Comment diagnostiquer la surdité mixte ?

Un audiogramme et des tests d'imagerie sont utilisés pour évaluer la perte auditive.

Quels examens sont nécessaires ?

Des examens cliniques, audiométriques et parfois une IRM sont nécessaires.

Quels signes indiquent une surdité mixte ?

Des difficultés à entendre dans des environnements bruyants et des sons étouffés.

Peut-on détecter la surdité mixte chez les enfants ?

Oui, des tests auditifs peuvent être réalisés dès la naissance pour détecter cette condition.

Quel spécialiste consulte-t-on pour ce diagnostic ?

Un oto-rhino-laryngologiste (ORL) est le spécialiste à consulter pour ce diagnostic.

Quels sont les symptômes de la surdité mixte ?

Les symptômes incluent une perte auditive variable, des acouphènes et des difficultés de compréhension.

La surdité mixte cause-t-elle des douleurs ?

Elle peut causer des douleurs si des infections de l'oreille sont présentes.

Y a-t-il des signes d'alerte ?

Des difficultés soudaines à entendre ou des bruits étranges peuvent être des signes d'alerte.

Les enfants montrent-ils des symptômes différents ?

Oui, ils peuvent avoir des retards de langage ou des difficultés scolaires.

Les symptômes varient-ils selon l'âge ?

Oui, les symptômes peuvent être plus prononcés chez les personnes âgées en raison de la dégénérescence.

Comment prévenir la surdité mixte ?

Éviter les bruits forts, traiter rapidement les infections de l'oreille et faire des bilans auditifs réguliers.

Les protections auditives sont-elles utiles ?

Oui, elles protègent contre les dommages auditifs dans des environnements bruyants.

Faut-il éviter certains médicaments ?

Certains médicaments ototoxiques doivent être évités pour prévenir des dommages auditifs.

Les examens réguliers sont-ils nécessaires ?

Oui, des examens auditifs réguliers aident à détecter précocement des problèmes auditifs.

L'éducation sur la santé auditive est-elle importante ?

Oui, sensibiliser à la santé auditive aide à prévenir des pertes auditives futures.

Quels traitements sont disponibles ?

Les traitements incluent des appareils auditifs, des implants cochléaires et des interventions chirurgicales.

Les médicaments peuvent-ils aider ?

Des médicaments peuvent être prescrits pour traiter des infections ou des inflammations associées.

Quand envisager une chirurgie ?

La chirurgie est envisagée si des anomalies structurelles causent la perte auditive.

Les appareils auditifs sont-ils efficaces ?

Oui, ils améliorent souvent la capacité d'écoute, surtout dans des environnements calmes.

Y a-t-il des thérapies alternatives ?

Certaines thérapies alternatives peuvent aider, mais leur efficacité n'est pas toujours prouvée.

Quelles complications peuvent survenir ?

Des complications incluent des troubles de l'équilibre, des infections récurrentes et des difficultés sociales.

La surdité mixte peut-elle affecter la qualité de vie ?

Oui, elle peut entraîner des problèmes de communication et d'interaction sociale.

Y a-t-il des risques de dépression ?

Oui, la perte auditive peut augmenter le risque de dépression et d'anxiété.

Les complications sont-elles réversibles ?

Certaines complications peuvent être traitées, mais d'autres peuvent être permanentes.

Comment gérer les complications ?

Une prise en charge multidisciplinaire est souvent nécessaire pour gérer les complications.

Quels sont les facteurs de risque ?

Les facteurs incluent des antécédents familiaux, des infections fréquentes et l'exposition au bruit.

L'âge est-il un facteur de risque ?

Oui, le vieillissement augmente le risque de surdité mixte en raison de la dégénérescence auditive.

Les maladies chroniques influencent-elles ?

Oui, des maladies comme le diabète peuvent augmenter le risque de perte auditive.

Les traumatismes crâniens sont-ils un risque ?

Oui, les traumatismes crâniens peuvent endommager les structures auditives et provoquer une surdité.

Les infections de l'oreille sont-elles un facteur ?

