梅尼埃病患者前庭对热量刺激的反应与耳蜗功能之间的相关性。

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology Pub Date : 2024-09-19 DOI:10.1016/j.bjorl.2024.101513

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引用次数: 0

摘要

目的：分析单侧梅尼埃病患者热量测试反应模式与耳蜗损伤之间的相关性：分析单侧梅尼埃病患者热量测试反应模式与耳蜗损伤之间的相关性：在这项观察性横断面研究中，研究因素是梅尼埃病，研究结果是耳蜗前庭功能，通过使用视频震颤成像的热量刺激和纯音测听的四频平均值进行评估：共纳入了 187 名符合纳入标准的患者（男女比例相同）。在对患耳进行损伤分析时，17 名患者只有前庭损伤，56 名患者只有耳蜗损伤，114 名患者有耳蜗前庭损伤。根据四频平均值，梅尼埃病的分期分布为Ⅰ级：23.53%，Ⅱ级：16.04%，Ⅲ级：42.25%，Ⅳ级：18.18%。两者之间存在明显的关联（P我们的研究结果表明，梅尼埃病导致的耳蜗损伤越严重，患耳的前庭功能受损越严重：证据等级：2 级 - 单项横断面研究，采用一致的参考标准和盲法。

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Correlation between vestibular response to caloric stimulation and cochlear function in Ménière's disease

Objective

To analyze the correlation between caloric testing response patterns with respect to cochlear impairment in individuals with unilateral Ménière's disease.

Methods

In this observational cross-sectional study, the factor under study was Ménière's disease and the outcome was cochleovestibular function, evaluated through caloric stimulation using videonystagmography and four-frequency averages in pure tone audiometry.

Results

A total of 187 patients (equal sex distribution) who met the inclusion criteria were included. In impairment analysis of the affected ear, 17 patients had only vestibular impairment, 56 had only cochlear impairment, and 114 had cochleovestibular impairment. The distribution of Ménière's disease stages according to four-frequency average was grade I: 23.53%, grade II: 16.04%, grade III: 42.25%, and grade IV: 18.18%. There was a significant association (p < 0.001) between the affected ear and labyrinthine preponderance. The Spearman correlation between four-frequency average and labyrinth preponderance (r = 0.326) indicated a moderate correlation, considering p < 0.01.

Conclusion

Our results show that the greater the cochlear damage due to Ménière's disease, the more impaired the vestibular function in the affected ear.

Level of evidence

Level 2 - Individual cross-sectional studies with consistently applied reference standard and blinding

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来源期刊

Brazilian Journal of Otorhinolaryngology OTORHINOLARYNGOLOGY-

CiteScore

3.00

自引率

0.00%

发文量

205

审稿时长

4-8 weeks

期刊介绍： Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance. The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.