitograms and studied correlation between tinnitus improvement and hearing recovery of ALHL patients. We classified hearing change after the four weeks of medical treatment applying oral steroid and diuretics into ‘complete recovery,’ ‘partial recovery,’ and ‘no change.’ Degree of tinnitus improvement following the treatment was categorized as ‘completely disappeared,’ ‘partially improved,’ and ‘persistent.’ Results: Among 46 ALHL patients, tinnitus was reported by 34 (74.0%) patients. After the medical treatment tinnitus completely disappeared in 19 (55.9%), partially improved in 9 (26.5%), and persisted in 6 (17.6%). Among 26 patients who completed tinnitograms, tinnitus was matched at frequencies ≤ 500 Hz in 14 (53.8%) and at ≥ 2,000 Hz in 12 (46.2%), respectively, forming lower and higher frequency tinnitus groups. Tinnitus completely disappeared or partially improved in 12 (85.7%) patients with lower frequency tinnitus and in 9 (75.0%) with higher frequency tinnitus. We observed a significant positive correlation between hearing recovery and tinnitus improvement in both lower and higher frequency tinnitus groups (r = 0.74 and r = 0.62, respectively). Conclusion: Patients with ALHL may complain the high frequency tinnitus although their hearing loss recently developed in low frequency region. Tinnitus associated with ALHL was successfully treated with applied medications, showing better treatment for lower frequency tinnitus group. Hearing recovery and tinnitus improvement were significantly correlated.
Abstract
Purpose: Acute Low-frequency sensorineural Hearing Loss (ALHL) is characterized by earfullness, tinnitus and hearing loss restricted to the low frequency region. The aim of this study was to investigate the characteristics and prognosis of tinnitus in ALHL. Methods: We investigated tinnitus characteristics with analyzing tinnitograms and studied correlation between tinnitus improvement and hearing recovery of ALHL patients. We classified hearing change after the four weeks of medical treatment applying oral steroid and diuretics into ‘complete recovery,’ ‘partial recovery,’ and ‘no change.’ Degree of tinnitus improvement following the treatment was categorized as ‘completely disappeared,’ ‘partially improved,’ and ‘persistent.’ Results: Among 46 ALHL patients, tinnitus was reported by 34 (74.0%) patients. After the medical treatment tinnitus completely disappeared in 19 (55.9%), partially improved in 9 (26.5%), and persisted in 6 (17.6%). Among 26 patients who completed tinnitograms, tinnitus was matched at frequencies ≤ 500 Hz in 14 (53.8%) and at ≥ 2,000 Hz in 12 (46.2%), respectively, forming lower and higher frequency tinnitus groups. Tinnitus completely disappeared or partially improved in 12 (85.7%) patients with lower frequency tinnitus and in 9 (75.0%) with higher frequency tinnitus. We observed a significant positive correlation between hearing recovery and tinnitus improvement in both lower and higher frequency tinnitus groups (r = 0.74 and r = 0.62, respectively). Conclusion: Patients with ALHL may complain the high frequency tinnitus although their hearing loss recently developed in low frequency region. Tinnitus associated with ALHL was successfully treated with applied medications, showing better treatment for lower frequency tinnitus group. Hearing recovery and tinnitus improvement were significantly correlated.
참고문헌 (18)
- Abe, T., "Acute sensorineural hearing loss in low tone frequencies", Otolaryngology(Tokyo), 54, pp.385~392 (1982)
- Chen, Y., "Targeted next-generation sequencing in Uyghur families with non-syndromic sensorineural hearing loss", PLoS One, 10(5), pp.e0127879~ (2015)
- Chiossoine-Kerdel, J. A., "An investigation of the audiologic handicap associated with unilateral sudden sensorineural hearing loss", The American Journal of Otology, 21(5), pp.645~651 (2000)
- Conlin, A. E., "Treatment of sudden sensorineural hearing loss : II. A Meta-analysis", Archives of Otolaryngology--Head and Neck Surgery, 133(6), pp.582~586 (2007)
- Fuse, T., "Short-term outcome and prognosis of acute low-tone sensorineural hearing loss by administration of steroid", ORL; Journal for Oto-Rhino-Laryngology and Its Related Specialties, 64(1), pp.6~10 (2002)
- Jung, A. R., "Clinical characteristics and prognosis of low frequency sensorineural hearing loss without vertigo", Acta Oto-Laryngologica, 136(2), pp.159~163 (2016)
- Junicho, M., "Prognosis of lowtone sudden deafness-does it inevitably progress to Meniere’s disease?", Acta Oto-Laryngologica, 128(3), pp.304~308 (2008)
- Kawashima, Y., "Epidemiological study of acute low-tone sensorineural hearing loss in Kanagawa and Iwate Prefectures", Audiology Japan, 49(4), pp.373~380 (2006)
- 김남정, "이명특성과 순음 및 어음 청력역치와의 관련성 - 일개병원 소음성 난청 보상자들을 대상으로 -", Annals of Occupational and Environmental Medicine, 24(4), pp.431~440 (2012), 대한직업환경의학회
- Kim, T. S., "Short-term changes in tinnitus pitch related to audiometric shape in sudden sensorineural hearing loss", Auris Nasus Larynx, 43(3), pp.281~286 (2016)
- Kitajiri, S., "Is corticosteroid therapy effective for sudden-onset sensorineural hearing loss at lower frequencies?", Archives of Otolaryngology--Head and Neck Surgery, 128(4), pp.365~367 (2002)
- Mattox, D. E., "Natural history of sudden sensorineural hearing loss", The Annals of Otology, Rhinology, and Laryngology, 86(4 Pt 1), pp.463~480 (1977)
- Morita, S., "A comparison of the short-term outcome in patients with acute low-tone sensorineural hearing loss", ORL;Journal for Oto-Rhino-Laryngology and Its Related Specialties, 72(6), pp.295~299 (2010)
- Nosrati-Zarenoe, R., "Idiopathic sudden sensorineural hearing loss : Results drawn from the Swedish national database", Acta Oto-Laryngologica, 127(11), pp.1168~1175 (2007)
- Pan, T., "The relationship between tinnitus pitch and the audiogram", International Journal of Audiology, 48(5), pp.277~294 (2009)
- Ueberfuhr, M. A., "Tinnitus in normal-hearing participants after exposure to intense lowfrequency sound and in Ménière’s disease patients", Frontiers in Neurology, 7, pp.239~ (2017)
- Yoshida, T., "Idiopathic sudden sensorineural hearing loss and acute low-tone sensorineural hearing loss: A comparison of the results of a nationwide epidemiological survey in Japan", Acta Oto-Laryngologica, 137(sup565), pp.S38~S43 (2017)
- Zhang, Y., "Characteristics of the cochlear symptoms and functions in Meniere’s disease", Chinese Medical Journal(Engl), 129(20), pp.2445~2450 (2016)