Spinal anestezi sonrası tek taraflı düşük frekanslı işitme kaybı: olgu sunumu

Year 2020, , 483 - 486, 22.10.2020

Vildan Kölükçü , Mehtap Gürler Balta

https://doi.org/10.32322/jhsm.749632

Abstract

Günümüzde spinal anestezinin yaygın olarak kullanımı komplikasyonlarındaki artışı da beraberinde getirmektedir. Spinal anestezi sonrası işitme kaybı ile nadir olarak karşılaşılmaktadır. Spinal anestezi sonrası görülen işitme kaybı, genellikle düşük frekanstaki seslerde görülmekte, tek ya da çift tarafı tutabilmekte ve kalıcı ya da geçici seyir gösterebilmektedir. Bu çalışmada ayak bileği artroskopisi nedeniyle spinal anestezi uygulanan ve postoperatif 30. saatte işitmede kaybı görülen olgu sunulmuş ve sonuçlar literatür verileri eşliğinde tartışılmıştır.

Keywords

işitme kaybı, spinal anestezi, unilateral

Unilateral low-frequency hearing loss after spinal anesthesia: a case report

Abstract

Spinal anesthesia is a frequently used anesthesia technique, which brings an increased risk of associated complications. Hearing loss after spinal anesthesia is rare and usually seen in low-frequency. It can occur uni- or bilaterally and have a permanent or temporary course. This study presents a case who underwent ankle arthroscopy with spinal anesthesia and had a hearing loss at the postoperative 30rd hour and discusses the results in the light of current literature

Keywords

hearing loss, spinal anesthesia, unilateral

References

• Cosar A, Yetiser S, Sizlan A, Yanarates O, Yildirim A. Hearing impairment associated with spinal anesthesia. Acta Otolaryngol 2004; 124: 1159-64.
• Sara SA, Teh BM, Friedland P. Bilateral sudden sensorineural hearing loss: review. J Laryngol Otol 2014; 128: 8-15.
• Malhotra SK, Joshi M, Grover S. Auditory function following spinal analgesia. Comparison of two spinal needles. Eur J Anesth 2002; 19: 69-72.
• Sprung J, Bourke DL, Contreras MG, Warner ME, Findlay J. Perioperative hearing impairment. Anesthesiology 2003; 98: 241-57.
• Schaffartzik W, Hirsch J, Frickmann F, Kuhly P, Ernst A. Hearing loss after spinal and general anesthesia: a comparative study. Anesth Analg 2000; 91: 1466-72.
• Kilickan L, Gürkan Y, Ozkarakas H. Permanent sensorineural hearing loss following spinal anesthesia. Acta Anaesthesiologica Scandinavica 2002; 46: 1155–7.
• Vilhena D, Pereira L, Duarte D, Oliveira N. Sudden sensorineural hearing loss after orthopedic surgery under combined spinal and epidural anesthesia. Case Rep Otolaryngol 2016; 2016: 4295601.
• Michel O, Brusis T. Hearing loss as a sequel of lumbar puncture. Ann Otol Rhinol Laryngol 1992; 101: 390-4.
• Erol A, Topal A, Arbag H, Kilicaslan A, Reisli R, Otelcioglu S. Auditory function after spinal anaesthesia: the effect of differently designed spinal needles. Eur J Anaesthesiol 2009; 26: 416-20.
• Gültekin S, Ozcan S. Does hearing loss after spinal anesthesia differ between young and elderly patients? Anesth Analg 2002; 94: 1318-20.
• Ok G, Tok D, Erbuyun K, Aslan A, Tekin I. Hearing loss does not occur in young patients undergoing spinal anesthesia. Reg Anesth Pain Med 2004; 29: 430-3.
• Gültekin S, Yilmaz N, Ceyhan A, Karamustafa I, Kiliç R, Unal N. The effect of different anaesthetic agents in hearing loss following spinal anaesthesia. Eur J Anaesthesiol 1998; 15: 61-3.
• Yildiz TS, Solak M, Iseri M, Karaca B, Toker K. Hearing loss after spinal anesthesia: the effect of different infusion solutions. Otolaryngology Head and Neck Surgery 2007; 137; 79-82.
• Tezer MS, Baran Y, Erdur Ö, Ata N, Arslanhan M. Comparison of systemic, ıntratympanic and combination therapy of the steroids for the treatment of sudden sensorineural hearing loss. Turkiye Klinikleri J Med Sci 2013; 33: 353-9.