Objective:To investigate if routine audiometry in Bell’s palsy patients has prognostic value.Methods:Retrospective case review was conducted on all Bell’s palsy patients(n紏191)seen at the tertiary otolaryngology sp...Objective:To investigate if routine audiometry in Bell’s palsy patients has prognostic value.Methods:Retrospective case review was conducted on all Bell’s palsy patients(n紏191)seen at the tertiary otolaryngology specialist outpatient clinic from 2015 to 2017.Correlation of ipsilesional audiometric thresholds with patients’time-to-recovery and initial clinical severity(measured by House-Brackmann(HB)scoring)were used for the prognostic outcome measure.Audiometry results were analyzed using three contiguous frequency pure-tone average(1kHz,2kHz,4kHz).Statistical analysis was done via Stata(v13.1),significance tests were 2-sided at 5%significance level.Results:There was no significant difference between audiometric thresholds between the ipsilesional ear and the contralateral ear(p=0.87).Time-to-recovery was significantly longer for patients with severe initial presentation as compared to mild and moderate severity(p<0.01).There was no correlation found between the audiometry results and HB score at presentation(p=0.39).There was no correlation found between ipsilesional audiometric thresholds and time-to-recovery(p=0.58).Conclusion:Our study suggests that routine audiometry has limited prognostic value in Bell’s palsy patients.展开更多
It′s generally believed that the appropriate stimuli for sound field tests are warble tones and narrow band noise, while pure tone can only be a signal used in the free field and earphone listening conditions. In thi...It′s generally believed that the appropriate stimuli for sound field tests are warble tones and narrow band noise, while pure tone can only be a signal used in the free field and earphone listening conditions. In this study, we take a measurement of sound pressure distribution, sound field variability, and effects of frequency shifting on sound pressure levels (SPLs) at reference points of pure tone in an audiometric test room. It was found that the pure tone SPLs were also distributed uniformly at some sound field areas although it was not so well as warble tones. This indicated that the test results were relatively stable to head movement and/or frequency shifting in those regions, which was confirmed by the clinical measurements on 20 subjects with severe sensorineural hearing loss. Our study concluded that pure tones could also be suitable for sound field audiometry if subjects were seated at a proper location on the basis of the sound field calibrations.展开更多
Objective::The aim of this study is to develop and evaluate a set of psychometrically equivalent disyllabic wordlist(SC-10)in Singapore Mandarin for clinical use.Study design::A preliminary set of 1000 words were obta...Objective::The aim of this study is to develop and evaluate a set of psychometrically equivalent disyllabic wordlist(SC-10)in Singapore Mandarin for clinical use.Study design::A preliminary set of 1000 words were obtained from a dictionary of frequently used words by Singapore students.Ten native judges rate the familiarity level of each word.This is followed by a face-to-face public survey to rank the shortlisted word set from most to least familiar.The final 108 disyllabic words were recorded by a native female talker.20 normal hearing subjects were used to obtain the percentage of correct word recognition at 24 intensity levels(-10 dB HL to 26 dB HL in 2 dB increment).Psychometric function slopes were calculated for each word.100 words were eventually chosen and assigned into ten 10-word lists based on a psychometric balancing protocol.Minor digital adjustments were made to the intensity of each wordlist to improve their auditory homogeneity.Results::The calculated regression slopes in the psychometric functions for the ten lists are between 8.0 and 9.8%/dB.Single factor ANOVA analysis showed no significant difference in both the mean intensity required to obtain 50%recognition score(f=0.109,df=9,p=0.999)and the slopes of the psychometric functions(f=0.078,df=9,p=0.999)between the ten word lists.List validation on 25 normal hearing participants(PTA=11.0 dB HL,SD=4.3)showed a mean speech recognition threshold(SRT)of 9.3 dB HL(SD=3.5)and regression slope of 8.395%/dB.Quadratic regression analysis showed a positive correlation(r^(2)=0.923)between presentation level and word recognition score(WRS).The difference between PTA and SRT of each subject all fall within the clinically acceptable difference of 10 dB HL.Test-retest reliability,carried out on 20 subjects at three levels(SRT-5,SRT,and SRT+5 dB),showed no significance difference between word recognition score when the same participant is tested again at the same intensity level using a different wordlist.Conclusion::All in all,it shows that the SC-10 speech materials are valid for clinical use for Mandarin speech audiometry in Singapore.展开更多
