Bibliographic Details
| Title: |
Diagnóstico y tratamiento de pacientes con trauma acústico agudo tras la exposición a ruido impulsivo. |
| Alternate Title: |
Diagnosis and treatment in patients with acute acoustic trauma following impulsive noise exposure. |
| Authors: |
Ortiz Hernández, Carlos Alberto1 carlosoh@hotmail.com, Méndez Saucedo, Luis Miguel2, Gómez Rodríguez, Carla Eugenia3, Mancilla Mejía, Francisco Javier4 |
| Source: |
Anales de Otorrinolaringología Mexicana. abr-jun2026, Vol. 71 Issue 2, p192-199. 8p. |
| Subjects: |
Acoustic trauma, Steroid drugs, Glucocorticoids, Steroids, Hearing disorders, Sensorineural hearing loss |
| Abstract (English): |
BACKGROUND: Noise-induced hearing loss typically develops over time due to repeated noise exposure at levels above 85 dB. Conversely, single, brief exposures to much higher noise levels can cause permanent hearing loss; this is known as acoustic trauma. Noise exposure is a major public health problem that negatively affects the healthcare system and causes hearing deficits and non-hearing consequences. CLINICAL CASES: Five male patients aged 26-44 years with acute acoustic trauma secondary to high-intensity impulsive noise and immediate management. Three patients received treatment with combined steroids (oral and intratympanic) and two received oral treatment alone. Except for one case, all patients recovered their hearing. CONCLUSIONS: Treatment is most effective when initiated as soon as possible after the injury caused by acute acoustic trauma, to achieve greater hearing recovery. Treatment is based on steroids and there are different routes of administration (oral and intratympanic). [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
ANTECEDENTES: La hipoacusia inducida por ruido evoluciona al pasar de los años por repetidas exposiciones a ruido a niveles superiores a 85 dB. Por el contrario, las exposiciones únicas y breves de ruido a niveles mucho más altos pueden causar una pérdida auditiva permanente, lo que se conoce como trauma acústico agudo. La exposición a ruido es un problema de salud pública que afecta negativamente y provoca déficits auditivos y consecuencias no auditivas. CASO CLÍNICO: Se comunica el caso de cinco pacientes varones de 26 a 44 años con trauma acústico agudo secundario a ruido impulsivo de alta intensidad y tratamiento inmediato. Tres pacientes recibieron tratamiento con esteroides combinados (orales e intratimpánicos) y dos solo tratamiento oral. A excepción de un caso, en todos hubo recuperación de la audición. CONCLUSIONES: El tratamiento es más eficaz si se inicia lo antes posible tras la lesión del trauma acústico agudo, con mayor recuperación auditiva. El tratamiento se basa en esteroides con diferentes vías de administración (oral e intratimpánica). [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
