Kronik süpüratif otitis mediyada yaş, hastalık süresi ve kolesteatom varlığının sensorinöral işitme kaybı ile ilişkisi

Kronik süpüratif otitis media (KSOM) ile sensorinöral iştme kaybı (SNİK) arasındaki ilişkiyi araştıran çalışmalarda farklı sonuçlara ulaşılmıştır. KSOM’da 1000 ve 6000 HZ’deki SNİK’nın yaş, kolesteatom varlığı ve hastalık süresi ile olan ilişkisini araştırmak amacı ile prospektif bir çalışma yapıldı. Ocak 2003 ile Ağustos 2008 tarihleri arasında KSOM nedeni ile kulak cerrahisi geçirmiş tek taraflı KSOM’u olan 124 hasta dosyası incelendi. Hikayelerinde kafa travması, menejit, post-travmatik zar perforasyonu, akustik travma,olası labirint fistülü ve SNİK’e yol açabilecek ilaç kullanımı olmayan hastalar alındı. Odyogram, yaş ve hastalok süreleri dosyalarından elde edilerek analiz edildi. Oniki hastada SNİK görüldü. Bu hastalarda 1000 ve 6000Hz’deki SNİK ile yaş, kolesteatom varlığı ve hastalık süresi arasında belirgin anlamlı bir ilişki saptanmadı. KSOM’nın SNİK’a yol açabileceği ancak hastaların çoğunda bunun klinik olarak belirgin olmadığı, daha geniş çalışmalar ile daha anlamlı sonuçlara ulaşılabileceği sonucuna varıldı.

The relationship of sensorineural hearing loss with age, disease duration and the presence of cholesteatoma in chronic suppurative otitis media

Previous investigations about the possiblee relationship between chronic supurative otitis media (CSOM) and senrorineural hearing loss (SNHL) have contradictory results and conclusions. A retropective study designed to evaluate SNHL at 1000 Hz and 6000 Hz frequncies related to CSOM and its association with age , disease duration and cholesteatoma. Charts of 124 patients with unilateral CSOM undergoing ear surgery from January 2003 to August 2008 reviewed. Inclusion criteria were no history of head trauma, meningitis, post-traumatic tympanic membran perforation, acoustic trauma, posible labyrintine fistula and using systemic drugs have possible cause to SNHL. Audiograms, ages and disease durations obtained from these charts were analyzed. SNHL occurred in 12 patients. There were not significant relation between age, disease duration, existence of cholesteatoma and SNHL at 1000Hz and 6000 Hz frequencies in the patients. We conclude that CSOM may cause SNHL, but in vast majority of patients this loss is not clinicaly significant.

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