Objective:To describe audiological symptoms,audiometric profile,and distortion product otoacoustic emission in symptomatic patients recovering from SARS-CoV-2 infection(positive RT-PCR test)and asymptomatic patients(n...Objective:To describe audiological symptoms,audiometric profile,and distortion product otoacoustic emission in symptomatic patients recovering from SARS-CoV-2 infection(positive RT-PCR test)and asymptomatic patients(negative RT-PCR test).Methods:An analytical cross-sectional study was conducted using data obtained from clinical charts,physical examination,audiometry,and distortion product otoacoustic emission on 40 patients[case patients(CP)]recovering from SARS-CoV-2 infection diagnosed by a positive RT-PCR test and 22asymptomatic participants with a negative RT-PCR test[non-case(NC)].Results:Sixty-two patients(mean age:31.1 and 28.2 years in the CP and NC groups,respectively)were included.All participants were young without significant comorbidities,risk factors for hearing loss or otological history.Vertigo(5%),tinnitus(17.5%)and aural fullness/hearing loss(35%)were found in the CP group.A statistically significant difference was found in specific frequencies(1000,4000,and 8000 Hz)and pure tone average(low and high conversational frequencies with increased threshold in the PC group compared with the NC group),which was not found in distortion product otoacoustic emission.Conclusion:Audiovestibular symptoms are frequent in symptomatic patients recovering from SARS-CoV-2 infection.SARS-CoV-2 infection was consistently associated with an increased audiometric hearing threshold at specific frequencies and low tone average.展开更多
Introduction:Osteoporosis and osteopenia are progressive disorders characterized by decreased bone mass,especially in postmenopausal women.These can be associated with body pain,fractures,hearing loss and balance diso...Introduction:Osteoporosis and osteopenia are progressive disorders characterized by decreased bone mass,especially in postmenopausal women.These can be associated with body pain,fractures,hearing loss and balance disorders.The present study aims to evaluate audio-vestibular function in postmenopausal patients with osteopenia or osteoporosis.Methods:The study included 48 postmenopausal women(new subjects)diagnosed with osteoporosis(n=23)or osteopenia(n=25)in the age range of 50e66 years,as well as 28 normal women as controls.Audiological testing included pure tone audiometry(conventional and extended high-frequency audiometry),speech audiometry,impedance audiometry and otoacoustic emissions,including both transient evoked otoacoustic emissions(TEOAEs)and distortion product otoacoustic emissions(DPOAEs).All subjects also underwent vestibular evoked myogenic potentials testing(both ocular and cervical VEMPs).Results:In the present study,hearing was worse at all frequencies in the osteoporosis group in comparison with the osteopenia and control groups,with worse speech recognition and discrimination scores and OAEs.Vestibular function was affected in 95.65%of women with osteoporosis and 76%of those with osteopenia.Conclusion:Osteoporosis and osteopenia are risk factors for vestibular dysfunction and hearing deficits in postmenopausal women.Thus,hearing and vestibular function should be monitored by audiological and vestibular testing periodically in these individuals.展开更多
Objectives To develop a set of monosyllable audiometry test material that can be used in speech recognition testing in Mandarin Chinese. Materials and Methods In an effort to improve reliability and efficiency in clin...Objectives To develop a set of monosyllable audiometry test material that can be used in speech recognition testing in Mandarin Chinese. Materials and Methods In an effort to improve reliability and efficiency in clinical practice, a set of 30 test lists of 25 monosyllable test items each was designed with consideration of the following: length of the list, phonemical balance (PB), word utility frequency, coverage of common words, and equivalency among lists. The 30 lists contained 750 monosyllabic words and were constructed on the basis of Chinese phoneme distribution probability summarized in the Manual of Acoustic. The occurrence incidence of the 22 consonants, 36 vowels, and 4 tones of the Chinese Mandarin characters in the 30 test lists were calculated. To achieve PB, 489 monosyllables were selected from the 2500 most commonly used Chinese characters and the 4000 most commonly used Chinese phrases to compile the 30 monosyllable test lists using a computer algorithm with manual adjustment. Results Thirty phonemical balanced word lists of common Mandarin Chinese monosyllabic words were compiled. Each list consisted of 25 monosyllables. A total of 489 phonemes (consonants, vowels and tones) were included in the set. Conclusions This set of lists can potentially be used as the basic lists for future development of Mandarin PB monosyllable speech test materials.展开更多
