J Clin Otolaryngol Head Neck Surg 2017; 28(2):192-198

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2017.28.2.192

원저

성인의 청력장애 판정에서 순음청력검사 및 청성뇌간반응과 청성지속반응의 상관관계 비교

안용휘1,*, 윤지향1, 오현식1, 이은섭1, 김동현1, 윤지은1, 심현준1
Comparison of Correlation Between the Pure Tone Audiometry, the Auditory Brainstem Response and the Auditory Steady-State Response for the Evaluation of Hearing Disability in Adults
Yong-Hwi An1,*, Ji Hyang Yoon1, Hyeon Sik Oh1, Eun Sub Lee1, Dong Hyun Kim1, Ji Eun Yoon1, Hyun Joon Shim1
Author Information & Copyright ▼
1을지대학교 의과대학 을지병원 이비인후과학교실
1Department of Otorhinolaryngology-Head and Neck Surgery, Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
*교신저자: 안용휘，01830 서울 노원구 한글로비석로 68 을지대학교 의과대학 을지병원 이비인후과학교실 전화： (02) 970-8276· 전송： (02) 970-8275· E-mail： an0072@hanmail.net

© Copyright 2017 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: Sep 13, 2017; Revised: Oct 27, 2017; Accepted: Nov 21, 2017

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: To compare correlation between the pure tone audiometry (PTA), the auditory brainstem response (ABR) and the auditory steady-state response (ASSR) for the assessment of hearing disability in adults. Subjects and Methods: One hundred sixty adult patients who underwent ASSR for the disability evaluation of hearing from 2010 to 2016 were enrolled to this study. Correlations between PTA, ABR and ASSR thresholds were analyzed. Results: Both ABR and ABBR showed a positive linear correlation with the average hearing threshold of PTA, but the correlation between ASSR and PTA was significantly higher than that between ABR and ABR. The highest correlation between ASSR and PTA was observed at an average of 2 kHz; ABR and PTA at 4 kHz. The lowest correlation between ASSR and PTA was observed at an average of 4 kHz ; ABR and PTA at 0.5 kHz. Conclusions: Compared to ABR, ASSR showed greater correlation with PTA to assess the hearing disability in adults. ASSR can provide additional audiometric information for accurately predicting the hearing level. (J Clinical Otolaryngol 2017;28:192–198)

Keywords: 순음청력검사; 청성뇌간반응검사; 청성지속반응검사; 청각 역치
Keywords: Pure tone audiometry; Auditory brainstem response; Auditory steady-state response; Auditory threshold

Journal of Clinical Otolaryngology Head and Neck Surgery
Department of Otolaryngology / Head and Neck Surgery, Pusan ​​National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, Korea
E-mail: jco.hns.1990@gmail.com

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37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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