Journal of Otology最新文献_第8页

Objective tinnitus secondary to palatal tremor: Two case reports and brief literature review 目的:报告腭部震颤继发耳鸣2例并复习相关文献

Journal of Otology Pub Date : 2022-04-01 DOI: 10.1016/j.joto.2021.11.003

Raúl Mellidez Acosta, Miguel Saro-Buendía, Lidia Torres García, Maria Antonia Marcos Peña, Carlos De Paula Vernetta

{"title":"Objective tinnitus secondary to palatal tremor: Two case reports and brief literature review","authors":"Raúl Mellidez Acosta, Miguel Saro-Buendía, Lidia Torres García, Maria Antonia Marcos Peña, Carlos De Paula Vernetta","doi":"10.1016/j.joto.2021.11.003","DOIUrl":"10.1016/j.joto.2021.11.003","url":null,"abstract":"<div><p>Objective tinnitus is defined as a type of tinnitus perceived by both the patient and external observer. This paper presents two cases of objective tinnitus related to palatal tremor, along with a literature review. Palatal tremor is a condition characterized by soft palate involuntary contractions. Two types of palatal tremor have been described: symptomatic palatal tremor and essential palatal tremor, with different clinical manifestations. Diagnostic workup is based on medical history and physical examination, including direct oropharynx exploration and cavum visualization through nasopharyngoscopy. Brain MRI is mandatory in all cases. If a secondary origin is suspected, additional lab tests should be performed based on clinical suspicion. First-line treatment is botulinum toxin injection into the <em>levator veli palatini</em> and <em>tensor veli palatini</em> muscles, with velopharyngeal insufficiency being its main adverse effect. Other medications have not been shown to be effective.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0c/ce/main.PMC9349006.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40616572","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: 1

Analysis of persistent geotropic and apogeotropic positional nystagmus of the lateral canal benign paroxysmal positional vertigo 持续性地向性和非地向性位置性眼震的分析

Journal of Otology Pub Date : 2022-04-01 DOI: 10.1016/j.joto.2022.01.002

Sertac Yetiser, Dilay Ince

{"title":"Analysis of persistent geotropic and apogeotropic positional nystagmus of the lateral canal benign paroxysmal positional vertigo","authors":"Sertac Yetiser, Dilay Ince","doi":"10.1016/j.joto.2022.01.002","DOIUrl":"10.1016/j.joto.2022.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aims to analyze the clinical characteristics of persistent geotropic and apogeotropic positional nystagmus of LC-BPPV in view of light and heavy cupula discussion.</p></div><div><h3>Material and method</h3><p>The study group includes 184 patients with LC BPPV (98 apogeotropic, 86 geotropic type) who have been examined between 2009 and 2020. Ninety-nine females and 85 males, aged between 16 and 92 years were included (Ageotropic 49.32 ± 14.12, geotropic 44.49 ± 13.90 years). Average slow phase velocity (SPV) of positional nystagmus was documented and those with persistent direction-changing positional nystagmus lasting more than a minute were grouped separately. Age, gender difference, side of involvement, and recurrence pattern were particularly reviewed. Chi-square and One way ANOVA tests were used to compare the difference between groups. Statistical significance was set at <em>P</em> < 0.05.</p></div><div><h3>Results</h3><p>Thirty-seven patients with apogeotropic nystagmus (30.7%; 37/98) and 18 patients with geotropic nystagmus (20.9%; 18/86) had persistent nystagmus (p ˂0.05). Comparison of slow phase velocity (SPV) of persistent and non-persistent geotropic and apogeotropic positional nystagmus of the affected side was significant (p ˂0.05). Comparison of average age, male to female ratio, side of involvement, and the recurrence rate in patients with persistent and non-persistent geotropic and apogeotropic type positional nystagmus groups were not significant (p = 0.177, p = 0.521, p = 0.891, p = 0.702).</p></div><div><h3>Conclusion</h3><p>Persistent geotropic and apogeotropic positional nystagmus is mostly correlated with the size, amount, and position of otoconial debris. It is difficult to justify the light cupula as a new geotropic variant of cupular pathology. Patients with persistent positional nystagmus present similar therapeutic outcomes and recurrence rates.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/32/47/main.PMC9349017.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40600969","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: 1

