Postoperative full-frequency bone conduction hearing loss in the operated ear after tympanoplasty:6 cases and literature review
10.3969/j.issn.1006-7299.2025.04.009
- VernacularTitle:鼓室成形术后术耳全频骨导听力下降6例及文献复习
- Author:
Heng LIU
1
;
Lingyun MEI
1
;
Chufeng HE
1
;
Xinzhang CAI
1
;
Xuewen WU
1
;
Lu JIANG
1
Author Information
1. 中南大学湘雅医院耳鼻咽喉头颈外科、耳鼻咽喉重大疾病湖南省重点实验室、国家老年疾病临床医学研究中心(湘雅医院)(长沙 410008)
- Publication Type:Journal Article
- Keywords:
Tympanoplasty;
Bone conduction hearing;
Dizziness
- From:
Journal of Audiology and Speech Pathology
2025;33(4):344-347
- CountryChina
- Language:Chinese
-
Abstract:
Objective To invegtigate the possible etiology,clinical characteristics,and treatment effects of post tympanoplasty full-frequency bone conduction hearing loss in the operated ear.Methods A retrospective analy-sis was conducted on the possible causes,clinical manifestations,and diagnosis and treatment of 6 cases of full-fre-quency bone conduction hearing loss in the operated ear after tympanoplasty.Results The use of diluted epineph-rine during surgery,controlled hypotension during the operation,ethylene oxide in gelatin sponges,and the exces-sive pro-inflammatory factors produced postoperatively may be associated with the occurrence of full-frequency bone conduction hearing loss in the operated ear after tympanoplasty.Among the six patients,the main initial symptom was dizziness without vertigo or nystagmus.Two cases were ineffectively treated,one case was effectively treated,and three cases were cured.Among the four cases that received timely medication,three were effectively treated.Conclusion Full-frequency bone conduction hearing loss in the operated ear after tympanoplasty is related to various factors,and the clinical manifestations of patients are atypical,often manifesting as dizziness.Timely diagnosis through pure tone audiometry and timely treatment according to the sudden deafness treatment plan often leads to fa-vorable outcomes.
