The correlation of hearing prognosis and caloric test results in Meniere's disease: a follow up study.

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Pub Date : 2024-02-01 Epub Date: 2024-03-04 DOI:10.1080/00016489.2024.2324136

Zhengtao Sun, Yi Zhang, Bo Liu, Jinping Duan, Gang Liu, Xinyang Zhou

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引用次数: 0

Abstract

Background: Hearing loss is important in the diagnosis and treatment of Meniere's disease (MD). However, little is known about the factors associated with hearing changes in MD.

Aims/objectives: This study aimed to investigate the correlation between hearing prognosis and caloric test (CT) results in MD.

Material and methods: Ninety consecutive patients diagnosed with unilateral definite MD underwent pure tone audiometry (PTA) and CT at initial visits, and were re-tested PTA at the 6-month follow-up.

Results: Fifty-three of ninety MD patients (58.89%) had abnormal CT results. The change of PTA (cPTA = initial PTA-last PTA) was negatively correlated with canal paresis (CP) values (overall association p = 0.032 and non-linear association p = 0.413). Multivariate linear model showed that as the CP value changed from 0 to 1, the cPTA decreased by -13.31 dB (95% CI: -24.03, -2.6) (p = 0.016). Stratified analysis found that the association was present in MD patients of Stage 1 and 2 (p < 0.05) but not in patients of Stage 3 and 4 (p > 0.05).

Conclusions and significance: Elevated CP values may be linked to worse hearing outcomes in MD, especially in Stage 1 and 2 patients. Conducting a caloric test at the initial consultation may aid in assessing hearing regression in MD.

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梅尼埃病听力预后与热量测试结果的相关性：一项后续研究。

背景：听力损失对梅尼埃病（MD）的诊断和治疗非常重要。然而，人们对梅尼埃病听力变化的相关因素知之甚少：本研究旨在调查梅尼埃病听力预后与卡路里测试（CT）结果之间的相关性：连续90例被诊断为单侧明确MD的患者在初诊时接受了纯音测听（PTA）和CT检查，并在6个月随访时再次接受PTA检查：结果：90 名 MD 患者中有 53 人（58.89%）的 CT 结果异常。PTA 的变化（cPTA = 初始 PTA - 最后 PTA）与管瘫（CP）值呈负相关（总体相关性 p = 0.032，非线性相关性 p = 0.413）。多变量线性模型显示，当 CP 值从 0 变为 1 时，cPTA 下降了 -13.31 dB（95% CI：-24.03，-2.6）（p = 0.016）。分层分析发现，这种关联存在于 1 期和 2 期 MD 患者中（p p > 0.05）：CP值升高可能与MD患者听力恶化有关，尤其是1期和2期患者。在初诊时进行热量测试有助于评估 MD 患者的听力衰退情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Oto-Laryngologica 医学-耳鼻喉科学

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

3-6 weeks

期刊介绍： Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.