BACKGROUND As sudden sensorineural hearing loss(SSNHL)rarely occurs in pregnant women,there is a lack of knowledge and relevant research on its management.AIM To investigate the effect of intratympanic dexamethasone i...BACKGROUND As sudden sensorineural hearing loss(SSNHL)rarely occurs in pregnant women,there is a lack of knowledge and relevant research on its management.AIM To investigate the effect of intratympanic dexamethasone injection in the treatment of pregnant patients with SSNHL.METHODS A retrospective chart review was made for the period between June 2017 and August 2019 at our Department of Otorhinolaryngology-Head and Neck Surgery.Pregnant women who met the criteria for SSNHL were included and grouped based on the therapeutic modalities.The treatment group received intratympanic dexamethasone(2.5 mg)q.o.d.for a total of four times,while the control group received no medication other than bed rest and medical observations.All the patients were under close care of obstetricians.Pure-tone audiograms were performed before and after treatment.RESULTS Eleven patients who met the inclusion criteria were assigned to the treatment group(n=7)and the control group(n=4).The mean age of patients was 31.2±3.8 years;the right ear was affected in seven(63.64%)cases.Two patients(18.2%)suffered from vertigo,10(90.9%)suffered from tinnitus and 6(54.5%)suffered from aural fullness.The time from onset to clinic visit was relatively short,with a mean time of 1.3±0.9 d.All the women were within the second or third trimester;the average gestation period was 26.0±6.2 wk.The pure-tone averages at onset between the two groups were similar.After one wk of therapy,the treatment group had a curative rate of 57.1%and a significantly better hearing threshold and greater improvement compared to the control group(all P<0.05).Some patients experienced transient discomfort from intratympanic injections that disappeared after getting rest,while none had permanent complications.All patients delivered healthy full-term neonates with an average Apgar score of 9.7±0.5.CONCLUSION Intratympanic dexamethasone injections can be used as a first-line therapy in pregnant women with SSNHL.展开更多
Audiological use of the 40 Hz-ASSR (auditory steady state responses) could be valuable for objectivelyestimating the frequency-specific threshold in adults undergoing an expertise examination for medicolegal and/or co...Audiological use of the 40 Hz-ASSR (auditory steady state responses) could be valuable for objectivelyestimating the frequency-specific threshold in adults undergoing an expertise examination for medicolegal and/or compensation purposes. The present prospective study was set up to clarify the relationship between the thresholds obtained by cortical evoked response audiometry (CERA) and by 40 HzASSR, in the same ears, within a large homogeneous sample of 164 subjects (328 ears) with NIHL andwell documented exposure to noise. All these subjects claimed financial compensation for occupationalNIHL, and there was a suspicion of exaggeration of the reported NIHLs. ASSR thresholds show a goodcorrelation with the CERA thresholds. However, a systematic shift is noticed, ASSR thresholds being onaverage (1e2 e 3 kHz) 4.38 dB lower (i.e. showing less hearing loss) than CERA thresholds. Moreover, thebinaural multiple ASSR technique allows a considerable time gain when compared to the CERA.展开更多
Objective: To identify the effect of dyslipidemia on auditory function detected by Pure Tone Audiometry. To check if dyslipidemia worsens the hearing level in diabetics.Design: This was a comparative study where 120 s...Objective: To identify the effect of dyslipidemia on auditory function detected by Pure Tone Audiometry. To check if dyslipidemia worsens the hearing level in diabetics.Design: This was a comparative study where 120 subjects between the age group of 20 and 50 years underwent pure tone audiometry, lipid profile and blood sugars. Group 1 consisted of 30 subjects with type 2 diabetes and dyslipidemia; Group 2 had 30 subjects with isolated diabetes;Group 3 had 30 with isolated dyslipidemia and Group 4 included 30 normal subjects as control.Results: Significant hearing loss was seen only in the group with isolated diabetes(63%). The most common type of hearing loss was high frequency sensorineural hearing loss. When comparison was made between the combinations of different lipid profiles, no association was found to the level of hearing.Conclusions: Diabetics are more prone to high frequency hearing loss. Altered lipid profile has no role in causing hearing loss.展开更多
Objective: To determine the incidence of hearing impairment in a standardized population of neonates seeking care in a tertiary hospital in Northwest India. Universal hearing screening is implemented in many developed...Objective: To determine the incidence of hearing impairment in a standardized population of neonates seeking care in a tertiary hospital in Northwest India. Universal hearing screening is implemented in many developed countries. However, neither universal screening, nor high risk screening, exists in India. The incidence of hearing loss in India is found to be 1 to 6 per 1000 newborns screened [1-3]. Screening only the high risk neonates misses 50% of babies with hearing loss [4,5], hence a cost effective universal screening is the viable option to sustain such a program. In our study, the possible burden of hearing disability was evaluated in babies born at a tertiary care hospital in Northwest India. One thousand newborns were screened using Transient Evoked OtoAcoustic Emissions (TEOAE) and 28.6% of them had risk factors. Four out of One Thousand were detected with hearing loss. Brain Stem Evoked Response (BERA) was used to confirm and determine the extent and the type of deafness in the neonates who were screened positive.展开更多
