fa تاثیر بازسازی زنجیره استخوانی گوش میانی بر وزوزگوش گوش و حلق و بيني Otorhinolaryngology پژوهشي Original <div class="rounded" style="background: rgb(238, 238, 238); border: 1px solid rgb(204, 204, 204); padding: 5px 10px; text-align: justify;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.1pt">سابقه و هدف:&nbsp;</span></span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">وزوز گوش شنیدن صدایی بدون منبع خارجی است که در هر نقطه‌ای از سر، یک یا هر دو گوش ایجاد می‌شود و یکی از شایع‌ترین علائم همراه با کم‌شنوایی ناشی ازالتهاب مزمن گوش میانی است. این مطالعه با هدف تعیین تأثیر بازسازی اولیه زنجیره استخوانی با استفاده از گرافت اتولوگ در درمان وزوز همراه با التهاب مزمن گوش میانی طراحی شد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.15pt">مواد و روش‌‌ها</span></span></span></span></span></span></b><b><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.15pt">:&nbsp;</span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">این مطالعه از نوع قبل و بعد بود و شامل 25 بیمار 17 تا 70 ساله مبتلا به وزوز گوش و التهاب مزمن گوش میانی بود که در سال 1398 در بخش گوش و حلق و بینی بیمارستان بعثت همدان تحت جراحی بازسازی اولیه زنجیره استخوانی بااستفاده از گرافت اتولوگ قرار گرفتند. برای بررسی وزوز گوش مبتلایان از تست تطابق وزوز گوش (</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">Tinnitus Matching Test: TMT</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">) و لیست معلولیت وزوز گوش (</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">Tinnitus Handicap Inventory: THI</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">)استفاده شد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">یافته‌ها</span></span></span></span></span></span></b><b><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">:&nbsp;</span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه 25 بیمار شامل 13مرد (52 درصد) و 12 زن (48 درصد) مشارکت داشتند. میانگین سن 12/76&nbsp;</span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">45/76 سال، میانگین مدت ابتلا به وزوز گوش 37/25&nbsp;</span></span><span lang="FA" style="font-size:10.0pt"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">53/25 ماه و میانگین فرکانس وزوز گوش 5000 هرتز بود. اختلاف میانگین بلندی وزوز گوش قبل از جراحی (8 دسی‌بل) و بعد از جراحی (4 دسی‌بل) معنادار بود (0.001></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">). همچنین بین لیست معلولیت وزوز گوش قبل (39/48) و بعد از جراجی (17/84) تفاوت معناداری مشاهده شد (0.001></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:"><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">نتیجه‌گیری:&nbsp;</span></span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="" style="font-family:">بازسازی اولیه زنجیره استخوانی گوش میانی با استفاده از گرافت اتولوگ سبب بهبود وزوز گوش و معلولیت ناشی از آن در بیماران مبتلا به التهاب مزمن گوش میانی می‌شود.</span></span></span></span></span></span></span></div> <div style="text-align: justify;"></div> <div class="rounded" style="background: rgb(238, 238, 238); border: 1px solid rgb(204, 204, 204); padding: 5px 10px; text-align: justify;"><span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#274cc3"><span style="letter-spacing:.15pt">Background and Objective:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Tinnitus is hearing a sound without an external source, which occurs anywhere in the head and one or both ears. It is one of the most common symptoms associated with hearing loss due to chronic otitis media. This study aimed to determine the effect of autologous primary ossicular reconstruction on the recovery of tinnitus due to chronic otitis media.</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#274cc3">Materials and Methods:</span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">This study was conducted based on a before-and-after design and included 25 patients aged 18-70 years with tinnitus and chronic otitis media. The participants had undergone initial reconstruction of the bone chain using an autologous graft in the Department of Ear, Nose, and Throat of the Hamadan Besat Hospital, Hamedan, Iran, in 2019. The Tinnitus Matching Test and the Tinnitus Handicap Inventory were used to assess patients&#39; tinnitus.</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#274cc3"><span style="letter-spacing:.15pt">Results:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">A total of 25 patients participated in this study, including 13 (52%) men and 12 (48%) women. The mean scores of the age of the subjects, duration of tinnitus, frequency of tinnitus were obtained at 45.76&plusmn;12.76 years, 53.25&plusmn;37.25 months, and 5,000 Hz, respectively. The difference between the mean values of tinnitus loudness was significant before (8 dB) and after the surgery (4 dB) (P<0.001). Moreover, a significant difference (P<0.001) was observed between the scores of the Tinnitus Handicap Inventory before (39.48) and after the surgery (17.84). </span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#274cc3"><span style="letter-spacing:.1pt">Conclusion:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Primary reconstruction of the middle ear bone chain using autologous graft improved tinnitus and its resulting disability in patients with chronic otitis media.</span></span></span></span></span></span></div> التهاب مزمن گوش میانی, بازسازی زنجیرهاستخوانی, گرافت اتولوگ, وزوز گوش Autologous Graft, Bone Chain Reconstruction, Chronic Otitis Media, Tinnitus 203 209 http://sjh.umsha.ac.ir/browse.php?a_code=A-11-157-5&slc_lang=fa&sid=1 Mahmoud Sharahi محمود شراهی dr.sharahi@gmail.com 100319475328460015722 100319475328460015722 No Otorhinolaryngologist, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran Elnaz Shariatpanahi الناز شریعت پناهی e.shariatpanahi@yahoo.com 100319475328460015723 100319475328460015723 No Assistant Professor, Department of Ear, Nose and Throat, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran Farank Emami فرانک امامی faranak_imami@yahoo.com 3873316447 100319475328460015724 Yes Assistant Professor, Department of Audiology, School of Rehabilitation, Hearing Disorder Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Javane Jahanshahi جوانه جهانشاهی j.jahanshahi@umsha.ac.ir 100319475328460015725 100319475328460015725 No Assistant Professor, Department of Ear, Nose and Throat, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran Farhad Farahani فرهاد فراهانی farahani@umsha.ac.ir 100319475328460015726 100319475328460015726 No Professor, Department of Ear, Nose and Throat, School of Medicine, Hearing Disorder Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Mohammad Ali Seif Rabiei محمد علی سیف ربیعی seifrabie@umsha.ac.ir 100319475328460015727 100319475328460015727 No Associate Professor, Department of Social Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran