高敏症手术：圆窗和卵窗加固术改变生活的效果——基于患者报告结局的分析
Hyperacusis surgery: The lifechanging effects of round and oval window reinforcement using a patient reported outcome analysis.
文献信息
| PMID | 42805093 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Herbert Silverstein |
| 作者单位 | Ear Research Foundation, 1901 Floyd St #100, Sarasota, FL, United States. Electronic address: hsilverste@aol.com. |
| 期刊 | American journal of otolaryngology |
| SCI 分区 | Q2 |
| IF | 1.8 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 使用一种简明的疾病特异性结局工具，纳入声音耐受、疼痛性高敏症、心理健康和整体生活质量指标，评估圆窗和卵窗加固术（RWR/OWR）治疗高敏症后的患者报告结局。
研究设计： 回顾性队列研究。
地点： 三级转诊神经耳科诊所。
患者： 89例于2014年至2026年接受圆窗和卵窗加固术的致残性高敏症患者。
干预： 圆窗和卵窗加固术。
主要结局指标： 一种新型高敏症手术结局调查，纳入高敏症严重程度、疼痛性高敏症、功能性声音耐受、心理困扰和整体改善。
结果： 71.8%的患者报告其高敏症在手术后好转或大幅好转。受访者报告高敏症严重程度、疼痛耐受、声音耐受、心理困扰和整体参数均有显著改善。总体而言，68%（26/38）的受访者会向保守治疗失败的高敏症患者推荐该手术。
结论： 圆窗和卵窗加固术在适当选择的高敏症患者中，对声音耐受、疼痛感知和生活质量显示出有意义的改善。
英文摘要
OBJECTIVE: To evaluate patient-reported outcomes following round and oval window reinforcement (RWR/OWR) surgery for hyperacusis using a concise disease-specific outcome instrument incorporating sound tolerance, pain hyperacusis, psychological well-being, and global quality-of-life measures.
STUDY DESIGN: Retrospective cohort study.
SETTING: Tertiary referral neurotology practice.
PATIENTS: Eighty-nine patients with debilitating hyperacusis who underwent round and oval window reinforcement surgery from 2014 to 2026.
INTERVENTION: Round and oval window reinforcement surgery.
MAIN OUTCOME MEASURES: A novel hyperacusis surgery outcome survey incorporating hyperacusis severity, pain hyperacusis, functional sound tolerance, psychological distress, and global improvement.
RESULTS: 71.8% of patients reported that their hyperacusis was better or much better following surgery. Respondents reported a significant improvement in hyperacusis severity, pain tolerance, sound tolerance, psychologic distress, and global parameters. Overall, 68% (26/38) of respondents would recommend the surgery to someone who has failed conservative therapy for hyperacusis.
CONCLUSIONS: Round and oval window reinforcement surgery demonstrated meaningful improvements in sound tolerance, pain perception, and quality of life among appropriately selected patients with hyperacusis.