노인 돌발성 난청 환자의 임상적 특징 및 예후인자에 대한 분석

박창호; 이윤재; 김무건; 정재호; 박철원; 이승환

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자료유형: 학술저널

저자정보: 박창호 이윤재 김무건 정재호 박철원 이승환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제57권 제8호

발행연도: 2014.1

수록면: 511 - 517 (7page)

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Background and Objectives In aging society, interest in idiopathic sudden sensorineural hearing loss (ISSNHL) in elderly have been increased. However, as there has been little discussion about prognostic factors of ISSNHL in old age, this study aims to investigate clinical factors related with prognosis of ISSNHL in elderly and compare with that in adults. Subjects and Method A retrospective medical chart review was performed in patients over 19 years old who diagnosed with ISSNHL from Jan. 2010 to Dec. 2012. Patients were categorized into the old age group (over 65 years old, n=62) and the control group (aged 19 to 64 years old, n=218). Clinical findings, audiological result and treatment outcomes were compared between two groups. And possible prognostic factors of SSNHL in elderly were also investigated. Results Significant difference of hearing recovery was identified between the old age group (33.9%, 21/62) and control group (50.9%, 111/218) according to Siegel’s criteria (p=0.021). Multivariate analysis concluded that delayed treatment and low speech discrimination score (SDS) might lead to poor prognosis in elderly. The presence of tinnitus or dizziness, audiometric configurations, hypertension and diabetes mellitus did not affect the treatment results of ISSNHL in the old age group. Conclusion Onset of treatment and initial SDS could be possible prognostic factors of ISSNHL in elderly. Early diagnosis and urgent treatment are more important in old age. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(8):511-7

#Old age #Prognosis #Sudden sensorineural hearing loss

참고문헌 (25)

참고문헌 신청

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Ballesteros F / 2012 / Idiopathic sudden sensorineural hearing loss: classic cardiovascular and new genetic risk factors / Audiol Neurootol 7 (6) : 400 ~ 408

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Chau JK / 2010 / Systematic review of the evidence for the etiology of adult sudden sensorineural hearing loss / Laryngoscope 120 (5) : 1011 ~ 1021

Chon KM / 1995 / Clinical practice of sudden hearing loss / Jung Myung Dang Co