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귀충만감 환자에 대한 임상적 고찰
Published Online: May 31, 2020
ABSTRACT
Although the ear fulling sensation or blocked ear is commonly associated with various ear diseases, it has not been investigated so far. Clinically this symptom can be represented most frequently in eustachian tube dysfunction, which has long been considered to be the primary cause of ear fullig sensation.
Authors analysed on 1503 patients(2076 ears) who can represent their otologic symptoms obviously among the 1613 otologic patients(2187 ears), on the view point of ear fulling sensation, from July 1992 to June 1993, and report the following results:
Ear fulling sensation as a chief complaint and as a accompanying symptom accounts for 131 ears(6.3%) and 304 ears(14.6%) of all diseased ears respectively.
Among the patients with ear fulling sensation as a chief symptom, there was no significant difference in sexual distribution, and age distribution revealed high prevalance in 4th and 5th decades.
There was no significant difference in monthly distribution among the ears with fulling sensation as a chief symptom except August(23 ears, 17.3%).
There was high incidence of ear fulling sensation as a chief complaint in impacted cerumen(29.7%), acute and chronic eustachian tube dysfunction(32.9% & 32.7%), acute SNHL in low frequency(18.8%), acoustic trauma(20.0%), and as accompanying complaint in external ear canal injury(l8.2%), traumatic tympanic membrane perforation(20.09S), acute eustachian tube dysfunction(l7.1%), otitis media with effusion(17.4%), cholesteatomatous otitis media(36.5%), adhesive otitis media(28.6%), conductive hearing loss(50.0%), Meniere's disease(46.2%), delayed endolymphatic hydrops(28.6%), sudden deafness(53.3%), acute SNHL in low frequency(25.0%), inner ear disorders of unknown origin(25.0%), acoustic trauma(20.0%), labyrinthine concussion(50.0%), labyrinthine ischemia(26.9%) and so on.
Among the ears with fulling sensation as a chief symptom, 33 ears(25.2%) had no other symptoms than ear fulling sensation, but remaining ears had accompanying otologic symptoms as tinnitus(40.0%), hearing loss(35.1%), autophonia(26.0%).
The findings of pure tone audiometry of ears with fulling sensation as a chief symptom revealed high incidence of conductive and sensorineural hearing loss.
The findings of tympanogram in chronic eustachian tube dysfunction with ear fulling sensation as a chief symptom showed high tendency of A type rather than other types.