International Archives of Otorhinolaryngology最新文献_第2页

Hearing Performance and Soft-Tissue Outcomes of Minimally Invasive Ponto Surgery and Local Anesthesia in Children with Unilateral Craniofacial Malformation.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1788910

Andrea Caruso Leone, Arthur Menino Castilho, Fabiana Danieli, Daniela Bortoloti Calil, Katia de Almeida

{"title":"Hearing Performance and Soft-Tissue Outcomes of Minimally Invasive Ponto Surgery and Local Anesthesia in Children with Unilateral Craniofacial Malformation.","authors":"Andrea Caruso Leone, Arthur Menino Castilho, Fabiana Danieli, Daniela Bortoloti Calil, Katia de Almeida","doi":"10.1055/s-0044-1788910","DOIUrl":"10.1055/s-0044-1788910","url":null,"abstract":"Introduction Minimally invasive Ponto surgery (MIPS) enables the installation of percutaneous bone-anchored hearing implants (BAHIs) with a drill guide through a hole punch incision. Despite being well established for adults, there is a lack of studies in the literature regarding its use in pediatric patients. Objective The aim of the present study was to investigate the hearing performance and soft-tissue outcomes of the use of MIPS under local anesthesia in children with unilateral craniofacial malformation (UCM). Methods The study used a retrospective cohort design. Nine subjects with UCM, aged between 6.5 and 17.1 (median = 12) years, who underwent the MIPS procedure under local anesthesia were included. Surgical procedure, intra, and postoperative complications were investigated. Speech recognition thresholds in quiet (SRTQ) and in noise (SRTN), daily use, satisfaction, and perceptual listening effort of the subjects were assessed after 4 months of postoperative follow-up. Results It was possible to perform MIPS under local anesthesia in 8 of 9 subjects, with no intraoperative complications. One subject (11.11%) showed adverse skin reactions during a mean follow-up period of 11.4 months with MIPS. Speech recognition thresholds in quiet, SRTN, and subjective listening effort scores significantly decreased with the use of BAHI. The subjects were overall satisfied with the device and using it 8.2 hours/day, on average. Conclusion Under local anesthesia, MIPS showed to be a viable option for BAHI installation in children with UCM. The hearing performance of the subjects improved, and they were globally satisfied with the device. Soft-tissue complications were minimal, and our results are comparable to those reported in the literature for adults.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is There an Association between Bell Palsy in Pediatric Patients and COVID-19?

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1789197

Mohamed E El-Deeb, Saad Elzayat, Abeer Salamah, Ali Gamal, Shimaa Elgamal, Ahmed El-Sobki

{"title":"Is There an Association between Bell Palsy in Pediatric Patients and COVID-19?","authors":"Mohamed E El-Deeb, Saad Elzayat, Abeer Salamah, Ali Gamal, Shimaa Elgamal, Ahmed El-Sobki","doi":"10.1055/s-0044-1789197","DOIUrl":"10.1055/s-0044-1789197","url":null,"abstract":"Introduction Bell palsy (BP) is an acquired, idiopathic facial palsy linked to lower motor neuron malfunction of the seventh cranial nerve. Several studies have identified BP as one of the many neuropathies that coronavirus disease 2019 (COVID-19) patients have developed, while other studies disagree. Objective To study if there is an association between BP in pediatric patients and COVID-19, and to examine the pattern of recovery in all pediatric cases of BP during the COVID-19 pandemic. Methods We performed a prospective cohort study on pediatric patients with acute onset unilateral facial weakness of unknown etiology (BP) during the pandemic period. All included patients were submitted to a reverse transcription-polymerase chain reaction (RT-PCR) test through nasopharyngeal and oropharyngeal swabs for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at the time of the BP diagnosis. Results No significant differences were found regarding COVID-19 infection and recovery from BP at the first, third, or sixth months of follow-up. According to the results, it seems that there is no association between COVID-19 infection and facial palsy; however, the patients infected with COVID-19 in the sample experienced a rapid, early recovery from BP. The mean incidence of BP in 5 years (2017-2021) was of 1.73/100 thousand individuals, with a statistically insignificant change throughout the years. Conclusion We were not able to show any association between BP and COVID-19. The patients underwent follow-up for up to 6 months, and we studied their patterns of recovery from BP, which were like those observed before the pandemic.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic Orbital Clearance/Debridement: A Potential Substitute for Orbital Exenteration in Rhino-orbital Mucormycosis.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1791645

