Etiological classification of presbycusis in Turkish population according to audiogram configuration

Yıl 2015, Cilt: 25 Sayı: 1, 1 - 18, 10.02.2015

Kamil Hakan Kaya Arzu Karaman Koç İbrahim Sayın Selçuk Güneş Sinan Canpolat Baver Şimşek Fatma Tülin Kayhan

Öz

Objectives: This study aims to classify age related hearing loss in Turkish population according to Schuknecht audiometric configurations for presbycusis and investigate the most common etiologies. Patients and Methods: A total of 1,134 patients 568 males, 566 females; mean age 70.5±7.7 years; range 55 to 80 years with age related hearing loss were included in the study. Audiograms of patients were classified into three categories: high frequency steeply sloping HFSS , flat, and high frequency gently sloping HFGS . Speech discrimination scores were evaluated and compared. Results: In the study population, HFSS audiogram configuration was the most frequently observed 48.5% , followed by HFGS configuration 26.9% , and flat configuration 24.5% , respectively. While HFSS audiogram configuration was statistically significantly more common in males, flat audiogram configuration was statistically significantly more common in females p=0.0001 . HFSS group mean air conduction threshold were statistically significantly higher than flat and HFGS groups p=0.0001 . No statistically significantly difference was detected in terms of speech discrimination scores between three groups p=0.796 . Conclusion: Results of this study suggest that, in Turkish population, while sensory presbycusis is more common in males, strial presbycusis is more common in females. No difference was detected in terms of the prevalence of cochlear presbycusis in males and females p=0.0001 .

Anahtar Kelimeler

Age-related hearing loss, audiometric configuration, presbycusis

Türk nüfusunda presbiakuzinin odiogram konfigürasyonuna göre etyolojik sınıflandırılması

Öz

Amaç: Bu çalışmada Türk nüfusunda yaşa bağlı işitme kaybı presbiakuzi için Schuknecht odiometrik konfigürasyonlarına göre sınıflandırıldı ve en sık görülen etyolojiler araştırıldı.Hastalar ve Yöntemler: Çalışmaya yaşa bağlı işitme kaybı olan 1134 hasta 568 erkek, 566 kadın; ort. yaş 70.5±7.7 yıl; dağılım 55-80 yıl dahil edildi. Hastaların odyogramları üç kategoriye ayrıldı: yüksek frekanslı ani eğimli YFAE , düz ve yüksek frekanslı hafif eğimli YFHE . Konuşmayı ayırt etme puanları değerlendirildi ve karşılaştırıldı.Bulgular: Çalışma nüfusunda YFAE odyogram konfigürasyonu en sık görüldü %48.5 , bunu sırasıyla YFHE %26.9 ve düz konfigürasyon %24.5 izledi. Yüksek frekanslı hafif eğimli odyogram konfigürasyonu erkeklerde istatistiksel olarak anlamlı derecede daha yaygınken düz odyogram konfigürasyonu kadınlarda istatistiksel olarak anlamlı derecede daha yaygındı p=0.0001 . YFAE grubu ortalama hava yolu eşikleri düz ve YFHE gruplarından istatistiksel olarak anlamlı derecede yüksek idi p=0.0001 . Konuşmayı ayırt etme skorları açısından üç grup arasında istatistiksel olarak anlamlı farklılık bulunmadı p=0.796 .Sonuç: Bu çalışmanın bulgularına göre, Türk nüfusunda sensori presbiakuzi erkeklerde daha yaygın iken strial presbiakuzi kadınlarda daha yaygındır. Erkeklerde ve kadınlarda koklear presbiakuzi görülme sıklığı açısından farklılık bulunmadı p=0.0001

Anahtar Kelimeler

Yaşa bağlı işitme kaybı, odyometrik konfigürasyon, presbiakuzi

Kaynakça

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