慢性中耳炎
Mahmood F Bhutta1, Amanda J Leach2, Christopher G Brennan-Jones3
1Global Health and Infection Department, Brighton and Sussex Medical School, Brighton, UK; Department of ENT, Royal Sussex County Hospital, Brighton, UK.
Lancet (London, England)
|April 15, 2024
概括
慢性耳炎 (CSOM) 在全球范围内导致可预防的听力损失. 有效的治疗包括局部治疗,持续病例的手术,以及用于康复的新型助听器.
科学领域:
- 耳鼻喉科
- 公共卫生
- 听力学
背景情况:
- 慢性耳炎 (CSOM) 是全球可预防的听力损失的主要原因,特别是在儿童和成人中.
- 社会经济因素与CSOM的流行有关.
- 缺乏清晰的CSOM定义阻碍了预防和治疗工作.
研究的目的:
- 定义CSOM及其并发症以及当前的管理策略.
- 探索与CSOM相关的耳部泄漏和听力损失的治疗选择.
- 突出新兴的听力损失康复技术.
主要方法:
- 关于CSOM定义,病理生理学和治疗方式的文献综述.
- 分析当前的治疗方法,包括局部药物和手术.
- 对CSOM患者的助听器技术的最新进展进行评估.
主要成果:
- CSOM的特征是耳膜穿孔,中耳炎症,听力损失和耳鼻.
- 局部抗生素是排泄的最佳方式;在资源有限的环境中,消毒剂是替代品.
- 手术可以长期缓解持续性CSOM和胆固醇瘤,并可能改善听力.
结论:
- 标准化CSOM定义对于有效的公共卫生干预至关重要.
- 为了管理CSOM,需要采用结合医疗,手术和康复策略的多方面的方法.
- 新的助听器技术为CSOM患者的听力损失康复提供了有前途的解决方案.
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