並列タイトル等高周波聴力の左右差 : 一側性の蝸牛障害の評価への応用
タイトル（掲載誌）Journal of Nara Medical Association
一般注記type:Thesis
High-frequency audiometry has the potential to detect hearing impairment at its early stage. However, several problems prevent the clinical application of high-frequency audiometry. In this study, the dispersion and left-right difference in the high-frequency sensitivity were investigated in normal hearing volunteers. In our results, the difference between the left and right ears varied only slightly among individuals or age groups, while dispersion of hearing threshold values became marked with an increase in frequency. The results suggest that the measurement of left-right difference in high-frequency sensitivity may be useful for the evaluation of unilateral impairment. To investigate this usefulness, the left-right differences were measured in the patients complaining of unilateral cochlear symptom with normal hearing. Considering the results of normal hearing, we determined that abnormal left-right difference in high-frequency sensitivity was over 20 dB. In 12 patients with unilateral tinnitus, 7 showed left-right differences, and 6 had tinnitus in the ear with increased thresholds. Our results suggested a relationship between tinnitus with normal hearing and hearing impairment in the high-frequency range.
博士（医学）・乙1335号・平成26年3月17日
identifier:Journal of Nara Medical Association Vol.64 No.4 p.73-78
identifier:13450069
identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/2696
identifier:Journal of Nara Medical Association, 64(4): 73-78
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