耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
骨導閾値上昇を伴う急性中耳炎の臨床統計
藤田 信哉山中 敏彰岡本 英之細井 裕司田邊 修一
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2003 年 96 巻 6 号 p. 535-540

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Acute otitis media is one of the most common diseases encountered in ENT clinics, clinical findings in 12 cases (16 ears) with acute otitis media accompanied by elevated bone conduction were analyzed. There were no patients with vertigo as the chief complaint. All but one case had moderate hearing loss on pure tone audiometry. As for the prognosis of hearing recovery, 8 ears achieved recovery level (less than 20dBHL), 8 ears were improved (from 10 to 30dBHL). Treatment involved administration of antibiotics, steroid hormone, vitamin B12 and/or circulation enhancers. The combination of antibiotics and steroid was thought to be the best treatment. We recommend pure tone audiometry as the essential examination for patients with acute otitis media because it is not rare to encounter patients with sensorineural hearing impairment.
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