Assessment of patients with sudden hearing loss by transcranial Doppler ultrasonography

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Tarih

2006

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Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

OBJECTIVES: We evaluated the utility of transcranial Doppler ultrasonography in determining the vascular pathology in patients with sudden hearing loss. PATIENTS AND METHODS: The study included 13 patients (11 males, 2 females; mean age 46.6+/-17.7 years; range 18 to 66 years) with a diagnosis of sudden hearing loss. Patients having chronic otitis media or other middle ear diseases or a history of surgery in the affected ear were excluded. All the patients were evaluated by pure-tone audiometry, impedance audiometry, transient evoked otoacoustic emissions, auditory brainstem responses, and transcranial Doppler ultrasonography. The results were compared with those of a control group of 19 age- and sex-matched healthy subjects (12 males, 7 females; mean age 46.8+/-6.9 years; range 33 to 58 years) who did not have any ear disease or a history of ototoxic drug intake or working in a noisy environment, and no pathology on otoscopic and audiometric examinations. RESULTS: Compared to the normal ear, the mean blood flow and systolic flow velocities of the vertebral artery were significantly decreased, and the mean pulsatile index was significantly increased on the affected side. The mean flow velocity of the basilar artery in the patient group was lower than that found in the control group. CONCLUSION: Transcranial Doppler ultrasonography can be used for the evaluation of vascular involvement of the vertebral and basilar arteries in patients with sudden sensorineural hearing loss.

Açıklama

Anahtar Kelimeler

Adolescent; Adult; Aged; Article; Audiometry; Basilar Artery; Case Control Study; Doppler Flowmetry; Echography; Evaluation; Female; Flow Kinetics; Hearing Loss; Human; Male; Methodology; Middle Aged; Middle Ear; Pathophysiology; Physiology; Prediction And Forecasting; Pulsatile Flow; Vascularization; Vertebral Artery; Adolescent; Adult; Aged; Audiometry; Basilar Artery; Case-Control Studies; Ear, Middle; Female; Hearing Loss; Humans; Male; Middle Aged; Predictive Value Of Tests; Pulsatile Flow; Rheology; Ultrasonography, Doppler; Vertebral Artery

Kaynak

Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat

WoS Q Değeri

Scopus Q Değeri

N/A

Cilt

16

Sayı

4

Künye