Oui, des infections récurrentes peuvent endommager l'oreille moyenne et interne, augmentant le risque.

Surdité mixte de transmission et neurosensorielle - Informations médicales vérifiées

Cholecystectomy.

Dec 2024

DOI: 10.1016/j.suc.2024.04.011 PMID: 39448122

In this article, we discuss preoperative clinical evaluation, diagnostic considerations, and the role/choice of antibiotics. Operative planning is discussed with attention to patient characteristics/d...

Humans Cholecystectomy Cholecystectomy, Laparoscopic Robotic Surgical Procedures Postoperative Complications

Is fundus first laparoscopic cholecystectomy a better option than conventional laparoscopic cholecystectomy for difficult cholecystectomy? A systematic review and meta-analysis.

Dec 2022

DOI: 10.1007/s13304-022-01403-5 PMID: 36207659

The gallstone disease prevalence is up to 27% in the general adult population. Though most of the patients are asymptomatic, about 1-4% of these patients became symptomatic every year and will require...

Humans Adult Male Cholecystectomy, Laparoscopic Retrospective Studies +3 autres

[Medical nutrition after cholecystectomy].

2024

DOI: 10.33029/0042-8833-2024-93-2-73-82 PMID: 38809801

Cholecystectomy (CE) is one of the most frequently performed surgical interventions and the main method of symptomatic gallstone disease treatment. Despite the widespread implementation of minimally i...

Humans Cholecystectomy Nutritional Support

The Safe Cholecystectomy: Evaluating the Use of Laparoscopic Subtotal Cholecystectomy Between Junior and Senior Faculty.

Jul 2023

DOI: 10.1177/00031348231157859 PMID: 36802977

Laparoscopic Subtotal Cholecystectomy (SC) is a technique for performing safe cholecystectomy when excessive inflammation prevents exposure of the Critical View of Safety. Studies have evaluated outco... We performed a retrospective review of LC performed at an academic medical center. Demographics were analyzed using descriptive statistics. We performed a multivariable logistic regression to examine ... Between November 1, 2017, and November 1, 2021, there were 1222 LC performed. 771 patients (63%) were female. 89 patients (7.3%) underwent SC. There were no bile duct injuries requiring reconstruction... We find no difference in the rate of performance of SC between junior and senior faculty. This reflects consistency, in keeping with best practice guidelines. This could be confounded by junior facult...

Humans Female Male Cholecystectomy, Laparoscopic Cholecystectomy +3 autres

Nationwide outcomes of incidental appendectomy during cholecystectomy versus cholecystectomy alone in children: a propensity score-matched analysis.

Oct 2022

DOI: 10.1007/s00383-022-05172-5 PMID: 35920888

The utility of incidental appendectomy, appendectomy during another index surgery in the absence of appendicitis, has not been evaluated in the pediatric population during cholecystectomy. This study ... Patients ≤ 18 years old who underwent cholecystectomy from 2010-2014 were identified from the Nationwide Readmissions Database. A propensity score-matched analysis (PSMA) with > 40 covariates includin... 34,390 patients underwent cholecystectomy (median age 15 [13-17] years). Laparoscopic (92%) approach was utilized most frequently, with 2% requiring conversion to open cholecystectomy. PSMA demonstrat... This nationwide PSMA indicates that incidental appendectomy in pediatric cholecystectomies is not associated with higher postoperative complications, cost, or readmissions. This suggests that incident... Level III....

Adolescent Appendectomy Appendicitis Child Cholecystectomy +5 autres

Delayed Cholecystectomy Management for Mirizzi Syndrome.

Aug 2023

DOI: 10.1177/00031348231161700 PMID: 37032533

Mirizzi syndrome is defined as a common hepatic duct obstruction from a cystic duct stone, which results in a severe inflammatory reaction that distorts biliary anatomy and makes surgical intervention...

Humans Female Child Mirizzi Syndrome Decompression, Surgical +4 autres

Defining Biliary Hyperkinesia and the Role of Cholecystectomy.

