2019冠状病毒病与听力损失——述评

Sharon J Feng, François Voruz, Michelle Yu, Anil K. Lalwani
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引用次数: 0

摘要

自大流行开始以来,人们对与COVID-19相关的听力损失的兴趣有所增加。在SARS-CoV-2在全球传播的早期,出现了继发于COVID-19的嗅觉和味觉障碍的报告,在较小程度上,也出现了感觉神经性听力损失的报告。这就提出了有关听力损失流行病学变化以及为应对COVID-19大流行而演变的耳科实践修改的问题。为了阐明这些问题,我们进行了全面的文献检索,包括截至2022年11月的文章,使用MEDLINE中的“COVID听力损失”。共纳入153篇文章进行全文审查和数据提取。COVID-19可能导致听力损失的机制有几种——直接病毒感染、微血栓或出血。关于sars - cov -2相关的感觉神经性听力损失的病例报告和系列报道越来越多,但质量不一。大多数听力损失的患者在感染后一个月内出现听力损失,大多数患者的症状在2周内消退。越来越多的文献讨论sars - cov -2相关的听力损失,但并不表明感觉神经性或整体听力损失的发生率显着上升。在2019冠状病毒病时代,听力损失的治疗方法应与疫情前一样先进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 and hearing loss—A narrative review
Interest in hearing loss associated with COVID-19 has increased since the pandemic started. Early on during the spread of SARS-CoV-2 across the globe, reports of smell and taste disorders secondary to COVID-19 emerged, and to a lesser extent, reports of sensorineural hearing loss also surfaced. This raised questions regarding changes in the epidemiology of hearing loss and modifications to otologic practice that have evolved in response to the COVID-19 pandemic. To elucidate these questions, we performed a comprehensive literature search, including articles up to November 2022, using “COVID hearing loss” in MEDLINE. A total of 153 articles were included for full-text review and data extraction. There are several proposed mechanisms through which COVID-19 may contribute to hearing loss—direct viral infection, microthrombi, or hemorrhage. There is a growing repository of case reports and series on SARS-CoV-2-associated sensorineural hearing loss, with variable quality. Most patients who experienced hearing loss did so within a month of infection, with most patients' symptoms resolving within 2 weeks. The growing body of literature discussing SARS-CoV-2-associated hearing loss does not suggest a significant rise in the occurrence of sensorineural or overall hearing loss. In this ongoing COVID-19 era, hearing loss should be approached in the same state-of-the-art manner as before the pandemic.
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