Ahmed Hassan Sweed, Ahmed Mohammad Anany, Atef Hussein, Waleed Nada, Mohamed Eesa, Ismail Elnashar, Mohamed Mobashir, Enas Moustafa Ibrahim, Mohammed Elsayed Elmaghawry

{"title":"Endoscopic Orbital Clearance/Debridement: A Potential Substitute for Orbital Exenteration in Rhino-orbital Mucormycosis.","authors":"Ahmed Hassan Sweed, Ahmed Mohammad Anany, Atef Hussein, Waleed Nada, Mohamed Eesa, Ismail Elnashar, Mohamed Mobashir, Enas Moustafa Ibrahim, Mohammed Elsayed Elmaghawry","doi":"10.1055/s-0044-1791645","DOIUrl":"10.1055/s-0044-1791645","url":null,"abstract":"Introduction Mucormycosis is an aggressive, lethal fungal infection affecting the nasal and paranasal territory in immunocompromised patients. Orbital involvement is not uncommon and may require orbital exenteration. Objectives The management of orbital involvement in invasive fungal sinusitis is challenging, ranging from conservative retrobulbar amphotericin B injection in the early stages to orbital exenteration in late stages. Endoscopic endonasal debridement is a minimally invasive technique used to manage orbital fungal involvement in the late stages. Methods Endoscopic endonasal orbital clearance was performed to manage late-stage orbital invasive fungal infection (≥ stage 3c) or after failure of retrobulbar amphotericin B injection with no light perception. Removal of the lamina papyracea (LP) and incision of the periorbita were done to expose all the necrotic intraorbital content in the extra and intraconal spaces. A microdebrider was utilized to debride necrotic fungal infected tissue until a healthy vascularized plane was reached. Gelfoam (Pfizer Inc., New York, NY, United States) soaked in amphotericin B was applied as an adjunctive step to deliver antifungal medication to the orbital content. Results Fourteen patients were included in the study, 9 of whom were male and 5 female, with a mean age of 58.5 years. Eleven patients showed no evidence of disease progression (complete recovery and cessation of medical treatment). Two patients died 15 days after the surgery. The last patient developed frontal lobe abscess but has been treated with double antifungal medication. Conclusion Endoscopic endonasal orbital debridement could be an effective method to treat late-stage orbital fungal infection without jeopardizing the patient's life. Level of Evidence : 4.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Intelligence for Diagnosis and Treatment of Dysphagia.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1801781

Geraldo Pereira Jotz, Arthur Viana Jotz, Daniel Arnold, Wyllians Vendramini Borelli

引用次数: 0

Home Respiratory Polygraphy to Detect Obstructive Sleep Apnea Syndrome after Supracricoid Partial Laryngectomy.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1801791

Rosa Hernández-Sandemetrio, Natsuki Oishi, Tomás Chavero, Rafael Navarro, Isabel López, Enrique Zapater

