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Correlation between recovery time of extended high-frequency audiometry and duration of inflammation in patients with acute otitis media

Abstract

Objectives

To explore the rule of extended high-frequency (EHF) audiometry recovery in patients with acute otitis media.

Methods

From January 2016 to July 2019, patients with acute otitis media in the outpatient department of otology were studied. The diagnosis was made according to the otoscopy and acoustic impedance tests, and antibiotics and other treatment programs were given. The patients were followed up to compare the effects of different recovery time on extended high-frequency audiometry in patients with acute otitis media.

Results

146 patients with acute otitis media (69 in the left ear and 77 in the right ear) were selected for observation and follow-up. The patients were divided into three groups according to the time from the onset to the disappearance of hyperacusis and earache symptoms: ≤ 5 days group (26 patients, 17.8%), 6–10 days group (74 patients, 50.7%), and > 10 days group (46 patients, 31.5%). The threshold of EHF in the study group was significantly higher than that in the control group in the early stage. According to the study design for follow-up, we found that with the prolongation of the duration of acute otitis media, the extended high frequency of different groups had different changes.

Conclusions

Our results show that the recovery time of EHF in patients with acute otitis media was later than that of the standard audiogram and was closely related to the course of the disease. This is of great significance for discovering the hidden hearing loss of the patients and taking the treatment plan as soon as possible.

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Data availability

All data generated or analysed during this study are included in this published article.

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Funding

This work was supported by funding from the National Natural Science Foundation of China (81802825) and Shanxi Provincial People’s Hospital (17160). Innovative Research Group Project of the National Natural Science Foundation of China.

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Authors

Contributions

Data curation: Lu Sun; formal analysis: Lu Sun; investigation: Guodong Li and Lu Sun; methodology: Guodong Li and Lu Sun; project administration: Tongli Li and Hong Liu; resources: Guodong Li, Lu Sun, and Hong Liu; supervision: Tongli Li and Hong Liu; writing original draft: Guodong Li; writing review and editing: Hong Liu.

Corresponding author

Correspondence to Hong Liu.

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Conflict of interest

The authors declare that they have no competing financial interests.

Ethical approval

All samples’ experiments were approved by the ethics committee. All samples were obtained before treatment according to the guidelines of the local ethics committees and written informed consents were received from all participants.

Informed consent

Written informed consent for publication was obtained from all participants.

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Li, G., Li, T., Liu, H. et al. Correlation between recovery time of extended high-frequency audiometry and duration of inflammation in patients with acute otitis media. Eur Arch Otorhinolaryngol 277, 2447–2453 (2020). https://doi.org/10.1007/s00405-020-05973-1

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Keywords

  • Extended high frequency
  • Acute otitis media
  • Inflammation
  • Hyperacusis