Objective: The work was planned to evaluate the results of cartilage graft in the surgical treatment of chronic suppurative otitis media. Study Design: A prospective study. Materials and Methods: The present study was...Objective: The work was planned to evaluate the results of cartilage graft in the surgical treatment of chronic suppurative otitis media. Study Design: A prospective study. Materials and Methods: The present study was a prospective study of tympanoplasties and tympanomastoid surgeries performed on 100 patients. The main outcome measures were both anatomical and functional in form of graft incorporation and postoperative hearing function. Results: Cartilage was used as tympanic membrane and/or ossicle graft in the cases. There were no immediate postoperative or long term complications of surgery except for 10 cases in which there was a failure of graft uptake. There was a 7.6-decibel (dB) improvement in mean air conduction threshold post-operatively. A mean closure of average air bone gap of 8.4 decibels (dB) was noted which was statistically significant. Conclusion: The cartilage graft is a very effective option for the repair of the conducting mechanism of the ear with good take-up rates, less chances of rejection or extrusion and very few significant complications. The thickness of cartilage creates stiffness that is more resistant than the fascia to the anatomic deformities caused by negative middle ear pressure thus improving the long term integrity of the graft.展开更多
Objective: To determine the audiometric profile of deafness in our practice. Materials and Methods: Longitudinal prospective study was conducted out in the ENT department and cervicofacial surgery of Gabriel Toure Uni...Objective: To determine the audiometric profile of deafness in our practice. Materials and Methods: Longitudinal prospective study was conducted out in the ENT department and cervicofacial surgery of Gabriel Toure University Hospital in Bamako, we made an exhaustive sampling of all the patients who consulted for hearing loss, tinnitus, vertigo, hiring report, medical expertise and whose deafness was confirmed to tonal audiometry with an age greater than or equal to 15 years. It was spread over 10 months (June 2016 to March 2017). A total of 200 patients were collected. Exclusion criteria were all patients under 15 years of age as well as deafness related to earwax or foreign bodies, and refusal to participate in the study Results: During our study period, 6055 outpatients were admitted out of which 734 patients underwent audiometric testing and 200 patients (3.30%) met our criteria. The male sex was the most represented with a rate of 60%. The sex ratio was 1.5 or 3 men for 2 women. The 15 to 25 age group was the most represented at 37.5%. The average age was 37.18 years old with extremes ranging from 15 to 83 years old. Pupils/students were the most represented with a rate of 29.5%, followed by housewives in 23%, farmers in 10.5% and military in 10%. As antecedent 26% of our patients had a chronic otitis media (OMC), against 23% who had no antecedent otological and 17% had a traumatic antecedent. Bilateral deafness was the most common with a rate of 64.5%. The mode of progressive appearance was the most frequent in 74.5%. As functional signs 46.22% of our patients had a hearing loss associated with tinnitus. Otoscopic examination was pathological in 34.5% of our patients. Mixed deafness was the most common in 43.35%, followed by perception deafness in 32.19% and transmission deafness 24.46%. Mean deafness was the most common with a rate of 48.91%, was severe in 20.22%, mild in 18.31%, deep in 11.47% and cophotic in 01.09%. Asymmetrical curves were the most found in 65.89% of our patients. Conclusion: Deafness is a sensory disability responsible for communication disorder, sometimes disabling. Audiometry, although subjective, remains essential in the diagnosis of deafness.展开更多
Rheumatoid arthritis(RA) is a systemic, autoimmune disease that present with intra-articular and extra-articular manifestations. Auditory system may be involved during the course of RA disease due to numbers of pathol...Rheumatoid arthritis(RA) is a systemic, autoimmune disease that present with intra-articular and extra-articular manifestations. Auditory system may be involved during the course of RA disease due to numbers of pathologies. The link between hearing impairment and RA has been discussed in the previous literature. In this study we provide an update on the clinical aspect of hearing impairment in RA. We suggest to test hearing in all newly diagnosed RA patients at diagnosis as well as regularly during the course of disease.展开更多