Teleaudiology practice in COVID-19 pandemic in Egypt and Saudi Arabia 埃及和沙特阿拉伯COVID-19大流行中的电视听力学实践

Journal of Otology Pub Date : 2022-04-01 DOI: 10.1016/j.joto.2021.12.002

Reem Elbeltagy , Eman H. Waly , Huny M. Bakry

引用次数: 7

“Sitting-up vertigo as an expression of posterior semicircular canal heavy cupula and posterior semicircular canal short arm canalolithiasis” 后半规管重丘和后半规管短臂管结石的仰卧起坐表现

Journal of Otology Pub Date : 2022-04-01 DOI: 10.1016/j.joto.2022.02.001

Darío H. Scocco, María A. Barreiro, Iván E. García

{"title":"“Sitting-up vertigo as an expression of posterior semicircular canal heavy cupula and posterior semicircular canal short arm canalolithiasis”","authors":"Darío H. Scocco, María A. Barreiro, Iván E. García","doi":"10.1016/j.joto.2022.02.001","DOIUrl":"10.1016/j.joto.2022.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Vestibular symptoms on sitting-up are frequent on patients seen by vestibular specialists. Recently, a benign paroxysmal positional vertigo (BPPV) variant which elicits vestibular symptoms with oculomotor evidence of posterior semicircular canal (P-SCC) cupula stimulation on sitting-up was described and named sitting-up vertigo BPPV. A periampullar restricted P-SCC canalolithiasis was proposed as a causal mechanism.</p></div><div><h3>Objective</h3><p>To describe new mechanisms of action for the sitting-up vertigo BPPV variant.</p></div><div><h3>Methods</h3><p>Eighteen patients with sitting-up vertigo BPPV were examined with a pre-established set of positional maneuvers and follow-up until they resolved their symptoms and clinical findings.</p></div><div><h3>Results</h3><p>All patients showed up-beating torsional nystagmus (UBTN) and vestibular symptoms on coming up from either Dix-Hallpike (DHM) or straight head-hanging maneuver. Sixteen out of 18 patients presented a sustained UBTN with an ipsitorsional component to the tested side on half-Hallpike maneuver (HH). A slower persistent contratorsional down-beating nystagmus was found in eleven out 18 patients tested on nose down position (ND).</p></div><div><h3>Conclusions</h3><p>Persistent direction changing positional nystagmus on HH and ND positions indicative of P-SCC heavy cupula was found in 11 patients. A sustained UBTN on HH with the absence of findings on ND, which is suggestive of the presence of P-SCC short arm canalolithiasis, was found on 5 patients. All patients were treated with canalith repositioning maneuvers without success, but they resolved their findings by means of Brandt-Daroff exercises. We propose P-SCC heavy cupula and P-SCC short arm canalolithiasis as two new putative mechanisms for the sitting-up vertigo BPPV variant.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/61/a0/main.PMC9349016.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40600968","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: 7

Methods for measuring pre-, intra-, and postoperative skin thickness for cochlear implants 人工耳蜗植入前、植入内和术后皮肤厚度的测量方法

Journal of Otology Pub Date : 2022-04-01 DOI: 10.1016/j.joto.2021.12.001

Lena Zaubitzer , Elena Schaefer , Elisabeth Wallhaeuser-Franke , Johannes Burkart , Katrin Herrmann , Beatrice Walter , Angela Schell , Claudia Scherl , Jérôme Servais , Daniel Haeussler

