No6(5) 2022
Back to the issue
|
DOI 10.37219/2528-8253-2022-6-39 |
Shydlovska TA, Shydlovska TV, Kurenyova KYu, Kozak MS,
Shevtsova TV
Peculiarities of the acoustic reflex registration thresholds in relation to
the parameters of the thresholds tone audiometry in patients with acute
combat trauma |
Shidlovskaya Tetiana A.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Head of the laboratory of voice and hearing
Doctor of Medical Sciences, Professor
E-mail: lorprof3@ukr.net
Orchid ID: https://orcid.org/0000-0002-7894-359X
Shidlovskaya Tamara V.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Laboratory of Voice and Hearing
Doctor of Medical Sciences, Professor
E-mail: doctor_sh@ukr.net
Kureneva Kateryna Yu.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Laboratory of Voice and Hearing
Senior Researcher
Candidate of Medical Sciences
E-mail: ketlor@bigmir.net
Kozak Nikolay S.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Laboratory of Voice and Hearing
Leading Researcher
Doctor of Medical Sciences
E-mail: amtc@kndio.kiev.ua
Shevtsova Tetiana V.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Laboratory of Voice and Hearing
Researcher
E-mail: amtc@kndio.kiev.ua |
|
Abstract
Aim: study of threshold ratios between indicators of acoustic
impedance and threshold tonal audiometry in military personnel –
participants in hostilities.
Materials and methods: the results of audiometric and impedancemetric
examinations of 43 servicemen aged 18 to 42 years who received combat acute
trauma in the period March-August 2022 and 20 patients with severe
sensorineural deafness (2, 3, 4 stages according international
classification) of non-acutraumatic genesis as a comparison group.
Results and their discussion: During the examination of 43 soldiers,
it was found that with significant sensorineural hearing loss on both sides
(3 and 4 stages according international classification), the patients
registered a full-fledged acoustic reflex during ipsilateral and
contralateral stimulation. When conducting an impedanceometric examination
of patients in the comparison group, it was found that in most patients the
acoustic reflex was not registered at all.
Conclusions:
1. In combat acute acoustic trauma, it is possible to register acoustic
middle-ear-muscle reflex with severe hearing loss, which may be caused by
damage to the receptor part of the auditory analyzer and the accompanying
symptom of the phenomenon of accelerated loudness, by a central mechanism,
or by a combination of central and peripheral mechanisms.
2. Dissociation of acoustic middle-ear-muscle reflex threshold values and
threshold tonal audiometry is a characteristic feature of acutraumatic
damage to the auditory analyzer.
3. Identified features, such as registration of acoustic middle-ear-muscle
reflex in severe hearing loss, dissociation of acoustic reflex thresholds
and tonal audiometry may be useful for further study of the pathogenesis of
combat acute trauma, which, in turn, will contribute to improving the
quality of diagnosis and finding ways to correct disorders of the auditory
system in individuals, who suffered as a result of hostilities. |
|
Keywords
acoustic impedance measurement, acoustic middle-ear-muscle reflex, threshold
tone audiometry, auditory analyzer, combat trauma. |
|
Reference
- Bazarov VG, Lysovsky VA, Moroz BS, Tokarev OP. [Fundamentals of
audiology and hearing protection]. Moscow: Medicine; 1984. 249 p. [In
Russian].
- Petruk LH. [Diagnosis and treatment of sensorineural, auditory and
vestibular disorders in persons who received acute trauma in the combat
zone] [dissertation]. Kyiv; 2021. 36 p. [In Ukrainian].
- Shidlovska TA, Shidlovska TV, Kurenyova KYu, Shevtsova TV, Poymanova
OS. [Indicators of the peripheral and central departments of the
auditory analyzer according to the threshold tone audiometry and
acoustic impedansometry data in participants of combat operations with a
different course of sensoneural hearing loss]. Otorhinolaryngology.
2021; 4(6):26-32. doi: 10.37219/2528-8253-2021-6-26. [Article in
Ukrainian].
- Shidlovska TA, Shidlovska TV, Kozak MS, Ovsianyk KV, Petruk LG.
[Bioelectrical activity of the brain in persons who get acoustic trauma
in the zone of the realisation of combat actions, with a different
degree of violation of auditory function].
Fiziol. Zh. 2019; 65(2): 52-60. doi: https://doi.org/10.15407/fz65.02.052.
[Article in Ukrainian].
- Shidlovska TA, Shidlovska TV, Petruk LG. [The most informative
indicators of a complex clinical and instrumental examination of persons
who received acute trauma in the area of an antiterrorist operation, in
terms of diagnosis and
examination of sensorineural hearing disorders]. Rhinology.
2017;1:17-45. [Article in Ukrainian].
|
|
