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Más del 60% de las personas con lesión leve en la cabeza desarrollan pérdida auditiva o tinnitus

Así es como las lesiones en la cabeza afectan la salud auditiva: La lesión cerebral traumática (TBI, por sus siglas en inglés) es un problema importante de salud pública, que contribuye a más de 2.8 millones de muertes, hospitalizaciones y visitas al departamento de emergencias anualmente en los Estados Unidos.

Si bien las lesiones relacionadas con explosiones son una causa común de TBI en el personal militar, otros tipos de lesiones, como caídas, accidentes automovilísticos, asaltos e impactos en la cabeza relacionados con los deportes, son los eventos más comunes que conducen a TBI en el civil población.

Las clasificaciones de TBI varían de leves a severas según la duración de la pérdida de conciencia, el cambio del estado mental, la amnesia postraumática y los hallazgos de imágenes. TBI leve (mTBI), comúnmente conocido como conmoción cerebral, comprende hasta el 90 por ciento de todas las lesiones cerebrales tratadas. Los pacientes con mTBI presentan una variedad de anormalidades físicas y / o sensoriales, que incluyen déficits cognitivos, sensoriales, perceptivos, psicológicos y del lenguaje, así como síntomas audiovestibulares.

Si bien los trastornos del equilibrio, como los mareos y el vértigo, son secuelas bien reconocidas de lesiones en la cabeza, los síntomas auditivos han sido poco estudiados desde las perspectivas clínica y mecanicista. Los estudios emergentes han examinado los síntomas auditivos después de una LCT.

Una revisión sistemática reciente que incluye 13 estudios y 773 pacientes con LCT encontró que hasta el 58 por ciento de los pacientes experimentaron pérdida auditiva. Además, un estudio de cohorte prospectivo reciente de pacientes con mTBI informó que la pérdida auditiva y el tinnitus se experimentaron en más del 60 por ciento de los participantes del estudio.


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