This study was conducted to assess the occupational exposure and its health impact on the chromium alloy workers. Environmental and biological monitoring, noise and audiometry measurements were done to evaluate the ex...This study was conducted to assess the occupational exposure and its health impact on the chromium alloy workers. Environmental and biological monitoring, noise and audiometry measurements were done to evaluate the exposure levels in the factory. A total of 112 non-smoking workers were monitored from July 2001 to August 2002 The results showed that most of the chromium and lead exposures in the factory were below the ACGIH-TWA of 50 μg/m 3 for chromium(Ⅵ) and OSHA-PEL of 50 μg/m 3 for lead. The highest chromium(7 25±0 16 μg/m 3) and lead(14 50±0 29 μg/m 3) concentrations were measured in the vibro room. The results indicated that elevated concentrations of chromium and lead were found in both blood and urine samples especially in those areas which were characterized by poor ventilation. The metal contents in blood and urine samples were significantly correlated with airborne metal concentrations in the factory. The result demonstrated that blood and urinary levels among workers were associated with increasing age and duration of exposure. The background noise level of the factory ranged from 67 6 to 89 2 dBA and was frequently higher than the threshold limit value for noise(90 dBA). According to the audiometric test, the exposed workers showed signs of noise-induced hearing loss. Noise at work continued to be an important factor to hearing loss among exposed workers. In our statistical analysis, a significant hearing loss was established on age effect and year of exposure among the workforce.展开更多
文摘Objective:To investigate if routine audiometry in Bell’s palsy patients has prognostic value.Methods:Retrospective case review was conducted on all Bell’s palsy patients(n紏191)seen at the tertiary otolaryngology specialist outpatient clinic from 2015 to 2017.Correlation of ipsilesional audiometric thresholds with patients’time-to-recovery and initial clinical severity(measured by House-Brackmann(HB)scoring)were used for the prognostic outcome measure.Audiometry results were analyzed using three contiguous frequency pure-tone average(1kHz,2kHz,4kHz).Statistical analysis was done via Stata(v13.1),significance tests were 2-sided at 5%significance level.Results:There was no significant difference between audiometric thresholds between the ipsilesional ear and the contralateral ear(p=0.87).Time-to-recovery was significantly longer for patients with severe initial presentation as compared to mild and moderate severity(p<0.01).There was no correlation found between the audiometry results and HB score at presentation(p=0.39).There was no correlation found between ipsilesional audiometric thresholds and time-to-recovery(p=0.58).Conclusion:Our study suggests that routine audiometry has limited prognostic value in Bell’s palsy patients.
文摘It′s generally believed that the appropriate stimuli for sound field tests are warble tones and narrow band noise, while pure tone can only be a signal used in the free field and earphone listening conditions. In this study, we take a measurement of sound pressure distribution, sound field variability, and effects of frequency shifting on sound pressure levels (SPLs) at reference points of pure tone in an audiometric test room. It was found that the pure tone SPLs were also distributed uniformly at some sound field areas although it was not so well as warble tones. This indicated that the test results were relatively stable to head movement and/or frequency shifting in those regions, which was confirmed by the clinical measurements on 20 subjects with severe sensorineural hearing loss. Our study concluded that pure tones could also be suitable for sound field audiometry if subjects were seated at a proper location on the basis of the sound field calibrations.
文摘Objective::The aim of this study is to develop and evaluate a set of psychometrically equivalent disyllabic wordlist(SC-10)in Singapore Mandarin for clinical use.Study design::A preliminary set of 1000 words were obtained from a dictionary of frequently used words by Singapore students.Ten native judges rate the familiarity level of each word.This is followed by a face-to-face public survey to rank the shortlisted word set from most to least familiar.The final 108 disyllabic words were recorded by a native female talker.20 normal hearing subjects were used to obtain the percentage of correct word recognition at 24 intensity levels(-10 dB HL to 26 dB HL in 2 dB increment).Psychometric function slopes were calculated for each word.100 words were eventually chosen and assigned into ten 10-word lists based on a psychometric balancing protocol.Minor digital adjustments were made to the intensity of each wordlist to improve their auditory homogeneity.Results::The calculated regression slopes in the psychometric functions for the ten lists are between 8.0 and 9.8%/dB.Single factor ANOVA analysis showed no significant difference in both the mean intensity required to obtain 50%recognition score(f=0.109,df=9,p=0.999)and the slopes of the psychometric functions(f=0.078,df=9,p=0.999)between the ten word lists.List validation on 25 normal hearing participants(PTA=11.0 dB HL,SD=4.3)showed a mean speech recognition threshold(SRT)of 9.3 dB HL(SD=3.5)and regression slope of 8.395%/dB.Quadratic regression analysis showed a positive correlation(r^(2)=0.923)between presentation level and word recognition score(WRS).The difference between PTA and SRT of each subject all fall within the clinically acceptable difference of 10 dB HL.Test-retest reliability,carried out on 20 subjects at three levels(SRT-5,SRT,and SRT+5 dB),showed no significance difference between word recognition score when the same participant is tested again at the same intensity level using a different wordlist.Conclusion::All in all,it shows that the SC-10 speech materials are valid for clinical use for Mandarin speech audiometry in Singapore.