{"title":"Methods for measuring pre-, intra-, and postoperative skin thickness for cochlear implants","authors":"Lena Zaubitzer , Elena Schaefer , Elisabeth Wallhaeuser-Franke , Johannes Burkart , Katrin Herrmann , Beatrice Walter , Angela Schell , Claudia Scherl , Jérôme Servais , Daniel Haeussler","doi":"10.1016/j.joto.2021.12.001","DOIUrl":"10.1016/j.joto.2021.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>This study was conducted to determine whether there is a reliable method for measuring the thickness of the retroauricular skin before, during, and after cochlear implantation, which allows the assessment of the optimal force of the external magnet of the cochlear implant (CI).</p></div><div><h3>Methods</h3><p>The retroauricular skin thickness of 83 patients who received a CI was measured using three different methods. The thickness was measured on pre- and postoperative CT images, as well as intraoperatively. The magnet category chosen by the surgeon was recorded when the implant was switched on and during the first follow-up visit. Correlation analyses were performed on the different skin thickness measurements and between the skin thickness and magnet strength categories.</p></div><div><h3>Results</h3><p>Only six patients required an exchange of the magnet until the follow-up. Although the median absolute thickness differed significantly between the three measures (p < 0.0001), their thickness values showed highly significant correlations (Pearson's r = 0.457–0.585; p < 0.01). In addition, magnet strength, was significantly correlated with the flap thickness determined pre-, post-, and during surgery. The lowest correlation with magnet strength was found in the intraoperative needle method.</p></div><div><h3>Conclusion</h3><p>All three measurements methods provided a suitable base for determining the ideal magnetic force. However, of particular interest were the pre- and postoperative CT measurements. The first enabled the early assessment of the required magnetic strength and thus a timely postoperative supply, whereas the latter helped to estimate the need for magnetic strength reduction during follow-up care and the feasibility of an early swith-on.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/26/main.PMC9349019.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40600966","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: 2

Measuring the density of the fissula antefenestram and the section of the basal turn of the cochlea: Are they useful in the radiological diagnosis of otosclerosis? 测量耳蜗前裂密度和耳蜗基底转切面:它们在耳硬化的影像学诊断中有用吗?

Journal of Otology Pub Date : 2022-04-01 DOI: 10.1016/j.joto.2022.01.001

Lucas Resende Lucinda Mangia , Gabriel Lucca de Oliveira Salvador , Bettina Carvalho , Rogério Hamerschmidt

{"title":"Measuring the density of the fissula antefenestram and the section of the basal turn of the cochlea: Are they useful in the radiological diagnosis of otosclerosis?","authors":"Lucas Resende Lucinda Mangia , Gabriel Lucca de Oliveira Salvador , Bettina Carvalho , Rogério Hamerschmidt","doi":"10.1016/j.joto.2022.01.001","DOIUrl":"10.1016/j.joto.2022.01.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The role of objective parameters in terms of improvement of the accuracy of high-resolution computed tomography (HRCT) of the temporal bone in the diagnosis of otosclerosis remains unclear.</p></div><div><h3>Objectives</h3><p>To investigate the relationship between the density of the fissula antefenestram (FAF) and of the width of the transversal section of the basal turn of the cochlea (BTC), and the diagnosis of otosclerosis.</p></div><div><h3>Methods</h3><p>This is a retrospective study in which preoperative HRCT data from ears of patients submitted to stapedotomy due to otosclerosis (case group) were evaluated. For the control group, normal hearing ears having undergone HRCT for other purposes were included. Case and control HRCT images were objectively assessed by an experienced blinded radiologist. During this evaluation, measurements of the relative radiological density of the FAF and of the transversal section of the BTC were obtained. The results were compared between the groups. Also, a receiver operating characteristic curve was created and the area under the curve (AUC) was calculated for each variable. Significance level was set at .05.</p></div><div><h3>Results</h3><p>40 ears were included in each group. Case ears presented reduced values for the relative radiological density on the FAF (p-value<0.0001). Moreover, ears with otosclerosis (p-value: 0.022) presented lower transversal section of the BTC. The AUC for these variables reached 0.929 and 0.646, respectively.</p></div><div><h3>Conclusions</h3><p>Otosclerotic ears present reduced radiological density on the FAF and narrower BTC. The relative density of the FAF also shows a great diagnostic power in the context of this disease.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/a1/main.PMC9349010.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40600972","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

The prevalence of isolated otolith dysfunction in a local tertiary hospital 某地方三级医院孤立性耳石功能障碍的流行情况

Journal of Otology Pub Date : 2022-01-01 DOI: 10.1016/j.joto.2021.06.003

Kenneth Wei De Chua , Heng Wai Yuen , David Yong Ming Low , Savitha Hosangadi Kamath

