可逆的感觉神经听力损失与慢性过敏性鼻炎有关
Rinor Ajeti1, Afrim Ajeti1, Nagihan Bilal2
1Department of Otorhinolaryngology, RINO Clinic, Ferizaj, Kosovo.
The journal of allergy and clinical immunology. Global
|December 9, 2025
概括
感觉神经听力损失 (SNHL) 在某些情况下可能是可逆的,由于过敏性炎症. 过敏治疗导致过敏性鼻炎患者显著恢复听力.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 过敏和免疫学 过敏和免疫学
背景情况:
- 感觉神经听力损失 (SNHL) 通常被认为是不可逆转的.
- 新出现的证据表明,过敏性炎症可能会导致特定患者群体的可逆性SNHL.
研究的目的:
- 调查过敏炎症可能导致可逆性SNHL的可能性.
- 在过敏治疗后成功恢复听力的案例研究报告.
主要方法:
- 一名58岁的女性患者患有渐进的双边SNHL,接受了全面的听力测量评估和过敏测试.
- 治疗包括鼻内皮质类固醇,口服普雷尼松和抗组胺药物.
- 免疫球蛋白E (IgE) 测试发现对多种空气过敏原的敏感性.
主要成果:
- 听力测量显示了显著的听力改善,从双边SNHL恢复到接近正常的值.
- 具体恢复:右耳从41.2dB提高到10dB;左耳从53.7dB提高到23.7dB.
- 听力改善持续超过3年,与过敏性鼻炎诊断相关.
结论:
- 这一案例支持了将过敏炎症与可逆性SNHL联系在一起的假设.
- 强调在出现SNHL的患者中考虑过敏查的重要性.
- 为某些类型的听力损失提供了潜在的新诊断和治疗途径.
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