Volume 21 Issue 8
Aug.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(8): 1322-1325
WANG Changyang, CI Jun, GUAN Hua. Predictive value of eustachian tube function for endoscopic intra tympanic injection in patients with sudden sensorineural deafness[J]. Chinese Journal of General Practice, 2023, 21(8): 1322-1325. doi: 10.16766/j.cnki.issn.1674-4152.003113
Citation: WANG Changyang, CI Jun, GUAN Hua. Predictive value of eustachian tube function for endoscopic intra tympanic injection in patients with sudden sensorineural deafness[J]. Chinese Journal of General Practice, 2023, 21(8): 1322-1325. doi: 10.16766/j.cnki.issn.1674-4152.003113
shu

Predictive value of eustachian tube function for endoscopic intra tympanic injection in patients with sudden sensorineural deafness

doi: 10.16766/j.cnki.issn.1674-4152.003113

  • Department of Otorhinolaryngology, Zhejiang Integrated Traditional Chinese and Western Medicine Hospital, Hangzhou, Zhejiang 310000, China

Funds:

 2020KY740

  • Received Date: 2023-02-08
    Available Online: 2023-09-13
    Abstract
  •   Objective  To evaluate the predictive value of the eustachian tube for the effect of endoscopic intra tympanic injection through detecting the function of the eustachian tube in patients with sudden sensorineural deafness.  Methods  A total of 115 patients with sudden senineural deafness who received endoscopic tympanic injection in Zhejiang Hospital of Integrated Traditional and Western Medicine from February 2021 to August 2022 were selected. According to the pure tone hearing threshold detection results two weeks after treatment, they were divided into effective group (hearing improvement ≥15 dB) and ineffective group (hearing improvement < 15 dB). Multivariate logistic regression was used to analyze the related factors affecting the effect of endoscopic tympanic injection in patients with sudden senineural deafness, and ROC curve was drawn to analyze the predictive value of eustachian tube function on the effect of endoscopic tympanic injection.  Results  After 2 weeks of treatment, 81 cases of hearing improvement ≥15 dB compared with before treatment were effective group, and the remaining 34 cases of hearing improvement < 15 dB were ineffective group. The age, impaired frequency threshold and eustachian tube function score of ineffective group were higher than those of effective group (P < 0.05). Multivariate logistic regression analysis showed that: Age (OR=1.056, 95% CI: 1.022-1.155), impaired frequency threshold (OR=1.042, 95% CI: 1.006-1.079), eustachian tube function score (OR=4.412, 95% CI: 2.247-8.666) were the risk factors for endoscopic tympanic injection effect (P < 0.05). ROC curve showed that the prediction AUC of endoscopic tympanic injection effect was 0.812 (95% CI: 0.728-0.879), which was significantly higher than that of age (0.665, 95% CI: 0.571-0.750) and impaired frequency hearing threshold (0.667, 95% CI: 0.573-0.752), P < 0.05.  Conclusion  The function of eustachian tube is relatively valuable in predicting the effect of endoscopic tympanic injection in patients with sudden senineural deafness.

     

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