원저

이명환자에서 만성중이염 수술 후 이명의 변화

곽현호1, 백무진1,*
Hyun Ho Kwak1, Moo Jin Baek1,*
Author Information & Copyright
1인제대학교 의과대학 부산백병원 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Busan Paik Hospital, Busan, Korea
*교신저자: 백무진, 614-735 부산광역시 부산진구 개금동 633-165 인제대학교 의과대학 부산백병 원 이비인후과학교실 전화: (051) 890-6311· 전송: (051) 892-3831 E-mail: mjbaek@inje.ac.kr

© Copyright 2009 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 31, 2009; Revised: Sep 17, 2009; Accepted: Oct 12, 2009

Published Online: May 31, 2020

ABSTRACT

Background: The central auditory pathway causing tinnitus could be affected by the alterations of peripheral auditory system, like middle ear surgery. There are few datas that the effect of middle ear surgery on tinnitus. In this study, we tried to evaluate the changes of tinnitus after middle ear surgery for treatment of unilateral chronic otitis media with tinnitus. Methods: Retrospective review were performed for 36 patients who had undergone middle ear surgery due to chronic otitis media with tinnitus. The patients underwent a medical and audiological protocol for tinnitus before and after middle ear surgery. We compared pre and postoperative findings such as hearing improvement, tinnitus frequency and loudness, hearing improvement at tinnitus frequency and handicap of tinnitus. Results: Postoperative hearing improvement was seen in 100% of both group B and C, and 22% in group A. The hearing improvement at tinnitus frequency was 92% in group C, 33% in group B and 11% in group A. The loudness of tinnitus was all decreased in group C, no change at 67% of group B and all increased in group A after middle ear surgery. Conclusions: The effect of middle ear surgery on tinnitus in patient with chronic otitis media are closely related with the hearing improvement after ear surgery, especially at the tinnitus frequency. (J Clinical Otolaryngol 2009;20:207–213)

Keywords: 만성중이염; 중이 수술; 이명
Keywords: Chronic otitis media; Middle ear surgery; Tinnitus