Peripheral and brainstem auditory evaluation in post-COVID-19 individuals.

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Clinics Pub Date : 2024-08-03 eCollection Date: 2024-01-01 DOI:10.1016/j.clinsp.2024.100472
Lucas Pinto Mielle, Maria Vanderléia Araujo Maximiano, Ivone Ferreira Neves-Lobo, Liliane Aparecida Fagundes Silva, Alessandra C Goulart, Carla Romagnolli, Gerson Sobrinho Salvador de Oliveira, Alessandra Giannella Samelli, Carla Gentile Matas
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Abstract

Purpose: The purpose of this study was to investigate the peripheral and central auditory pathways in adult individuals after COVID-19 infection.

Method: A total of 44 individuals aged between 19 and 58 years, of both genders, post-COVID-19 infection, confirmed by serological tests, with no previous hearing complaints and no risk factors for hearing loss, were assessed. All the participants underwent the following procedures: pure tone audiometry, logoaudiometry, immitanciometry, and Brainstem Auditory Evoked Potentials (BAEP), in addition to answering a questionnaire about auditory symptoms.

Results: Thirteen individuals (29.5 %) had some hearing threshold impairment, mainly sensorineural hearing loss. In the BAEP, 18 individuals (40.9 %) presented longer latencies, mainly in waves III and V. According to the questionnaire answers, 3 individuals (9.1 %) reported worsened hearing and 7 (15.9 %) tinnitus that emerged after the infection. As for the use of ototoxic drugs during treatment, 7 individuals (15.9 %) reported their use, of which 5 showed abnormalities in peripheral and/or central auditory assessments.

Conclusion: Considering the self-reported hearing complaints after COVID-19 infection and the high rate of abnormalities found in both peripheral and central audiological assessments, it is suggested that the new COVID-19 may compromise the auditory system. Due to the many variables involved in this study, the results should be considered with caution. However, it is essential that audiological evaluations are carried out on post-COVID-19 patients in order to assess the effects of the infection in the short, medium, and long term. Future longitudinal investigations are important for a better understanding of the auditory consequences of COVID-19.

后 COVID-19 患者的外周和脑干听觉评估。
目的:本研究旨在调查感染 COVID-19 后成人的外周和中枢听觉通路:方法:共评估了 44 名年龄在 19 至 58 岁之间、经血清学检测证实感染 COVID-19 后、既往无听力问题且无听力损失风险因素的男女患者。所有参与者都接受了以下程序:纯音测听、对数测听、低频测听和脑干听觉诱发电位(BAEP),此外还回答了有关听觉症状的问卷:结果:13 人(29.5%)存在听阈损伤,主要是感音神经性听力损失。在 BAEP 中,18 人(40.9%)出现了较长的潜伏期,主要是 III 波和 V 波。根据问卷答案,3 人(9.1%)报告听力恶化,7 人(15.9%)报告感染后出现耳鸣。至于在治疗期间使用耳毒性药物的情况,有 7 人(15.9%)报告使用了耳毒性药物,其中 5 人的外周和/或中枢听觉评估出现异常:考虑到感染 COVID-19 后自我报告的听力不适以及外周和中枢听力评估中发现的高异常率,我们认为新的 COVID-19 可能会损害听觉系统。由于本研究涉及许多变量,因此应谨慎考虑研究结果。不过,有必要对 COVID-19 后的患者进行听力评估,以评估感染的短期、中期和长期影响。未来的纵向调查对于更好地了解 COVID-19 的听觉后果非常重要。
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
Clinics
Clinics 医学-医学:内科
CiteScore
4.10
自引率
3.70%
发文量
129
审稿时长
52 days
期刊介绍: CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in the medical sciences. CLINICS complies with the policies of funding agencies which request or require deposition of the published articles that they fund into publicly available databases. CLINICS supports the position of the International Committee of Medical Journal Editors (ICMJE) on trial registration.
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