Emine DEMIR, Fatma BEYAZAL CELIKER, Metin CELIKER, Gokce AYDIN BALABAN, Engin DURSUN

Vasküler Loop'un Tinnitus Şiddetine Etkisi

Amaç: Yüksek rezolüsyonlu kulak manyetik rezonans görüntüleme MRG ile tanı konulmuş vasküler loop varyasyonlarının tinnitus etiyolojisi ve kliniği üzerine etkisinin olup olmadığını hem tinnitusun özellikleri hem de tinnitus engellilik anketi TEA ile değerlendirmek.Gereç ve Yöntemler: Kliniğimize tek taraflı kronik tinnitus yakınması ile başvuran, işitmesi normal 18-55 yaş arasındaki hastalara tinnitus engellilik anketi uygulandı. Hastalar MRG bulguları ve cinsiyete göre gruplara ayrıldı. Bulgular: MRG bulgularına göre, 47 tip1 vasküler loop olan hasta 26 kadın: grup I, 21 erkek: grup II , 40 tip2 vasküler loop olan hasta 24 kadın: grup III, 16 erkek: grup IV ve 60 normal hasta 34 kadın: grup V, 26 erkek: grup VI vardı. Her grupta kadın hasta sayısı daha fazla ve kadın hastaların TEA ortalamaları daha yüksekti. Tip2 vasküler loopu olan hastaların da TEA ortalamaları daha yüksekti. Ayrıca tip2 vasküler loop olan hastalarda tinnitusun başlama yaşı daha erkendi.Sonuç: Tip2 vasküler loop bir vasküler kompresyon oluşturarak tinnitus kliniğini etkilemektedir. Elde ettiğimiz sonuçlara göre tip2 vasküler loopu oluşturduğu klinik etkiler nedeniyle vasküler kompresyon sendromu olarak değerlendirebiliriz

Anahtar Kelimeler:

Vasküler loop, Tinnitus, Tinnitus engellilik anketi, Vasküler bası sendromu

The Effect of Vascular Loop in the Tinnitus Severity

Objective: To evaluate the effect of vascular loop variations diagnosed by high resolution ear magnetic resonance imaging MRI on the etiology and clinic of tinnitus with both the features of tinnitus and the tinnitus handicap inventory THI .Material and Methods: The tinnitus handicap inventory was applied to the patients 18-55 years of age who presented to our clinic with the complaint of unilateral chronic tinnitus. Patients were grouped according to MRI findings and gender. Results: There were 47 type I vascular loop patients 26 female: group I, 21 male: group II , 40 type II vascular loop patients 24 female: group III, 16 male: group IV and 60 normal patients 34 female: group V, 26 male: group VI with MRI findings. In each group, the number of female patients was higher and the THI averages of female patients were higher. Patients with type II vascular loop had higher THI averages. In addition, the age of onset of tinnitus was earlier in patients with type II vascular loop.Conclusion: The type II vascular loop affects the tinnitus clinic by creating vascular compression. Our results suggest that it is possible to evaluate a type II vascular loop as a vascular compression syndrome due to its clinical effects

Keywords:

Vascular loop, Tinnitus, Tinnitus handicap inventory, Vascular compression syndrome,

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