Kasım DURMUŞ, Emine Elif ALTUNTAŞ, Selim ÇAM, Adem BORA

İklim şartları ile idiyopatik ani sensörinöral iﬂitme kaybı arasındaki iliﬂkinin retrospektif de¤erlendirmesi

Amaç: Kendi yaﬂad›¤›m›z bölgenin iklim ﬂartlar› ve meteorolojik parametrelerin idiyopatik ani sensörinöral iﬂitme kayb›n›n (ISSNHL) patogenezi ve prognozu üzerinde bir etkisinin olup olmad›¤›n› araﬂt›rmay› amaçlad›k. Yöntem: Bölümümüzde tedavileri yap›lm›ﬂ olan 68 ISSNHL tan›s› olan hasta retrospektif olarak incelendi. Ayl›k ortam s›cakl›¤›, maksimum ve minimum s›cakl›k, ba¤›l nem, atmosfer bas›nc› ve ya¤›ﬂ miktar›n› içeren meteorolojik veriler, Sivas Meteoroloji Müdürlü¤ü gözlem istasyonundan elde edildi. ‹klimsel veriler ile ISSNHL aras›ndaki iliﬂkileri araﬂt›rmak için hastal›¤›n baﬂlamas›ndan 10 gün önceki ve tedaviye baﬂlanmas›ndan itibaren 21 günlük bir periyottaki meteorolojik veri de¤erleri kullan›ld›. Tedavi baﬂar›s›n›n de¤erlendirilmesinde ise Siegel kriterleri kullan›ld›. Bulgular: Olgular›n mevsimlere göre da¤›l›mlar› istatistiksel aç›dan de¤erlendirildi¤inde ISSNHL ile mevsimler aras›ndaki iliﬂkinin istatistiksel aç›dan anlaml› oldu¤u izlendi (p

Retrospective evaluation of the relationship between seasonal factors and idiopathic sudden sensorineural hearing loss

Objective: We aimed to investigate whether climatic conditions of the region where we live and meteorological parameters had any effect on pathogenesis and prognosis of idiopathic sudden sensorineural hearing loss (ISSNHL) or not. Methods: Sixty-eight ISSHL patients, who were treated in our department, were evaluated retrospectively. Meteorological data, including monthly ambient, maximum and minimum temperatures, relative humidity, atmospheric pressure and rainfall, were obtained from the observation station of the Central Weather Bureau of Sivas. The meteorological data for 10 days before the onset of the disorder and in a period of 21 days after the beginning of the treatment were used to investigate the relationship between climatic data and ISSNHL. Siegel’s criteria were used to evaluate the treatment success. Results: The relationship between ISSNHL and seasons was observed to be statistically significant when the seasonal distributions of the cases were evaluated statistically (p

PDF

___

Wilson WR, Byl F M, Laird N. The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Arch Otolaryngol 1980;106:772–6.
Rossini BAA, Penido NO, Munhoz MSL, Bogaz EA, Curi RS. Sudden sensorineural hearing loss and autoimmune systemic diseases. Int Arch Otorhinolaryngol 2017;21:213–23.
Stachler RJ, Chandrasekhar SS, Archer SM, et al.; American Academy of Otolaryngology-Head and Neck Surgery. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012;146(3 Suppl):S1–35.
Klemm E, Deutscher A, Mösges R. A present investigation of the epidemiology in idiopathic sudden sensorineural hearing loss. [Article in German] Laryngorhinootologie 2009;88:524–7.
Weiss D, Böcker AJ, Koopmann M, Savvas E, Borowski M, Rudack C. Predictors of hearing recovery in patients with severe sudden sensorineural hearing loss. J Otolaryngol Head Neck Surg 2017;46:27.
Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC. Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif 2011;15:91–105.
Shutty MS Jr, Cundiff G, DeGood DE. Pain complaint and the weather: weather sensitivity and symptom complaints in chronic pain patients. Pain 1992;49:199–204.
Mees K, Ruhenstroth-Bauer G, Sandhagen R, Baumer H, Filipiak B. Idiopathic hearing loss – dependent on the weather? [Article in German] Laryngol Rhinol Otol (Stuttg) 1987;66:246-8.
Herbert I, Nolte E, Eicchorn T. Weather status and incidence of idiopathic facial nerve paralyses, vestibular disorders, Menière's attacks and sudden deafness. [Article in German] Laryngol Rhinol Otol (Stuttg) 1987;66:249–50.
Mizukoshi K, Watanabe Y, Shojaku H, et al. Influence of a cold front upon the onset of Meniere’s disease in Toyama, Japan. Acta Otolaryngol Suppl 1995;520 Pt 2:412–4.
Preyer S. Effect of weather on the incidence of sudden deafness. [Article in German] Laryngorhinootologie 1996;75:443–6.
Danielides V, Nousia CS, Bartzokas A, Lolis CJ, Kateri M, Skevas A. Weather conditions and sudden sensorineural hearing loss. BMC Ear Nose Throat Disord 2002;2:2.
Lin HC, Lee HC, Chao PZ, Wu CS. The effects of weather on the incidence of sudden sensorineural hearing loss: a 5-year population-based study. Audiol Neurootol 2006;11:165–71.
Ryu IY, Park SH, Park EB, Kim HJ, Kim SH, Yeo SG. Factors prognostic of season-associated sudden sensorineural hearing loss: a retrospective observational study. J Audiol Otol 2017;21:44–8.
Durmuﬂ K, Terzi H, Karataﬂ TD, et al. Assessment of hematological factors involved in development and prognosis of idiopathic sudden sensorineural hearing loss. J Craniofac Surg 2016;27:e85–91
Chen HC, Chung CH, Wang CH, et al. Increased risk of sudden sensorineural hearing loss in patients withhepatitis virus infection. PLoS One 2017;12:e0175266.
Narozny W, Kuczkowski J, Kot J, Stankiewicz C, Sicko Z, Mikaszewski B. Prognostic factors in sudden sensorineural hearing loss: our experience and a review of the literature. Ann Otol Rhinol Laryngol 2006;115:553–8.
Seo JH, Jeon EJ, Park YS, Kim J, Chang KH, Yeo SW. Meteorological conditions related to the onset of idiopathic sudden sensorineural hearing loss. Yonsei Med J 2014;55:1678–82.