纯音声听力测量是一种评估中耳和外耳先天性形 (CMMOE) 的新方法
QingSen Wang1,2,3, Ming Zhang1,2,3, Ying Ma1,2,3
1Senior Department of Otolaryngology-Head and Neck Surgery, the Sixth Medical Center of PLA General Hospital, Beijing, China.
Acta oto-laryngologica
|December 8, 2023
概括
纯音声声学有效地评估中耳和外耳 (CMMOE) 的先天性形,与骨发育和听力水平相关. 这种可访问的方法提供了比Jahrsdoerfer得分更直接的听力反映.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 听力学 听力学是指听力学.
- 医疗成像医学成像
背景情况:
- 在手术前对先天性中耳外耳形 (CMMOE) 进行评估至关重要.
- 目前的方法,如基于CT扫描的Jahrsdoerfer得分,在准确评估形和听力方面存在局限性.
- 需要更直接,更容易获得的评估工具.
研究的目的:
- 调查和推广纯音色音计,作为评估CMMOE的简单和可访问的方法.
- 为了比较纯音声声度的有效性与现有的方法,如Jahrsdoerfer得分.
主要方法:
- 追溯分析223个CMMOE病例 (244个耳朵) 的听力数据.
- 骨数量/形状学,Jahrsdoerfer得分和平均空气导通值 (AACT) 之间的相关性分析.
- 使用统计测试 (斯皮尔曼,ANOVA,t测试,克鲁斯卡尔·沃利斯,威尔科克森) 基于前体窗口发育的AACT差异的比较.
主要成果:
- 骨数与AACT (r=-0.187,p<0.05) 呈现出统计学上显著的相关性,与骨形态和Jahrsdoerfer分数不同.
- 对于骨数,形态或Jahrsdoerfer分数组,没有发现显著的AACT差异.
- 未发达的前庭窗与发达的窗户相比,与听力较差有关 (AACT差异为0.5-4KHz的5.5dB HL,p<0.05).
结论:
- 纯音调听力测量,特别是AACT,可以有效地评估CMMOE中的骨发育和前置窗口状态.
- AACT提供了比Jahrsdoerfer得分更直接地反映听力水平.
- 纯音声声度是CMMOE的可行,可访问和广泛适用的新评估方法.
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