{"title":"Home Respiratory Polygraphy to Detect Obstructive Sleep Apnea Syndrome after Supracricoid Partial Laryngectomy.","authors":"Rosa Hernández-Sandemetrio, Natsuki Oishi, Tomás Chavero, Rafael Navarro, Isabel López, Enrique Zapater","doi":"10.1055/s-0044-1801791","DOIUrl":"10.1055/s-0044-1801791","url":null,"abstract":"Introduction Supracricoid partial laryngectomy is a surgical treatment for advanced laryngeal cancer which is implemented to preserve organ function, but it may cause obstructive sleep apnea syndrome (OSAS) due to anatomical changes after surgery that may be neglected by clinicians. Although the gold standard for the diagnosis of OSAS is polysomnography, respiratory polygraphy is an alternative valid method with a high level of diagnostic sensitivity and specificity; since the equipment is portable, it can be used at home, with no need for hospitalization. Objective To describe the polygraphy result of patients submitted to supracricoid partial laryngectomy. Methods The present study included 13 patients, and we collected data on age, date of the surgery, body mass index, cardiovascular risk factors, Epworth score, and apnea-hypopnea index (AHI). Results The 13 patients were all male, with a mean age of 62 years. As for the AHI, one patient was classified as severe, six, as moderate, and three patients, as mild; moreover, 3 patients were simple snorers. While 77% of the sample presented OSAS, only 23% presented symptoms of drowsiness. Conclusion The study group, who underwent supracricoid partial laryngectomy, did not present self-reported symptoms of OSAS. Nevertheless, polygraphy was a useful tool in this group, and we recommend its systematic use after decannulation to avoid leaving OSAS undiagnosed. Level of evidence 4; case series study.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-3"},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Nijmegen Cochlear Implant Questionnaire in Danish.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-22 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1788598

Charlotte Skov Neumann, Jesper Hvass Schmidt

{"title":"Evaluation of the Nijmegen Cochlear Implant Questionnaire in Danish.","authors":"Charlotte Skov Neumann, Jesper Hvass Schmidt","doi":"10.1055/s-0044-1788598","DOIUrl":"10.1055/s-0044-1788598","url":null,"abstract":"Introduction The Nijmegen cochlear implant questionnaire (NCIQ) is a quantifiable self-assessment health-related quality of life (HRQoL) tool used internationally to determine quality of life (QoL) in cochlear implant (CI) users and to evaluate the implant's subjective benefits. Objective This study aimed to validate the Danish version of the questionnaire (DA-NCIQ) with a test-retest including 60 participants (30 CI users and 30 CI candidates). Methods The intraclass correlation coefficients (ICC) were calculated to evaluate the temporal stability of the participants' answers and the internal consistency of the questionnaire domains was determined using the Cronbach alpha in order to compare these results with the NCIQ's other language versions. Results The DA-NCIQ was found to have Cronbach alpha coefficients between 0.7 and 0.91, as well as test-retest reliability with ICC values between 0.7 and 0.92. These findings were similar to the original and other language versions of this questionnaire. The Cronbach alpha coefficients varied between 0.73 and 0.89, while the ICC test-retest reliability varied between 0.64 and 0.85. Furthermore, the present study found that participants with CIs had an improved HRQoL in all subdomains, except for the advanced sound perception one, when compared to the CI candidates. Conclusion The results supported the DA-NCIQ as a reliable instrument to measure the subjective benefits of CIs in postlingually deafened/hearing-impaired adults.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Plasmatic Levels of Cytokines and Quality of Life among Elderly Individuals with Dizziness.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-22 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1791731

Gislaine da Silva Moreira, Luciana Lozza de Moraes Marchiori, Daiane Soares de Almeida Ciquinato, Glória de Moraes Marchiori, Licia Sayuri Tanaka Okamura, Braulio Henrique Magnani Branco, Regina Célia Poli-Frederico