{"title":"The prevalence of isolated otolith dysfunction in a local tertiary hospital","authors":"Kenneth Wei De Chua , Heng Wai Yuen , David Yong Ming Low , Savitha Hosangadi Kamath","doi":"10.1016/j.joto.2021.06.003","DOIUrl":"10.1016/j.joto.2021.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>Patients with dizziness may present with symptoms of tilting, swaying, rocking, floating or with disequilibrium. This may be suggestive of an isolated otolithic dysfunction yet, there is little emphasis on this emerging clinical entity. To characterize and describe the prevalence of isolated otolith dysfunction in a local tertiary hospital and correlate them with clinical diagnosis.</p></div><div><h3>Methodology</h3><p>Retrospective medical chart review of patients who presented with dizziness to the specialist outpatient Otolaryngology clinic, who required vestibular laboratory investigation.</p></div><div><h3>Results</h3><p>Of the 206 patients, more than half of them (52.4%) fulfilled the criteria for either probable or definite isolated otolith dysfunction. When there are clinical symptoms of otolith dysfunction reported, there is a 1.62 odds of a remarkable laboratory otolith finding. The most common clinical finding was “no clear diagnosis” (65.5%) followed by Vestibular Migraine (13.6%).</p></div><div><h3>Conclusion</h3><p>The prevalence of isolated otolith dysfunction is quite high. Laboratory tests of otolith function should be performed more routinely. This can be done in a sequential way to optimize cost effectiveness in countries with no insurance reimbursement. Prospective cohort studies on isolated otolith dysfunction, will lay the groundwork for achieving diagnostic consensus and formulating rehabilitation plans to aid this group of patients.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joto.2021.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10318578","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: 2

A possible objective test to detect benign paroxysmal positional vertigo. The role of the caloric and video-head impulse tests in the diagnosis 一种可能检测良性阵发性体位性眩晕的客观试验。热量和视频头脉冲试验在诊断中的作用

Journal of Otology Pub Date : 2022-01-01 DOI: 10.1016/j.joto.2021.11.001

András Molnár, Stefani Maihoub, László Tamás, Ágnes Szirmai

{"title":"A possible objective test to detect benign paroxysmal positional vertigo. The role of the caloric and video-head impulse tests in the diagnosis","authors":"András Molnár, Stefani Maihoub, László Tamás, Ágnes Szirmai","doi":"10.1016/j.joto.2021.11.001","DOIUrl":"10.1016/j.joto.2021.11.001","url":null,"abstract":"<div><h3>Background</h3><p>Benign paroxysmal positional vertigo (BPPV) is characterized by vertigo lasting from seconds to minutes, induced by head movements.</p></div><div><h3>Objectives</h3><p>Our study aimed to investigate the clinical significance of the caloric vestibular and video head-impulse tests (vHIT) diagnosing the disorder.</p></div><div><h3>Methods</h3><p>68 patients suffering from posterior canal BPPV (25 male, 43 females, mean age <span><math><mrow><mo>±</mo></mrow></math></span> SD, 54.5 <span><math><mrow><mo>±</mo></mrow></math></span> 13.2 years) and 56 patients with a normal functioning vestibular system as control were investigated. Bithermal caloric test and vHIT was performed during the same medical check-up. Canal paresis (CP%), gain (GA) and asymmetry (GA%) parameters were calculated.</p></div><div><h3>Results</h3><p>The Dix-Hallpike manoeuvre was only positive in 4% of this population. The CP% parameter was only pathologic in two patients, and there was no significant difference between control and BPPV patients (p = 0.76). The GA value was never under 0.8 in this population, but GA% was abnormal in 63.2%. A significant difference comparing the GA% values to the control group was seen (p = 0.034). There was no correlation detected between the CP% and GA% values in BPPV. Regarding the GA% value, 61% sensitivity and 76% specificity was seen.</p></div><div><h3>Conclusion</h3><p>The Dix-Hallpike manoeuvre was not often positive in the non-acute phase of BPPV; therefore, objective testing is essential. The caloric test does not have clinical significance in BPPV, but vHIT can be helpful based on the GA% parameter.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/26/main.PMC8811404.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39609453","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

The diagnosis of central vestibular disorders based on the complementary examination of the vestibulospinal reflex 基于前庭脊髓反射辅助检查的中枢性前庭疾病诊断

