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ORIGINAL RESEARCH

Evaluation of Peripheral Arterial Disease in Patients with Tinnitus Using the Ankle Brachial Index
Tinnituslu Hastalarda Periferik Arter Hastalığının Ayak Bileği Kolİndeksi Kullanılarak Değerlendirilmesi
Received Date : 04 Sep 2021
Accepted Date : 01 Dec 2021
Available Online : 07 Dec 2021
Doi: 10.24179/kbbbbc.2021-86073 - Makale Dili: EN
KBB ve BBC Dergisi. 2022;30(1):7-11
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: Tinnitus is sometimes the first manifestation of atherosclerosis. The ankle-brachial index is reported to be a good marker of atherosclerosis and is indicative of peripheral arterial damage. Material and Methods: It is a non-invasive test that can be easily applied in the outpatient clinic. We investigated the association of peripheral arterial disease in patients with nonpulsatile tinnitus using the ankle-brachial index. This study demonstrates the role of atherosclerosis in these patients. We evaluated 25 patients who had no hearing loss with nonpulsatile tinnitus and a control group of 15 patients who did not have any tinnitus symptoms. The mean age of all of the patients was 36±12 years. All patients underwent clinical evaluations including a thorough medical and otologic history, micro-otoscopy, complete blood count, clinical biochemical analysis, and pure tone and speech audiometry. Further investigations included magnetic resonance imaging of the internal acoustic canal, and Doppler ultrasound of the carotid and vertebral arteries. Results: Patients with an ankle-brachial index <0.9 were accepted as having peripheral arterial occlusive disease. The Mann-Whitney U test showed that the ankle-brachial index was significantly lower in patients with tinnitus (p=0.02). Conclusion: This study shows that peripheral arterial disease is more common in patients with nonpulsatile tinnitus than in controls without tinnitus. Our findings support the view that atherosclerosis plays an important role in the cause of nonpulsatile tinnitus.
ÖZET
Amaç: Tinnitus bazen aterosklerozun ilk belirtisidir. Ayak bileği- kol indeksinin aterosklerozun iyi bir belirteci olduğu ve periferik arter hasarının göstergesi olduğu bildirilmektedir. Gereç ve Yöntemler: Poliklinikte rahatlıkla uygulanabilen noninvaziv bir testtir. Ayak bileği-kol indeksini kullanarak nonpulsatil tinnituslu hastalarda, periferik arter hastalığı ilişkisini araştırdık. Bu çalışma, bu hastalarda aterosklerozun rolünü göstermektedir. Nonpulsatil tinnituslu işitme kaybı olmayan 25 hastayı ve tinnitus semptomu olmayan 15 kontrol grubunu değerlendirdik. Tüm hastaların yaş ortalaması 36±12 yıl idi. Tüm hastalara kapsamlı bir tıbbi ve otolojik öykü, mikro-otoskopi, tam kan sayımı, klinik biyokimyasal analiz, saf ses ve konuşma odyometrisi dâhil klinik değerlendirmeler yapıldı. Daha ileri araştırmalar, dahili akustik kanalın manyetik rezonans görüntülemesini, karotis ve vertebral arterlerin Doppler ultrasonunu içeriyordu. Bulgular: Ayak bileği-kol indeksi <0,9 olan hastaların periferik arter tıkayıcı hastalığı olduğu kabul edildi. Mann-Whitney U testi, kulak çınlaması olan hastalarda ayak bileği- kol indeksinin anlamlı olarak daha düşük olduğunu gösterdi (p=0,02). Sonuç: Bu çalışma, periferik arter hastalığının, nonpulsatil tinnituslu hastalarda tinnitussuz kontrollere göre daha yaygın olduğunu göstermektedir. Bulgularımız, aterosklerozun nonpulsatil tinnitusun nedeninde önemli bir rol oynadığı görüşünü desteklemektedir.
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