Received: Tue 27, May 2025
Accepted: Tue 10, Jun 2025
Abstract
Objective: To investigate the correlation between high jugular bulb and sudden deafness by collecting and analyzing the relevant data of patients with sudden deafness accompanied by high jugular bulb.
Method: A total of 62 patients with acute deafness diagnosed in the Otolaryngology ward of the First Affiliated Hospital of Anhui University of Chinese Medicine from October 2023 to June 2024 were included, and the criteria of reaching or exceeding the cochlear base to high jugular bulb were set. The patients were divided into two groups according to the presence of high jugular bulb (HJB). Thin slice CT, pure tone threshold detection and tinnitus questionnaire were performed in both groups. Age, sex, affected side, jugular bulb height, tinnitus handicaps inventory (THI) score, pure tone average (PTA) before and after treatment were recorded in the two groups. The effects of different parameters on hearing loss and the difference between the two groups were analyzed, and whether the degree of jugular bulb elevation affected the degree of hearing loss and prognosis of patients with sudden hearing loss was discussed.
Results: Before treatment, there was no statistically significant difference in the average hearing threshold between the two groups (P > 0.05). After treatment, the average hearing threshold of the two groups was decreased (P < 0.05), and the non-HJB group was significantly lower than the HJB group, the difference was statistically significant (P < 0.01). Before treatment, the score of tinnitus disability scale in HJB group was significantly higher than that in non-HJB group (P < 0.01). After treatment, the score of tinnitus disability scale in both groups improved (P < 0.05), and the non-HJB group was better than that in HJB group (P < 0.01). The effective rate of treatment of patients with mild jugular hypertension (64.7% as shown in Table 1) was higher than that of patients with severe jugular hypertension (42.9%), but the difference was not statistically significant (P > 0.05). There was a positive correlation between admission PTA, discharge PTA, admission THI and discharge THI and HJB values in the HJB group (P < 0.05).
Conclusion: Patients with sudden deafness with high jugular bulb have worse hearing outcomes and tinnitus prognosis than patients with normal sudden deafness.
Keywords
High jugular bulb, sudden hearing loss, correlation
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