지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 85 - 91 (7page)
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초록· 키워드
오류제보하기
Objectives: Intratympanic dexamethasone (ITD) is a standard treatment for patients with sudden sensorineural hearing loss. The aim of this study was to evaluate the effectiveness of ITD vs. combination of ITD and diuretics for acute low frequency sensorineural hearing loss (LFHL) with vertigo.Methods: A total 31 patients with LFHL that had developed within previous 2 weeks were enrolled and categorized into two groups: treated with ITD four times on 4 consecutive days (ITD group; 17 patients) and treated with ITD in the same way and diuretics orally for 2 weeks (combination group; 14 patients). After 6 months, we analyzed treatment outcomes using subjective improvement and audiometric change.Results: Hearing thresholds at low frequencies ≤500 Hz were significantly improved in both ITD only and combination group (p＜0.05). The cure rate of combination group was not significantly higher than that of ITD only group (57.1% vs. 52.9%, p＞0.05). For subjective symptoms, there were no significant differences of improvement rate in both groups (combination 64.3% vs. ITD only 64.7%, p＞0.05). In pure tone audiometry, the improvement rate of combination group was not significantly different from that of ITD only group (71.4% vs. 76.5%, p＞0.05). There was a significant correlation between the complete recovery rate and duration of symptoms.Conclusion: ITD alone is an effective treatment modality for acute LFHL with vertigo within 2 weeks of development. Combined ITD and diuretics have no additive effect for the recovery of hearing in patients with LFHL.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Yamasoba T / 1994 / Acute low-tone sensorineural hearing loss without vertigo / Arch Otolaryngol Head Neck Surg 120:532~535
Imamura S / 1997 / Clinical observations on acute low-tone sensorineural hearing loss. Survey and analysis of 137 patients / Ann Otol Rhinol Laryngol 106:746~750
Fuse T / 2002 / Short-term outcome and prognosis of acute low-tone sensorineural hearing loss by administration of steroid / ORL J Otorhinolaryngol Relat Spec 64:6~10
Suzuki M / 2006 / Effect of corticosteroids or diuretics in low-tone sensorineural hearing loss / ORL J Otorhinolaryngol Relat Spec 68:170~176
Alatas N. / 2009 / Use of intratympanic dexamethasone for the therapy of low frequency hearing loss / Eur Arch Otorhinolaryngol 266:1205~1212
Imamura S / 1997 / Clinical observations on acute low-tone sensorineural hearing loss. Survey and analysis of 137 patients / Ann Otol Rhinol Laryngol 106:746~750
Fuse T / 2002 / Short-term outcome and prognosis of acute low-tone sensorineural hearing loss by administration of steroid / ORL J Otorhinolaryngol Relat Spec 64:6~10
Suzuki M / 2006 / Effect of corticosteroids or diuretics in low-tone sensorineural hearing loss / ORL J Otorhinolaryngol Relat Spec 68:170~176
Alatas N. / 2009 / Use of intratympanic dexamethasone for the therapy of low frequency hearing loss / Eur Arch Otorhinolaryngol 266:1205~1212
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