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Updated: Jul 23, 2025

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在观察到的静脉静脉瘤中观察到大声和听力保护
Julia R Brennan1, Rahul Sharma, Nathan R Lindquist
1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
概括
患有非垂体神经瘤 (VS) 耳部逐渐高频听力损失 (HFHL) 的患者在受VS影响的耳部面临更高的语音理解下降风险. 这表明,在零星的VS患者中,耳可能增加听力损失的风险.
科学领域:
- 神经瘤学神经瘤学
- 听力学 听力学是指听力学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 散发性前庭神经瘤 (VS) 是一种影响前庭耳神经的瘤.
- 听力损失是VS的常见症状,但影响其进展的因素尚未完全理解.
- 反侧耳中的高频听力损失 (HFHL) 可能表明系统性倾向或共同的风险因素.
研究的目的:
- 研究非VS耳朵中HFHL与VS受影响耳朵中长期听力结果之间的关系.
- 为了确定非VS耳朵的渐进性HFHL是否预测偶尔VS患者的听力减退加速.
主要方法:
- 对102名未经治疗的零星VS患者进行了回顾性队列研究,这些患者在1999年至2015年期间被诊断为VS.
- 包括66名患有美国耳鼻喉科 - 头部和部外科 (AAO-HNS) A/B级听力和至少5年的随访.
- 听力测量和连续磁共振成像 (MRI) 用于评估听力和瘤生长.
主要成果:
- 在非VS耳朵中患有渐进性HFHL的患者在VS受影响的耳朵中显著更有可能经历文字识别分数 (WRS) 的下降 (80%对54%,p=0.031).
- 在受VS影响的耳朵中,纯色平均值 (PTA) 值的下降没有显著的差异在两组之间被观察到 (52%对41%,p=0.40).
结论:
- 反侧耳朵的渐进性HFHL与随着时间的推移,VS受影响的耳朵语音理解障碍的可能性更大.
- 患有与年龄相关的听力损失 (presbycusis) 病史的患者在偶发性VS存在时,可能面临更高的听力损失的风险.
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