Navegando por Palavras-chave "Sudden Deafness"

Agora exibindo 1 - 1 de 1
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Impacto na qualidade de vida e características psicoacústicas do zumbido em pacientes com surdez súbita e sua evolução após tratamento
    (Universidade Federal de São Paulo (UNIFESP), 2021) Oliveira, Manoela Paiva De [UNIFESP]; Onishi, Ektor Tsuneo [UNIFESP]; Universidade Federal de São Paulo
    Objective: To evaluate the autoperception of tinnitus in patients with sudden sensorineural hearing loss and it’s relation to hearing thresholds evolution and degree of hearing recovery. Methods: A prospective study was developed at the Sudden Sensorineural Hearing Loss Clinic of the Department of Otorhinolaryngology and Head and Neck Surgery at Universidade Federal de São Paulo, from October 2018 to October 2019, with patients of both genders, with sudden sensorineural hearing loss and tinnitus, of any age. Exclusion criteria: central nervous system diseases, patients unable to understand verbal commands and non-acceptance to participate. 32 individuals were initially selected. The patients underwent anamnesis, physical examination, tonal and vocal audiometry with immittance and acuphenometry. Tinnitus Handicap Inventory and Visual Analog Scale were applied. All patients received medical treatment for sudden deafness. The data were analyzed using descriptive and inferential statistics. Values of p<0.05 were considered statistically significant. Results: Average age was 46.4 years. Fourteen were male and 18 were female. Tinnitus and sudden sensorineural hearing loss were present on the left side in 17 individuals (53.1%), on the right side in 14 (43.7%) and one patient had symptoms bilaterally (3.2%). 43.7% had comorbidities, with systemic arterial hypertension being the most common (28.1%), followed by hypothyroidism (18.7%), dyslipidemia (15.6%), and diabetes (12.5%). The initial pure tone average had a mean of 73.9 (median 74.5). Deep and severe hearing loss were present in equal proportions (28.1%), followed by moderate (25.0%) and mild (15.6%). One patient met criteria for normal hearing. Initial Tinnitus Handicap Inventory ranged from zero to 96, with a mean of 51.7. Categorizing the results, 15.6% had no impact; 12.5% had mild handicap; 31.3% had moderate handicap; 21,9% had severe handicap; and 18,8% had catastrophic handicap. The first Visual Analog Scale showed an average of 7.3. The majority of the patients (84.4%) had no defined etiology. The average time to start treatment was 8.4 days. Of the 28 patients who underwent the first acuphenometry, most had acute tinnitus (51.6%), narrow band sound (71%) and loudness between 5 and 15 dB SL (80.6%). After treatment, there was a statistically significant improvement in pure tone average and in Speech Recognition Percentage Index, and 57.1% presented total or partial hearing recovery. There were no significant relationships between the frequency most affected by sudden sensorineural hearing loss and variables such as tinnitus’ pitch or loudness, or impact on quality of life. Eighteen patients underwent a complete evaluation. There was no relation between recovery or hearing improvement and improvement in tinnitus. Comparing the pre- and post-treatment parameters there was a significant improvement only in the catastrophic THI. The time to start treatment did not show a significant relation with the variables. Conclusion: Most of the patients presented moderate discomfort and severe and profound hearing loss. After treatment, there was hearing recovery and significant improvement in Speech Recognition Percentage Index, as well as a significant reduction in catastrophic Tinnitus Handicap Inventory values.