外耳的先天性形与听力之间的关系
HongJia Zhang1,2,3, ZeLi Han1,2,3, Yue Li1
1Senior Department of Otolaryngology-Head and Neck Surgery, the Sixth Medical Center of PLA General Hospital, Beijing, China.
Acta oto-laryngologica
|December 19, 2023
概括
先天性外耳形,如小耳和外耳道形 (OECM) 与听力水平相关. 这些情况的严重程度增加与更高的平均通风值 (AACT) 值有关,使听力预测成为可能.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗成像医学成像
- 听力学 听力学是指听力学.
背景情况:
- 关于先天外耳形与听力水平之间的关系的数据有限.
- 预测听力损失仅仅基于微病的严重程度是具有挑战性的.
- 了解这些相关性对于临床管理和患者咨询至关重要.
研究的目的:
- 调查微和外耳道形 (OECM) 与听力之间的相关性.
- 分析微,OECM和平均通风值 (AACT) 的相互关系.
- 确定微分级是否可以预测听力水平和OECM严重程度.
主要方法:
- 对535例 (598只耳朵) 中耳和外耳先天性形 (CMMOE) 进行了相关性分析.
- 微症 (I-V),OECM (缩,狭窄,正常) 和外耳道 (OEC) 缩 (I-IV) 被分级.
- 计算了0.5-4KHz的平均空调值 (AACT);使用ANOVA和肯德尔的tau-b测试.
主要成果:
- 在微级和AACT (r=0.219,p<0.05),OECM和AACT (r=0.104,p<0.05) 以及OEC和AACT (r=0.23,p<0.05) 之间发现了正相关性.
- 较高的微症和OECM严重程度与AACT值的增加相关.
- 在AACT测试中,针对III级微菌与II/IV级微菌以及正常的OEC与狭窄/缩之间发现了显著的差异.
结论:
- 微病严重程度,OECM程度和AACT之间存在正相关性,这表明具有预测潜力.
- 微或OECM的严重程度增加与更高的AACT有关,有助于临床听力水平的预测.
- 在临床实践中,微病分级可能有助于预测听力水平和OECM严重程度.
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