Cirugia y cirujanos · 2025
[Probability of audiovestibular pathologies, hearing loss and cochlear function in patients with ankylosing spondylitis in a tertiary institute].
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Barradas-Hernández María I, Solano-Macip Laura M, Arenas-Sordo M Luz, Arch-Tirado Emilio, Lino-González Ana L
Аннотация
OBJECTIVE: To describe the auditory function in a sample of patients with ankylosing spondylitis and to determine the conditional probability of occurrence among variables related to auditory characteristics through joint probability analysis.
METHODS: This was a cross-sectional and descriptive study. Sociodemographic and auditory characteristics were collected from 49 patients. Descriptive analysis and probabilistic intersection analysis were conducted to determine the joint probability between variables.
RESULTS: Superficial hearing loss was observed in 22.4%, a decline in high frequencies in 20.4%, a sensorineural hearing loss pattern in 47% of right ears and 49% of left ears, As-type tympanograms in 49% of right ears and 57.1% of left ears, and absence of ipsilateral stapedius reflexes (predominantly in the left ear) in 55.1%. Transient otoacoustic emissions exhibited inadequate reproducibility, particularly 4000 and 1000 Hz, in both ears, with tinnitus being the most common audiovestibular symptom (36.7%). The joint probability that a patient is male, has ankylosing spondylitis with 10 years of disease progression, and presents a sensorineural hearing loss pattern in either the right or left ear, is 27.7%.
CONCLUSIONS: Sensorineural hearing loss is highly prevalent among patients with ankylosing spondylitis. The duration of the disease is a significant factor influencing the presentation of hearing loss and audiovestibular symptoms.
METHODS: This was a cross-sectional and descriptive study. Sociodemographic and auditory characteristics were collected from 49 patients. Descriptive analysis and probabilistic intersection analysis were conducted to determine the joint probability between variables.
RESULTS: Superficial hearing loss was observed in 22.4%, a decline in high frequencies in 20.4%, a sensorineural hearing loss pattern in 47% of right ears and 49% of left ears, As-type tympanograms in 49% of right ears and 57.1% of left ears, and absence of ipsilateral stapedius reflexes (predominantly in the left ear) in 55.1%. Transient otoacoustic emissions exhibited inadequate reproducibility, particularly 4000 and 1000 Hz, in both ears, with tinnitus being the most common audiovestibular symptom (36.7%). The joint probability that a patient is male, has ankylosing spondylitis with 10 years of disease progression, and presents a sensorineural hearing loss pattern in either the right or left ear, is 27.7%.
CONCLUSIONS: Sensorineural hearing loss is highly prevalent among patients with ankylosing spondylitis. The duration of the disease is a significant factor influencing the presentation of hearing loss and audiovestibular symptoms.