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为耳朵充满且没有客观异常的患者提供评估和治疗算法的建议

Kelly Lee¹, Richard Adamovich-Zeitlin¹, Maja Svrakic²

¹Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

|March 4, 2024

概括

没有客观原因的耳朵充满通常与关节功能障碍,尤斯塔希管功能障碍,偏头痛或焦虑有关. 针对这些疾病的治疗可以缓解症状或指导功能神经系统障碍咨询.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经学神经学
精神病学是一个精神病学.

背景情况:

没有客观发现的耳朵充满是常见但具有挑战性的临床表现.
识别潜在原因对于有效的患者管理和咨询至关重要.

研究的目的:

为患有耳朵充满和正常耳视镜,听力测量和成像结果的患者推评估,咨询和治疗策略.
为了确定与无法解释的耳朵充满相关的常见诊断.

主要方法:

对263名耳朵充满且没有客观异常的成年患者的回顾性图表审查.
数据包括人口统计,症状特征,并发症和诊断,如关节功能障碍,间歇性尤斯塔希管功能障碍 (iETD),偏头痛和焦虑.

主要成果:

女性比男性更有可能出现耳朵充满,没有客观异常.
孤立的耳朵充满与iETD相关,而耳痛与关节功能障碍更相关.
超过94%的患者被诊断出患有关节功能障碍,iETD,偏头痛,焦虑或其组合.

结论:

大多数患有不明原因耳朵充满症的患者有助于诸如关节功能障碍,iETD,偏头痛或焦虑等因素.
针对这些疾病的治疗可以消除症状或在功能神经系统疾病框架内提供咨询.

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