急诊室突发性耳聋：高级影像学的临床特征和预测因素
Emergency Department Sudden Deafness: Clinical Features and Predictors of Advanced Imaging.
摘要(中文译文)
突发性感音神经性听力损失（SSNHL）是一种需要立即评估和治疗的耳科急症。识别就诊模式及急诊环境下影像学检查的应用可提高诊断效率。旨在描述土耳其梅尔辛地区因突发性听力损失就诊于急诊科患者的人口学特征、临床特点、合并症及预测是否进行高级影像学检查的因素。本回顾性分析纳入了2022年至2025年间连续就诊于急诊科的2462例突发性听力损失患者。收集的数据包括听力损失侧别、相关症状（耳鸣、前庭功能障碍和恶心）、合并症（糖尿病、高血压和感染）、实验室异常（高胆固醇血症、高脂血症和红细胞增多症）、影像学检查（MRI和CT）及治疗方案。该队列共纳入2462例患者。单侧听力损失最为常见（75.8%），左侧病例（50.9%）略多于右侧（24.9%）。双侧病例占24.2%。耳鸣是最常见的相关症状（77.9%），其次为平衡障碍（32.0%）和恶心（18.0%）。43.5%的患者至少存在1种合并症，其中高血压最为常见（22.0%），其次为感染（20.0%）和糖尿病（10.0%）。血脂异常影响30.0%的患者。64.9%的患者接受了MRI高级影像学检查，而CT扫描的使用率为20.0%。伴有任何合并症的患者MRI使用率（66.1%）略高于无合并症者（64.1%）。99.6%的患者仅接受药物治疗，仅0.4%接受额外的高压氧治疗。这一大型急诊科队列显示，突发性听力损失主要累及单侧耳，且左侧略多。耳鸣、前庭症状和心血管合并症的高发生率凸显了该疾病的多因素性质。约三分之二的患者接受了MRI检查，其使用率因患者合并症负担而略有差异。这些发现有助于了解就诊模式，并为地中海人群突发性听力损失的急诊管理临床决策提供指导。
Abstract
Sudden sensorineural hearing loss (SSNHL) is an otologic emergency that requires immediate evaluation and treatment. Recognizing presentation patterns and the use of imaging in emergency settings can improve diagnostic efficiency. To describe the demographic characteristics, clinical features, comorbidities, and factors predicting advanced imaging in patients presenting to the emergency department with sudden hearing loss in Mersin, Turkey. This retrospective analysis reviewed 2462 consecutive patients who presented to the emergency department with sudden hearing loss between 2022 and 2025. Data collected included the affected side of hearing loss, associated symptoms (tinnitus, vestibular dysfunction, and nausea), comorbidities (diabetes, hypertension, and infection), laboratory abnormalities (hypercholesterolemia, hyperlipidemia, and polycythemia), imaging studies (MRI and CT), and treatment options. The cohort included 2462 patients. Unilateral hearing loss was the most common (75.8%), with left-sided cases slightly more frequent (50.9%) than right-sided (24.9%). Bilateral cases occurred in 24.2% of patients. Tinnitus was the most common associated symptom (77.9%), followed by balance problems (32.0%) and nausea (18.0%). At least 1 comorbidity was present in 43.5% of patients, with hypertension being the most common (22.0%), followed by infection (20.0%) and diabetes (10.0%). Dyslipidemia affected 30.0% of patients. Advanced imaging with MRI was performed in 64.9%, while CT scans were used in 20.0%. Patients with any comorbidity had slightly higher MRI use rates (66.1%) compared with those without (64.1%). Medical treatment alone was given to 99.6% of patients, with only 0.4% receiving additional hyperbaric oxygen therapy. This large emergency department cohort shows that sudden hearing loss primarily affects 1 ear, with a slight leftward bias. The high rates of tinnitus, vestibular symptoms, and cardiovascular comorbidities highlight the multifactorial nature of this condition. MRI imaging was used in about two-thirds of patients, with slight variation based on the patients' comorbidity burden. These findings offer insights into presentation patterns and help guide clinical decisions in the emergency management of sudden hearing loss in a Mediterranean population.
如何引用
AMA
Muhammet Ali Erinmez, Fatma Örs, Mesut Yeşilova. Emergency Department Sudden Deafness: Clinical Features and Predictors of Advanced Imaging.. The Journal of craniofacial surgery. 2026; doi:10.1097/SCS.0000000000012851.
APA
Muhammet Ali Erinmez, Fatma Örs, Mesut Yeşilova (2026). Emergency Department Sudden Deafness: Clinical Features and Predictors of Advanced Imaging.. The Journal of craniofacial surgery. https://doi.org/10.1097/SCS.0000000000012851
GB/T 7714
Muhammet Ali Erinmez, Fatma Örs, Mesut Yeşilova. Emergency Department Sudden Deafness: Clinical Features and Predictors of Advanced Imaging.[J]. The Journal of craniofacial surgery, 2026 doi:10.1097/SCS.0000000000012851.
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