{"title":"Plasmatic Levels of Cytokines and Quality of Life among Elderly Individuals with Dizziness.","authors":"Gislaine da Silva Moreira, Luciana Lozza de Moraes Marchiori, Daiane Soares de Almeida Ciquinato, Glória de Moraes Marchiori, Licia Sayuri Tanaka Okamura, Braulio Henrique Magnani Branco, Regina Célia Poli-Frederico","doi":"10.1055/s-0044-1791731","DOIUrl":"10.1055/s-0044-1791731","url":null,"abstract":"Introduction Few studies have investigated the relationship between cytokines and dizziness in elderly individuals. Objective To assess the levels of inflammatory biomarkers and their relationship with quality of life (QoL) among elderly individuals with dizziness. Methods We conducted a cross-sectional study with 103 participants (90 women and 13 men) who were assessed through the Visual Analogue Scale (VAS) and the Dizziness Handicap Inventory (DHI). The plasma levels of cytokines were measured through the cytometric bead array (CBA) method. Cross-tabulations with the Chi-squared test were used to verify sample homogeneity, and parametric tests were used to analyze the data. Results Out of the total sample of 103 individuals, dizziness was reported by 40 women and 5 men. A difference between the groups with and without dizziness was observed regarding the levels of interleukin 4 (IL-4; p = 0.011): the group without dizziness presented a higher mean level (2.1 ± 2.8 pg/mL) when compared to the group that presented dizziness (1.0 ± 1.7 pg/mL). Another difference was found between the DHI classifications and the plasma levels of tumor necrosis factor alpha (TNF-α;) p = 0.015): the groups without any losses in QoL presented lower TNF-α levels (1.4 pg/mL) compared to the group that presented moderate QoL loss (6.3 pg/mL). Conclusion Dizziness affects the functional, physical and emotional dimensions of QoL and plays a role in the decrease in the levels of IL-4 and in the presence of fullness and tinnitus. Higher VAS scores are related to dizziness in the elderly. Moreover, the increased levels of TNF-α were associated to light-to-moderate losses in QoL among elderly patients with dizziness.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CO ₂ Laser Technique versus Cold Steel: Is CO ₂ Laser Required as a Surgical Tool for Flawless Stapes Surgery?

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-22 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1801315

Vikas Kumar, Anandita Gupta, A Sethi

{"title":"CO 2 Laser Technique versus Cold Steel: Is CO 2 Laser Required as a Surgical Tool for Flawless Stapes Surgery?","authors":"Vikas Kumar, Anandita Gupta, A Sethi","doi":"10.1055/s-0044-1801315","DOIUrl":"10.1055/s-0044-1801315","url":null,"abstract":"Introduction Stapedotomy is the standard of care in the surgical management of clinical otosclerosis. It is a precise and technically demanding craft requiring impeccable surgical skills. Both conventional and laser-assisted procedures aim to achieve closure of the air-bone gap (ABG) with minimum collateral damage. Objective To compare the postoperative outcomes of conventional stapes surgery and CO 2 laser-assisted surgery. Methods We conducted a retrospective analysis of the medical records of 74 adult patients who underwent stapedotomy at our center. The patients were divided into two groups for comparison: the \"cold steel method\" (CSM) group, which was composed of patients who had undergone conventional stapedotomy (manual microperforators/hand-held microdrill); and the \"CO 2 laser-assisted\" (LA) group. The postoperative outcomes assessed at 3 and 6 months in both groups were analyzed and compared. The average operative time and complications of both groups were also compared. Results The hearing outcomes presented statistically significant postoperative improvement in both groups. The LA group presented statistically significant better air conduction thresholds at 3 and 6 months ( p < 0.05). The ABG and its degree of closure were statistically better at 3 months in the LA group; however, the difference became insignificant at 6 months. Transient vertigo was more common in the LA group ( p < 0.01). There was no new sensorineural hearing loss in either group. The operative time was longer in the LA group. Conclusion In experienced hands, both conventional and laser techniques can be used with equal ease and expectation of better outcomes. The CO 2 laser is not an indispensable tool to achieve good surgical results on a routine basis.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do Variations in Frontal Recess Anatomy Predispose to Mucocele Formation?