Journal of Otology Pub Date : 2022-01-01 DOI: 10.1016/j.joto.2021.07.001

Stefani Maihoub, András Molnár, László Tamás, Ágnes Szirmai

{"title":"The diagnosis of central vestibular disorders based on the complementary examination of the vestibulospinal reflex","authors":"Stefani Maihoub, András Molnár, László Tamás, Ágnes Szirmai","doi":"10.1016/j.joto.2021.07.001","DOIUrl":"10.1016/j.joto.2021.07.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Stance and gait unsteadiness along with vertigo contribute to a central vestibular disorder. For objective analysis ultrasound-computer-craniocorpography (US-COMP-CCG) can be used. Aim of the study was to characterize the unsteadiness in central vestibular disorders and discuss the possible diagnostic usage of US-COMP-CCG.</p></div><div><h3>Methods and results</h3><p>Hundred-and-ninety patients (70 male and 120 female, mean age ± SD, 58.94 ± 15.27) suffering from central vestibular disorder and 230 healthy control patients (78 male and 152 female, mean age ± SD, 50.94 ± 15.27) were enrolled. Stance and gait analysis was according to vestibulospinal tests of US-COMPCCG. IBM SPSS V24 software was used for statistical analysis. Mann-Whitney<em>U</em> test and Chi-square test were used, along with sensitivity and specificity categorization. The significance level was p < 0.05. According to schematic and statistical analysis instability and postural sway were increased in the vertigo population and statistically significant difference was shown. Upon categorical analysis significant correlation was detected [standing test: longitudinal sway (p < 0.00001), lateral sway (p < 0.00001), forehead covering area parameters (p = 0.0001); stepping test: longitudinal deviation (p = 0.05), lateral sway (p = 0.011) parameters].</p></div><div><h3>Conclusions</h3><p>Clinicians should consider that postural instability is prominently present in this population and might be of a diagnostic importance.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joto.2021.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39780955","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: 1

The study on psychological resilience of tinnitus and associated influencing factors 耳鸣患者心理恢复力及其影响因素的研究

Journal of Otology Pub Date : 2022-01-01 DOI: 10.1016/j.joto.2021.08.001

Feng Xin , Qingfeng Li , Fangling Guan , Minli Suo , Jie Yang , Dan Li , Changqing Zhao

{"title":"The study on psychological resilience of tinnitus and associated influencing factors","authors":"Feng Xin , Qingfeng Li , Fangling Guan , Minli Suo , Jie Yang , Dan Li , Changqing Zhao","doi":"10.1016/j.joto.2021.08.001","DOIUrl":"10.1016/j.joto.2021.08.001","url":null,"abstract":"<div><p>The association between tinnitus and psychological resilience is an underdeveloped area of research. This cross-sectional study investigated such associations and factors potentially affecting resilience in 61 patients. Demographic and psychometric data were collected by questionnaires. The Connor–Davidson Resilience Scale (CD-RISC), Medical Coping Modes Questionnaire (MCMQ), Satisfaction with Life Scale (SWLS), General Self-Efficacy Scale (GSES), Big Five Inventory (BFI) and Perceived Social Support Scale (PSSS) were completed by participants. Data were analyzed using independent <em>t-</em>test and Pearson's correlation analysis and multiple linear regression modeling. The CD-RISC score was relatively low (66.97 ± 15.71), negatively correlated with tinnitus (r = −0.276, <em>p</em> < 0.001) and associated with age (r = 0.270，P＜0.001). As protective factors, SWLS (r = 0.486, <em>p</em> < 0.001), GSES (r = 0.555, <em>p</em> < 0.001), PSSS (r = 0.538, <em>p</em> < 0.001) and extraversion were positively correlated with CD-RISC and BFI scores (r = 0.287, <em>p</em> < 0.001). We also detected a negative correlation with neuroticism (r = −0.395, <em>p</em> < 0.001), which is a known risk factor for worse CD-RISC scores. Identifying protective and risk factors for psychological resilience can be used to predict treatment outcomes in tinnitus patients, which will help devise personalized solutions and improve patients' quality of life.</p></div>","PeriodicalId":37466,"journal":{"name":"Journal of Otology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.joto.2021.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39780956","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: 2