Tinnitus in COVID-19 patients: Our experiences at an eastern Indian tertiary care teaching hospital

S. Swain, Somadatta Das
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Abstract

Background: Tinnitus is a common otologic symptom found in the outpatient department of otolaryngology. Patients with COVID-19 infection have complained of tinnitus. However, in the present COVID-19 epidemic, it has received little attention. Objective: The goal of this study was to see how common tinnitus was among COVID-19 patients in a tertiary care teaching hospital. Materials and Methods: This is a prospective study that looked at 28 COVID-19 participants who had tinnitus. COVID-19 infection was confirmed in all of them using a nasopharyngeal swab reverse transcription–polymerase chain reaction (RT-PCR). The detailed history-taking clinical examination of the ear was done for the assessment of tinnitus and its outcome was analyzed. Results: There were 28 COVID-19 patients presented with tinnitus out of 212 patients infected with severe acute respiratory syndrome coronavirus-2. There were 16 (57.14%) men and 12 (42.85%) women out of 28 COVID-19 patients with tinnitus, with a male-to-female ratio of 1.33:1. Seven (25%) of the 28 patients had hearing loss, whereas 4 (14.28%) had balance issues. Out of 28 patients, 5 (17.85%) had symptoms of migraine. Conclusion: This study shows that COVID-19 patients may be affected by subjective otoneurological symptoms like tinnitus. Tinnitus is more common in male COVID-19 patients than in female. The associated symptoms of hearing impairment and balance issues should be anticipated along with tinnitus. More research is needed to figure out the specific pathophysiological process that causes this subjective ringing sensation in COVID-19 patients.
COVID-19患者的耳鸣:我们在印度东部三级医疗教学医院的经验
背景:耳鸣是耳鼻喉科门诊常见的耳科症状。COVID-19感染患者抱怨耳鸣。然而,在当前的COVID-19疫情中,它却很少受到重视。目的:了解某三级教学医院新冠肺炎患者耳鸣的发生率。材料和方法:这是一项前瞻性研究,研究了28名患有耳鸣的COVID-19参与者。所有患者均通过鼻咽拭子逆转录聚合酶链反应(RT-PCR)确诊COVID-19感染。对耳鸣进行详细的临床病史检查,以评估耳鸣并分析其预后。结果:212例严重急性呼吸综合征冠状病毒2型感染患者中有28例出现耳鸣。28例新冠肺炎耳鸣患者中,男性16例(57.14%),女性12例(42.85%),男女比例为1.33:1。28例患者中有7例(25%)有听力损失,4例(14.28%)有平衡问题。28例患者中,5例(17.85%)有偏头痛症状。结论:本研究提示COVID-19患者可能存在耳鸣等主观性耳神经系统症状。男性COVID-19患者的耳鸣比女性更常见。听力障碍和平衡问题的相关症状应与耳鸣一起预期。需要更多的研究来弄清楚导致COVID-19患者主观振铃感的具体病理生理过程。
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