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-22 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1788002

Lalee Varghese, Rakesh R Bright, Aditya V A Gunturi, Grace Rebekah, Regi Kurien

{"title":"Do Variations in Frontal Recess Anatomy Predispose to Mucocele Formation?","authors":"Lalee Varghese, Rakesh R Bright, Aditya V A Gunturi, Grace Rebekah, Regi Kurien","doi":"10.1055/s-0044-1788002","DOIUrl":"10.1055/s-0044-1788002","url":null,"abstract":"Introduction Mucoceles are benign expansile cystic lesions commonly seen in the frontoethmoidal region. Objective To see if the distribution of frontal air cells predisposes to mucocele formation. Methods Retrospective review of all cases of paranasal sinus mucocele from 2011 to 2021. Data on demographics, history of surgery or trauma, clinical features, radiological findings, and outcome were collected and analyzed. Results Of the 28 cases, 19 (67.9%) were male and 9 (32.1%), female, with a mean age of 40.75 years. Mucocele was unilateral in 26 (92.9%) patients. Twenty patients (71.43%) presented with primary mucocele. The distribution of mucocele was frontal and frontoethmoidal in 8 (28.6%) patients each, maxillary in 6 (21.4%), and ethmoid and sphenoid sinus in 3 (10.7%) patients each. Sixteen (57.1%) patients had frontal sinus involvement. At presentation, 13 (46.4%) patients had nasal symptoms, 17 (60.7%) had orbital symptoms, while 16 (57.1%) had headache. Pain (12; 70.59%) was the predominant orbital symptom, followed by proptosis and diplopia (8; 47.06%). The most common sites of bony erosions were along the frontal sinus floor (14; 50%), followed by lamina papyracea (13; 46.43%), and frontal sinus anterior wall (10; 35.71%). The agger nasi and suprabullar cells were the most common frontal cells encountered in mucoceles involving the frontal sinus, with no significant difference in frontal cell distribution between involved and uninvolved sides. The frontal cell distribution was similar in mucoceles with and without frontal sinus involvement too. Conclusion Though frontal and frontoethmoidal mucoceles were the most encountered, the type and distribution of frontal cells did not predispose to mucocele formation.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Severity of Sickle Cell Anemia on Auditory Discrimination Ability and Speech Perception in Noise. 镰状细胞性贫血严重程度对噪声环境下听辨能力和言语感知的影响。

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1789255

Preeti Sahu, Animesh Barman

{"title":"Impact of Severity of Sickle Cell Anemia on Auditory Discrimination Ability and Speech Perception in Noise.","authors":"Preeti Sahu, Animesh Barman","doi":"10.1055/s-0044-1789255","DOIUrl":"10.1055/s-0044-1789255","url":null,"abstract":"Introduction Sickle cell anemia (SCA) is a genetic disorder with clinical manifestations due to circulatory changes, leading to adverse effects on the auditory system that might impact auditory processing, such as auditory discrimination and speech perception ability. This condition is associated with the severity level of anemia. Objective The purpose of the present study was to investigate the influence of anemia severity on auditory discrimination ability and speech perception in noise among SCA patients with normal hearing sensitivity. Methods A total of 52 normal-hearing adults diagnosed with SCA in the age range of 15 to 40 were grouped into mild, moderate, and severe, based on anemia severity. Auditory discrimination tests for frequency, intensity, and duration were evaluated at 500 and 4,000 Hz along with speech perception in noise (SPIN) at 0 dB SNR using the mlp toolbox in the MATLAB software, version 2014a (MathWorks, Natick, MA, USA). The IBM Statistical Package for Social Sciences (SPSS) version 26.0 (IBM Corp., Armonk, NY, USA) was used for statistical analysis. Results The results revealed an increase in median and interquartile range among anemia groups with increasing severity. Additionally, the median scores were found to be poorer for the higher frequency in all auditory discrimination tests than for the lower one. A regression in performance with an increase in severity for the SPIN test was observed. Conclusion The severity of anemia plays an important role in functional auditory processing deterioration. Circulatory changes secondary to SCA affected auditory discrimination processing and speech perception in noise. However, all auditory discrimination abilities are not necessarily affected equally.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0