Is routine hearing screening necessary in patients with inflammatory bowel disease - a prospective study.

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2025-06-01 Epub Date: 2025-01-17 DOI:10.1007/s00405-024-09163-1

Nayanika Reddy, Vijendra S Shenoy, Navya Parvathareddy, Ishaan Aggarwal

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引用次数: 0

Abstract

Purpose: To compare audiological profiling and association of hearing loss in different types of IBD and evaluate the degree of hearing impairment based on duration of illness and age parameters.

Methods: 120 subjects evaluated at a tertiary centre were divided into 2 groups- Controls and Cases. Cases were sub grouped into Ulcerative colitis (UC) and Crohn's disease based on biopsy. Hearing evaluation was done using PTA and DPOAE. Results were compared between the groups with analysis including duration of illness and age at presentation.

Results: Mild hearing loss at 8000 Hz was noted in both the subgroups, more so in UC. The median dB loss on PTA was more in the UC group at all the frequencies but was significant only at 1000, 2000, 4000 and 8000 Hz. 53(44.1%) of the 120 ears, showed mild hearing loss at 8000 Hz on PTA. The median SNR was lower in both subgroups at 8000 Hz. At 8000 Hz on DPOAE, 80 ears (66.6%) showed absent response which was much higher as compared to PTA findings at this frequency. At 8000 Hz, patients with > 5 years duration of illness and those with age > 30 years, showed higher absent DPOAE responses namely 25 ears (83.4%) out of 30 ears and 56 ears (80%) of 70, respectively.

Conclusion: UC cases are more susceptible to hearing loss compared to Crohn's disease especially at 8000 Hz. DPOAE supersedes PTA as a diagnostic tool for subclinical hearing loss.

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炎性肠病患者是否有必要进行常规听力筛查——一项前瞻性研究

目的：比较不同类型IBD的听力学特征和听力损失的相关性，并根据病程和年龄参数评估听力损害程度。方法：120名在某三级中心接受评估的受试者分为对照组和病例组。根据活检将病例分为溃疡性结肠炎（UC）和克罗恩病。采用PTA和DPOAE进行听力评价。结果在两组之间进行比较，分析包括疾病持续时间和就诊年龄。结果：两个亚组在8000hz时均有轻度听力损失，UC中更为明显。在所有频率下，UC组的PTA中位dB损失都更大，但只有在1000、2000、4000和8000 Hz时才显著。120只耳朵中有53只（44.1%）在8000 Hz的PTA中表现出轻度听力损失。在8000hz时，两个亚组的中位信噪比都较低。在DPOAE的8000hz时，80只耳朵（66.6%）表现为无应答，与此频率下的PTA结果相比要高得多。在8000hz时，病程bbbb5年的患者和年龄b> 30岁的患者表现出更高的DPOAE缺失反应，即30耳中25耳（83.4%）和70耳中56耳（80%）。结论：与克罗恩病相比，UC患者更容易发生听力损失，特别是在8000hz时。DPOAE取代PTA作为亚临床听力损失的诊断工具。

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

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.