01 11 2023

DOI: 10.1097/XCS.0000000000000793 PMID: 37366537

Functional gallbladder disorder is most commonly defined by biliary colic and low ejection fraction (EF) on cholescintigraphy. Biliary hyperkinesia is a controversial type of functional gallbladder di... We conducted a retrospective review of patients who underwent cholecystokinin-stimulated cholescintigraphy and cholecystectomy at 3 Mayo Clinic sites between 2007 and 2020. Eligible patients were 18 y... A total of 2,929 cholecystokinin-stimulated cholescintigraphy scans were performed during the study period; the average EF was 67.5% and the median EF was 77%. Analyzing those with EFs greater than or... We determined that an EF cutoff of 81% is a reasonable upper limit of normal gallbladder EF. Patients with biliary symptoms and an EF greater than 81% but no evidence of biliary disease on ultrasound ...

Humans Hyperkinesis Cholecystectomy Gallbladder Diseases Cholecystokinin +3 autres

Open Cholecystectomy among Patients undergoing Laparoscopic Cholecystectomy in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

05 May 2022

DOI: 10.31729/jnma.7371 PMID: 35633240

In the current era, laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. The aim of this study is to find out the prevalence of open cholecystectomy among patient... It is a descriptive cross-sectional study done among 345 patients at the Department of Surgery of a tertiary care centre from June, 2020 to May, 2021 after receiving ethical clearance from the Institu... Out of 345 patients, the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy was 6 (1.73%) (0.35-3.11 at a 95% Confidence Interval).... This study showed that the prevalence of open cholecystectomy among patients undergoing laparoscopic cholecystectomy was lower when compared to similar studies conducted in similar settings.... cholecystectomy; cholelithiasis; laparoscopic cholecystectomy....

Cholecystectomy Cholecystectomy, Laparoscopic Cholelithiasis Cross-Sectional Studies Humans +1 autres

Textbook outcome in the laparoscopic cholecystectomy of acute cholecystitis.

Oct 2023

DOI: 10.1111/ases.13238 PMID: 37525942

Textbook outcome (TO) is a novel composite measure of clinical outcomes that can be used to measure the quality of surgical outcomes. The aim of this cohort study was to propose TO criteria for laparo... We retrospectively analyzed data for 189 patients with acute cholecystitis who underwent laparoscopic cholecystectomy. TO was defined as laparoscopic cholecystectomy without conversion to open cholecy... TO was achieved in 154 of 189 patients who underwent laparoscopic cholecystectomy for acute cholecystitis. Medical costs were lower in the TO-achieved group than in the TO-failure group. Factors assoc... Applying TO to patients with acute cholecystitis allowed us to evaluate the overall quality of care related to hospitalization. TO may provide better assessment of the quality of care and help determi...

Humans Aged Cholecystectomy, Laparoscopic Retrospective Studies Cohort Studies +5 autres

Robotic single-site cholecystectomy is better in reducing postoperative pain than single-incision and conventional multiport laparoscopic cholecystectomy.

05 2023

DOI: 10.1007/s00464-022-09846-y PMID: 36604338

To compare the short-term outcomes of robotic single-site cholecystectomy (RSSC) with single-incision laparoscopic cholecystectomy (SILC) and conventional multiport laparoscopic cholecystectomy (CMLC)... This single-center retrospective study included consecutive patients with benign gallbladder disease who underwent cholecystectomy by a single surgeon between June 2019 and December 2021. Exclusion cr... Of the 157 patients included, 39 (24.8%) underwent RSSC, 32 (20.4%) underwent SILC, and 86 (54.8%) underwent CMLC. In a propensity score-matched cohort between RSSC and SILC (32 patients in each group... This study demonstrated that RSSC is helpful in reducing postoperative pain and the use of additional analgesics compared to both SILC and CMLC....

Humans Cholecystectomy, Laparoscopic Robotic Surgical Procedures Retrospective Studies Cholecystectomy +1 autres

Surdité mixte de transmission et neurosensorielle : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Auteurs principaux

Sources (1148 au total)