基金supported by the Universidad Nacional de Colombia and Hospital Universitario Nacional(HUN)de Colombia。
文摘Objective:To describe audiological symptoms,audiometric profile,and distortion product otoacoustic emission in symptomatic patients recovering from SARS-CoV-2 infection(positive RT-PCR test)and asymptomatic patients(negative RT-PCR test).Methods:An analytical cross-sectional study was conducted using data obtained from clinical charts,physical examination,audiometry,and distortion product otoacoustic emission on 40 patients[case patients(CP)]recovering from SARS-CoV-2 infection diagnosed by a positive RT-PCR test and 22asymptomatic participants with a negative RT-PCR test[non-case(NC)].Results:Sixty-two patients(mean age:31.1 and 28.2 years in the CP and NC groups,respectively)were included.All participants were young without significant comorbidities,risk factors for hearing loss or otological history.Vertigo(5%),tinnitus(17.5%)and aural fullness/hearing loss(35%)were found in the CP group.A statistically significant difference was found in specific frequencies(1000,4000,and 8000 Hz)and pure tone average(low and high conversational frequencies with increased threshold in the PC group compared with the NC group),which was not found in distortion product otoacoustic emission.Conclusion:Audiovestibular symptoms are frequent in symptomatic patients recovering from SARS-CoV-2 infection.SARS-CoV-2 infection was consistently associated with an increased audiometric hearing threshold at specific frequencies and low tone average.
文摘Introduction:Osteoporosis and osteopenia are progressive disorders characterized by decreased bone mass,especially in postmenopausal women.These can be associated with body pain,fractures,hearing loss and balance disorders.The present study aims to evaluate audio-vestibular function in postmenopausal patients with osteopenia or osteoporosis.Methods:The study included 48 postmenopausal women(new subjects)diagnosed with osteoporosis(n=23)or osteopenia(n=25)in the age range of 50e66 years,as well as 28 normal women as controls.Audiological testing included pure tone audiometry(conventional and extended high-frequency audiometry),speech audiometry,impedance audiometry and otoacoustic emissions,including both transient evoked otoacoustic emissions(TEOAEs)and distortion product otoacoustic emissions(DPOAEs).All subjects also underwent vestibular evoked myogenic potentials testing(both ocular and cervical VEMPs).Results:In the present study,hearing was worse at all frequencies in the osteoporosis group in comparison with the osteopenia and control groups,with worse speech recognition and discrimination scores and OAEs.Vestibular function was affected in 95.65%of women with osteoporosis and 76%of those with osteopenia.Conclusion:Osteoporosis and osteopenia are risk factors for vestibular dysfunction and hearing deficits in postmenopausal women.Thus,hearing and vestibular function should be monitored by audiological and vestibular testing periodically in these individuals.
基金supported by grants from open Foundation of National Laboratory of Pattern Recognition of the CAS (08-03-01)National Tenth Five-year Project for Scientific and Technological Development of China(2007BAI18B12, 2008BAI50B01, 2008BAI50B08)
文摘Objectives To develop a set of monosyllable audiometry test material that can be used in speech recognition testing in Mandarin Chinese. Materials and Methods In an effort to improve reliability and efficiency in clinical practice, a set of 30 test lists of 25 monosyllable test items each was designed with consideration of the following: length of the list, phonemical balance (PB), word utility frequency, coverage of common words, and equivalency among lists. The 30 lists contained 750 monosyllabic words and were constructed on the basis of Chinese phoneme distribution probability summarized in the Manual of Acoustic. The occurrence incidence of the 22 consonants, 36 vowels, and 4 tones of the Chinese Mandarin characters in the 30 test lists were calculated. To achieve PB, 489 monosyllables were selected from the 2500 most commonly used Chinese characters and the 4000 most commonly used Chinese phrases to compile the 30 monosyllable test lists using a computer algorithm with manual adjustment. Results Thirty phonemical balanced word lists of common Mandarin Chinese monosyllabic words were compiled. Each list consisted of 25 monosyllables. A total of 489 phonemes (consonants, vowels and tones) were included in the set. Conclusions This set of lists can potentially be used as the basic lists for future development of Mandarin PB monosyllable speech test materials.
基金Supported by the Health and Family Planning Commission of Shenzhen Municipality,No.SZXJ2017065.
