원저

돌발성난청에서의 바이러스감염에 관한 연구

전경명1, 고의경1, 노환중1, 이지원1, 김서규1, 문영일1, 한진영2
Kyong-Myong Chon1, Eui-Kyung Goh1, Hwan-Jung Roh1, Ji-Won Lee1, Seu-Gyu Kim1, Young-II Moon1, Jin-Young Han2
Author Information & Copyright
1부산대학교 의과대학 이비인후과학교실
2동아대학교 의과대학 임상병리과학교실
1Department of Otolaryngology, College of Medicine, Pusan National University
2Department of Clinical Pathology, College of Medicine, Dong-A University

© Copyright 1995 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.

Published Online: May 31, 2020

ABSTRACT

Some studies for etiology of sudden deafness reveal ‘unknown origin’ but it is possible for apparent or inapparent viral infections to cause sudden hearing loss. There are many presumed causes of sudden deafness: congenital, inflammatory, vascular, neoplasm, metabolic, trauma, functional and membrane rupture. Documentations showing the cause-and-effect relation to sudden sensorineural hearing loss clarified that first, flu-like symptom commonly observed as preceedings and seasonal variation of incidence in sudden deafness second, serologic data for several causative viruses third, histopathologic changes found in experimental viral labyrinthitis.

We performed retrospective study about clinical data in 20 sudden deafness patients and measured viral antibody titer based on enzyme-linked immunosorbant assay and hemaglutinin inhibition method about Measle, Mumps, Influenza A · B, Rubella, Herpes simplex, and Varicella zoster viruses. We also compared the results of audiologic and serologic studies between presumed virus infected patients and non-infected patients.

The results were as followings:

  1. Among 20 subjects, 9(45%) subjects were serollogically proved viral infection: 2 (10%) subjects presumed recent infection due to positive IgM antibody and 7(35%) subjects presumed infection due to increase in IgG antibody titers.

  2. There were no significant difference in hearing gain after termination of treatment between viral infected group(23.6±15.9 dB) and non-viral infected group(18.0±22.2 dB).

  3. viral infection is strongly suspected as a causative factor of sudden deafness.

Keywords: Virus; Sudden deafness


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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