带有同时听力损失的耳疹:对临床特征和预后的研究
Hwa Sung Rim1, Seok Hwan Chung1, Ho Joong Kim1
1Department of Otolaryngology-Head & Neck Surgery, School of Medicine, Kyung Hee University, Seoul 130-701, Republic of Korea.
Journal of clinical medicine
|October 28, 2023
概括
与没有HL的HZO相比,带有听力损失 (HL) 的耳 (HZO) 呈现出更多的头和耳,但与没有HL的HZO相比,面部的恢复类似. 在HL患者的HZO患者中,听力恢复显著低.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 耳疹 (Herpes Zoster Oticus,简称HZO),也被称为拉姆齐·亨特综合征,涉及病毒的再激活,影响面部神经和听觉系统.
- 同时性听力损失 (HL) 是一种重大并发症,可能会影响患者的治疗结果和治疗策略.
研究的目的:
- 分析HZO患者的临床特征和治疗预后,特别是比较具有和没有同时听力损失的患者.
- 评估HZO患者的面部和听力恢复率HZO患者有和没有HL.
主要方法:
- 在2016年至2020年期间诊断出HZO的192名患者的回顾性图表审查.
- 对HZO患者与并发HL患者之间的人口统计和临床发现的比较.
- 分析使用House-Brackmann (HB) 评分系统恢复面部和使用西格尔标准恢复听力.
主要成果:
- 在192名HZO患者中,142人没有HL,50人同时患有HL. 与HL组的HZO报告了更高的头和耳率,并接受了更多的入耳内类固醇注射.
- 在最初的House-Brackmann等级或面部的恢复率方面,两组之间没有发现显著差异.
- 在HL组的HZO中,只有16%的人实现了完全的听力恢复,而下降类型的听力图是最常见的 (66%).
结论:
- 在HZO患者的同时听力损失与增加的前庭神经症状和有限的听力恢复有关,尽管面部神经结果类似.
- 耳内类固醇注射可能更多地用于有听力损失的HZO患者.
- 需要进一步的研究来优化治疗,并改善同时听力损失的HZO患者的听力预后.
相关概念视频
01:31Hearing
52.4K
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
52.4K
01:03Olfactory Receptors: Location and Structure
9.3K
The process of olfaction, also known as the sense of smell, is a sophisticated chemical response system. The specialized sensory neurons that facilitate this process, known as olfactory receptor neurons, are situated in an upper segment of the nasal cavity, known as the olfactory epithelium. Olfactory sensory neurons are bipolar, with their dendrites extending from the epithelium's apex into the mucus that lines the nasal cavity. Airborne molecules, when inhaled, traverse the olfactory...
9.3K
01:11The Auditory Ossicles
1.7K
The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
1.7K