文摘BACKGROUND As sudden sensorineural hearing loss(SSNHL)rarely occurs in pregnant women,there is a lack of knowledge and relevant research on its management.AIM To investigate the effect of intratympanic dexamethasone injection in the treatment of pregnant patients with SSNHL.METHODS A retrospective chart review was made for the period between June 2017 and August 2019 at our Department of Otorhinolaryngology-Head and Neck Surgery.Pregnant women who met the criteria for SSNHL were included and grouped based on the therapeutic modalities.The treatment group received intratympanic dexamethasone(2.5 mg)q.o.d.for a total of four times,while the control group received no medication other than bed rest and medical observations.All the patients were under close care of obstetricians.Pure-tone audiograms were performed before and after treatment.RESULTS Eleven patients who met the inclusion criteria were assigned to the treatment group(n=7)and the control group(n=4).The mean age of patients was 31.2±3.8 years;the right ear was affected in seven(63.64%)cases.Two patients(18.2%)suffered from vertigo,10(90.9%)suffered from tinnitus and 6(54.5%)suffered from aural fullness.The time from onset to clinic visit was relatively short,with a mean time of 1.3±0.9 d.All the women were within the second or third trimester;the average gestation period was 26.0±6.2 wk.The pure-tone averages at onset between the two groups were similar.After one wk of therapy,the treatment group had a curative rate of 57.1%and a significantly better hearing threshold and greater improvement compared to the control group(all P<0.05).Some patients experienced transient discomfort from intratympanic injections that disappeared after getting rest,while none had permanent complications.All patients delivered healthy full-term neonates with an average Apgar score of 9.7±0.5.CONCLUSION Intratympanic dexamethasone injections can be used as a first-line therapy in pregnant women with SSNHL.
文摘Audiological use of the 40 Hz-ASSR (auditory steady state responses) could be valuable for objectivelyestimating the frequency-specific threshold in adults undergoing an expertise examination for medicolegal and/or compensation purposes. The present prospective study was set up to clarify the relationship between the thresholds obtained by cortical evoked response audiometry (CERA) and by 40 HzASSR, in the same ears, within a large homogeneous sample of 164 subjects (328 ears) with NIHL andwell documented exposure to noise. All these subjects claimed financial compensation for occupationalNIHL, and there was a suspicion of exaggeration of the reported NIHLs. ASSR thresholds show a goodcorrelation with the CERA thresholds. However, a systematic shift is noticed, ASSR thresholds being onaverage (1e2 e 3 kHz) 4.38 dB lower (i.e. showing less hearing loss) than CERA thresholds. Moreover, thebinaural multiple ASSR technique allows a considerable time gain when compared to the CERA.
文摘Objective: To identify the effect of dyslipidemia on auditory function detected by Pure Tone Audiometry. To check if dyslipidemia worsens the hearing level in diabetics.Design: This was a comparative study where 120 subjects between the age group of 20 and 50 years underwent pure tone audiometry, lipid profile and blood sugars. Group 1 consisted of 30 subjects with type 2 diabetes and dyslipidemia; Group 2 had 30 subjects with isolated diabetes;Group 3 had 30 with isolated dyslipidemia and Group 4 included 30 normal subjects as control.Results: Significant hearing loss was seen only in the group with isolated diabetes(63%). The most common type of hearing loss was high frequency sensorineural hearing loss. When comparison was made between the combinations of different lipid profiles, no association was found to the level of hearing.Conclusions: Diabetics are more prone to high frequency hearing loss. Altered lipid profile has no role in causing hearing loss.
文摘Objective: To determine the incidence of hearing impairment in a standardized population of neonates seeking care in a tertiary hospital in Northwest India. Universal hearing screening is implemented in many developed countries. However, neither universal screening, nor high risk screening, exists in India. The incidence of hearing loss in India is found to be 1 to 6 per 1000 newborns screened [1-3]. Screening only the high risk neonates misses 50% of babies with hearing loss [4,5], hence a cost effective universal screening is the viable option to sustain such a program. In our study, the possible burden of hearing disability was evaluated in babies born at a tertiary care hospital in Northwest India. One thousand newborns were screened using Transient Evoked OtoAcoustic Emissions (TEOAE) and 28.6% of them had risk factors. Four out of One Thousand were detected with hearing loss. Brain Stem Evoked Response (BERA) was used to confirm and determine the extent and the type of deafness in the neonates who were screened positive.
