Incidence and Risk of Various Disorders of the External Ear in Patients With Hearing Aids Treated in ENT Practices in Germany
| Autor: | Karel Kostev, Jonas Jae-Hyun Park, Andreas M. Sesterhenn, David Ulrich Seidel |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Impacted cerumen 03 medical and health sciences Hearing Aids 0302 clinical medicine Risk Factors Germany Throat Internal medicine otorhinolaryngologic diseases Humans Medicine Risk factor Ear Diseases 030223 otorhinolaryngology Nose Aged Retrospective Studies business.industry Incidence Incidence (epidemiology) Cholesteatoma Retrospective cohort study Middle Aged medicine.disease Sensory Systems Otitis medicine.anatomical_structure Otorhinolaryngology Female Neurology (clinical) medicine.symptom business Ear Canal 030217 neurology & neurosurgery |
| Zdroj: | Otology & Neurotology. 40:1076-1081 |
| ISSN: | 1537-4505 1531-7129 |
| DOI: | 10.1097/mao.0000000000002309 |
| Popis: | Objective The aim of the study was to investigate the relationship between the presence of a hearing aid (HA) and the occurrence of various disorders of the external ear, using data from ear, nose, and throat (ENT) practices in Germany from a nationwide, representative practice database. Methods In the period between 2012 and 2016, the incidences of disorders of the external ear (ICD-10 groups H60 and H61) in patients with HA prescriptions were compared retrospectively with a control group without HA prescriptions (1:1 matching). Results A total of 20,127 patients with HA prescriptions were compared with 20,127 controls. The highest 12-month incidences (HA vs. controls) were determined for "Impacted cerumen" (H61.2) (16.5% vs. 4.2%), "Unspecified otitis externa" (H60.9) (2.6% vs. 1.2%) and 'Acute noninfective otitis externa' (H60.5) (2.3% vs. 0.7%). The most significant risk increases for HA wearers were found for "Abscess of external ear' (H60.0, OR 10.03), "Other otitis externa' (H60.8, OR 6.00), and "Impacted cerumen' (H61.2, OR 4.55). A smaller risk increase was found for "Cholesteatoma of external ear' (H60.4, OR 2.26), among others. Conclusion In HA wearers, the risk of developing almost all of the diagnoses reviewed is significantly increased, especially for external auditory canal (EAC) furuncle, chronic otitis externa, and impacted cerumen. This study provides the first epidemiological evidence for HA as a risk factor for the rare EAC cholesteatoma. |
| Databáze: | OpenAIRE |
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