In this study, we aimed to investigate the relationship between the body mass index (BMI) and the morphometric properties of auricula and its acoustic gain characteristics. A total of 45 participants between 18 and 45 years of age were enrolled into the study. Participants' height and weight measurements were recorded for the BMI calculation. On both sides, the morphometric properties of the auricula were measured and recorded. Additionally, the participants were subjected to multidirectional dynamic real ear measurements (REMs) to specify the intensity and frequency values of the maximum hearing gain. Participants consisted of 24 women and 21 men. The mean BMI was 23.42. The mean auricular area was 22.70 cm 2 . Statistically significant positive correlation was found between the auricular area and BMI (r ¼ 0.427, P ¼ .03). The mean postauricular sulcus angle was 20.99 . The mastoid-helix distance was 16.07 mm. There was no statistically significant correlation between BMI level and postauricular sulcus angle and mastoid-helix distance (P > .05). The mean dynamic REM measurement was evaluated. The maximum acoustic gain at anterior, lateral, and posterior vectorial stimulation was calculated as 20.9, 24.2, and 20.7 dB Sound Presure Level (SPL), respectively. Statistically significant negative correlation was found between the three directions acoustic gain level and BMI in the statistical examination (r ¼ À0.365, r ¼ À0.386, r ¼ À0.453, respectively, and P < .05 for all). The results of acoustic gain frequency were 2967.4, 2963, and 2934 Hz, respectively. There was no statistically significant correlation between acoustic gain frequency and BMI (P > .05). When participants were grouped according to their BMI, participants with a BMI >25 had a statistically significantly bigger auricular area and lower maximum acoustic gain when compared with those with BMI <25 (P < .05). We found that the auricular area increased with BMI. We think that this is related to soft tissue thickening of the auricula related to high BMI. In addition, we found that the acoustic gain level decreased inversely with BMI. We believe that the decrease in acoustic gain is due to the increase of acoustic resistance after the increase of soft tissue thickness. In conclusion, we think that BMI has a negative effect on auditory function according to findings in our study.
Tinnitus, dışarıdan bir sesli uyaran olmadan ses algılanmasıdır. Oluşum mekanizması, farklı teoriler öne sürülmüş olsa da tam olarak açıklığa kavuşturulamamıştır. Bu nedenle standart bir tedavi yöntemi de bulunmamaktadır. Akustik maskeleme, önerilen tedavilerden biridir. Farklı cihazlar ve yöntemlerle akustik maskeleme işlemi uygulanabilirken, internet tabanlı akıllı telefon uygulamalarının da bu işlem için kullanılabileceği belirtilmiştir. Bu amaçla çalışmamızda, tinnitus tedavisi için bir akıllı telefon uygulaması ile maskeleme tedavisinin kullanılabilirliğini ve bu tedaviyi kullanan hastaların, tedavi sonucunda şikâyetlerindeki değişimi incelemeyi amaçladık. Gereç ve Yöntemler: Balıkesir Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Kliniğinde, 2018-2020 yılları arasında tinnitus akustik maskeleme tedavisi amacıyla akıllı telefon uygulaması kullanılan hastaların dosyaları retrospektif olarak incelendi. Tinnitusun hastalarda meydana getirdiği olumsuz etkileri görmek amacıyla tedavi öncesi ve sonrası doldurtulan Tinnitus Engellilik Anketi (TEA) ve görsel analog ölçek-ler=vizüel analog skalalar (VAS) incelendi. Ayrıca tedavi sonrasında hastaların tedavi hakkındaki görüşleri, tedaviden fayda görüp görmediği sorularak kaydedildi. Bulgular: Çalışmaya, dâhil olma kriterlerini karşılayan 43 hasta dâhil edildi. Akustik maskeleme tedavisi öncesi ve sonrası karşılaştırmada, TEA verilerinde anlamlı düzelme izlendi (p<0,05). Ayrıca VAS ile incelenen çınlama şiddeti, gün içindeki süre-sıklığı, rahatsızlık derecesi, dikkat eksikliği, uyku problemleri ve toplam semptom skorlarında tedavi öncesine göre tüm parametrelerde anlamlı düzelme izlendi (p<0,05). Tedaviden fayda gördüğünü ve görmediğini bildiren hastalar karşılaştırıldığında; yaş, cinsiyet, toplam tinnitus süresi, işitme kaybının varlığı, tinnitus frekansı ve şiddeti verilerinde gruplar arasında anlamlı fark izlenmedi (p>0,05). Sonuç: Daha önceki çalışmalarda, tinnitus tedavisi için faydası gösterilmiş olan akustik maskelemenin, akıllı telefon uygulamaları kullanılarak daha basit, kolay ulaşılabilir, ucuz ve etkili bir yöntem olarak tinnitus hastalarının şikâyetlerinde azalma sağlanabildiği gösterilmiştir.Anah tar Ke li me ler:Tinnitus; tedavi; akıllı telefon; mobil uygulamalar ABS TRACT Objective: Tinnitus is the perception of sound without an external audible stimulus. Although different theories have been proposed, the mechanism of its formation has not been fully elucidated. For this reason, there is no standard treatment method. Acoustic masking is one of the recommended treatments. While acoustic masking can be applied with different devices and techniques, it has been stated that internet-based smartphone applications can also be used for this process. For this purpose, we aimed to examine the usability of masking treatment with a smartphone application for tinnitus treatment and the change in patients' complaints of using this treatment as a result of treatment in our study. Material and Methods: The files of the patients who used smartphone application for tinn...
In this report, we presented a 41-year-old female patient with unilateral hearing loss in the right ear. Previously she had a traffic accident, but had no history of ear infection. High resolution computed tomography revealed bilateral cochlear otosclerosis, with no evidence of ossicle dislocation. It was thought that cochlear otosclerosis caused mixed type hearing loss in the right ear by involving the lateral wall of the otic capsule and sensorineural hearing loss in the left ear. We think that fenestral and cochlear type otosclerosis incidentally occurred along a continuum in the right ear of the patient, and that radiological investigation is crucial in clarifying the possible concomitant pathologies in cases of hearing loss.
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