文摘Objective: The work was planned to evaluate the results of cartilage graft in the surgical treatment of chronic suppurative otitis media. Study Design: A prospective study. Materials and Methods: The present study was a prospective study of tympanoplasties and tympanomastoid surgeries performed on 100 patients. The main outcome measures were both anatomical and functional in form of graft incorporation and postoperative hearing function. Results: Cartilage was used as tympanic membrane and/or ossicle graft in the cases. There were no immediate postoperative or long term complications of surgery except for 10 cases in which there was a failure of graft uptake. There was a 7.6-decibel (dB) improvement in mean air conduction threshold post-operatively. A mean closure of average air bone gap of 8.4 decibels (dB) was noted which was statistically significant. Conclusion: The cartilage graft is a very effective option for the repair of the conducting mechanism of the ear with good take-up rates, less chances of rejection or extrusion and very few significant complications. The thickness of cartilage creates stiffness that is more resistant than the fascia to the anatomic deformities caused by negative middle ear pressure thus improving the long term integrity of the graft.
文摘Objective: To determine the audiometric profile of deafness in our practice. Materials and Methods: Longitudinal prospective study was conducted out in the ENT department and cervicofacial surgery of Gabriel Toure University Hospital in Bamako, we made an exhaustive sampling of all the patients who consulted for hearing loss, tinnitus, vertigo, hiring report, medical expertise and whose deafness was confirmed to tonal audiometry with an age greater than or equal to 15 years. It was spread over 10 months (June 2016 to March 2017). A total of 200 patients were collected. Exclusion criteria were all patients under 15 years of age as well as deafness related to earwax or foreign bodies, and refusal to participate in the study Results: During our study period, 6055 outpatients were admitted out of which 734 patients underwent audiometric testing and 200 patients (3.30%) met our criteria. The male sex was the most represented with a rate of 60%. The sex ratio was 1.5 or 3 men for 2 women. The 15 to 25 age group was the most represented at 37.5%. The average age was 37.18 years old with extremes ranging from 15 to 83 years old. Pupils/students were the most represented with a rate of 29.5%, followed by housewives in 23%, farmers in 10.5% and military in 10%. As antecedent 26% of our patients had a chronic otitis media (OMC), against 23% who had no antecedent otological and 17% had a traumatic antecedent. Bilateral deafness was the most common with a rate of 64.5%. The mode of progressive appearance was the most frequent in 74.5%. As functional signs 46.22% of our patients had a hearing loss associated with tinnitus. Otoscopic examination was pathological in 34.5% of our patients. Mixed deafness was the most common in 43.35%, followed by perception deafness in 32.19% and transmission deafness 24.46%. Mean deafness was the most common with a rate of 48.91%, was severe in 20.22%, mild in 18.31%, deep in 11.47% and cophotic in 01.09%. Asymmetrical curves were the most found in 65.89% of our patients. Conclusion: Deafness is a sensory disability responsible for communication disorder, sometimes disabling. Audiometry, although subjective, remains essential in the diagnosis of deafness.
文摘Rheumatoid arthritis(RA) is a systemic, autoimmune disease that present with intra-articular and extra-articular manifestations. Auditory system may be involved during the course of RA disease due to numbers of pathologies. The link between hearing impairment and RA has been discussed in the previous literature. In this study we provide an update on the clinical aspect of hearing impairment in RA. We suggest to test hearing in all newly diagnosed RA patients at diagnosis as well as regularly during the course of disease.
文摘This study was conducted to assess the occupational exposure and its health impact on the chromium alloy workers. Environmental and biological monitoring, noise and audiometry measurements were done to evaluate the exposure levels in the factory. A total of 112 non-smoking workers were monitored from July 2001 to August 2002 The results showed that most of the chromium and lead exposures in the factory were below the ACGIH-TWA of 50 μg/m 3 for chromium(Ⅵ) and OSHA-PEL of 50 μg/m 3 for lead. The highest chromium(7 25±0 16 μg/m 3) and lead(14 50±0 29 μg/m 3) concentrations were measured in the vibro room. The results indicated that elevated concentrations of chromium and lead were found in both blood and urine samples especially in those areas which were characterized by poor ventilation. The metal contents in blood and urine samples were significantly correlated with airborne metal concentrations in the factory. The result demonstrated that blood and urinary levels among workers were associated with increasing age and duration of exposure. The background noise level of the factory ranged from 67 6 to 89 2 dBA and was frequently higher than the threshold limit value for noise(90 dBA). According to the audiometric test, the exposed workers showed signs of noise-induced hearing loss. Noise at work continued to be an important factor to hearing loss among exposed workers. In our statistical analysis, a significant hearing loss was established on age effect and year of exposure among the workforce.