<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-6499</journal-id>
<journal-title><![CDATA[Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port ORL]]></abbrev-journal-title>
<issn>2184-6499</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-64992023000100007</article-id>
<article-id pub-id-type="doi">10.34631/sporl.1023</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Evolução dos Acufenos em doentes com Surdez Súbita submetidos a Oxigenoterapia Hiperbárica]]></article-title>
<article-title xml:lang="en"><![CDATA[Tinnitus Evolution in Patients with Sudden Sensorineural Hearing Loss treated with Hyperbaric Oxygen Therapy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teles]]></surname>
<given-names><![CDATA[Sofia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Freitas]]></surname>
<given-names><![CDATA[Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernardo]]></surname>
<given-names><![CDATA[Guilherme]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Menezes]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amaro]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Medicina Subaquática e Hiperbárica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Grupo HPA Saúde  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>15</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-64992023000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-64992023000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-64992023000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A surdez neuro-sensorial súbita está associada a acufenos em até 90% dos casos. Os acufenos constituem uma queixa subjetiva, tornando a sua avaliação difícil. A oxigenoterapia hiperbárica (OHB) é utilizada como terapêutica adjuvante nos casos refratários ou com resposta parcial a corticoterapia sistémica, mas o seu efeito no acufeno acompanhante está pouco estudado.  Objectivos:  Avaliar o efeito da OHB na evolução dos acufenos e dos limiares auditivos em doentes com surdez neuro-sensorial súbita e acufeno associado, refratários à corticoterapia sistémica.  Métodos:  Foi realizado um estudo prospetivo não controlado de forma a avaliar o efeito da OHB na evolução dos acufenos, aplicando o Tinnitus Handicap Inventory (THI) antes e após o tratamento com OHB. O estudo decorreu no Centro de Medicina Subaquática e Hiperbárica da Marinha Portuguesa, entre Maio e Dezembro de 2018. O protocolo de OHB incluiu em média 20 sessões a 2.5ATM durante 90 minutos. O trabalho de análise estatística foi realizado com recurso ao software IBM SPSS Statistics 26.  Resultados:  Foram incluídos no estudo 57 doentes, com idade entre 25-78 anos (média 51A), 50,8% do sexo feminino. O intervalo de tempo médio entre o aparecimento dos sintomas e início de OHB foi de 34,9 dias. Foi possível estabelecer uma relação inversa estatisticamente significativa entre o intervalo sintomas-tratamento e a melhoria auditiva (p=0,045). Verificou-se uma melhoria média de 17 dB na acuidade auditiva. Segundo os critérios de recuperação auditiva de Spiegel, verificou-se melhoria completa em 19% dos doentes, melhoria parcial em 23%, melhoria ligeira em 33% e ausência de melhoria em 25% dos doentes. Quanto ao acufeno, a maioria dos doentes (71%) obteve classificação 3 ou 4 antes do tratamento. Após tratamento, 77% dos doentes apresentaram THI de grau inferior a 3. Observou-se melhoria da classificação THI mesmo em doentes sem melhoria audiométrica.  Conclusão:  Estes dados permitem concluir que, além da melhoria na acuidade auditiva, a oxigenoterapia hiperbárica parece ter um efeito positivo na melhoria do impacto do acufeno na qualidade de vida dos doentes. Os doentes devem ser referenciados a tratamento com OHB assim que possível, uma vez que o intervalo entre sintomas e início de tratamento tem um efeito significativo na melhoria audiométrica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Sudden sensorineural hearing loss presents with tinnitus in up to 90% of cases. Tinnitus constitutes a subjective complaint, therefore hard to quantify and evaluate. Hyperbaric oxygen therapy (HOT) constitutes a valuable adjunctive therapy in patients who are only parcially responsive or refractory to corticoid treatment, but the effect it may have on tinnitus remains poorly studied.  Goals:  To evaluate HOT effect on tinnitus and audiometric evolution in sudden sensorineural hearing loss with tinnitus, refractory to corticoid treatment.  Methods:  This paper presents a prospective non-controlled study that applied Tinnitus Handicap Inventory (THI) before and after treatment with HOT. The study was carried in the Portuguese Navy&#8217;s Center for Hyperbaric and Subaquatic Medicine, between May and December, 2018. The Center&#8217;s HOT protocol included on average 20 sessions at 2.5 ATM for 90 minutes. The statistic analysis was performed using IBM SPSS Statistics 26 software.  Resuls:  57 patients were included in the study, with ages between 25-78 years (average 51), 50.8% female. The average time between symptom onset and HOT was 34,9 days. We were able to make an inverse correlation between the symptom-treatment window and hearing outcomes (p=0,045). The average hearing outcome was of 17dB. According to Spiegel&#8217;s hearing outcome classification, there was complete recovery in 19% of patients, parcial recovery in 23%, slight improvement in 33% and no improvement in 25% of patients. Regarding tinnitus, most patients had a THI classification of grade 3 or 4 before treatment (71%). After treatment, 77% of patients presented a THI score &lt;3. We observed an improvement of THI classification even in patients with no audiometric improvement.  Conclusion:  This data concludes that, besides improving hearing outcomes, HOT seems to have a positive effect in improving tinnitus and it&#8217;s impact in the patient&#8217;s quality of life. Patients should be referred to HOT treatment as soon as possible, since the window between symptom onset and HOT treatment has a significant effect on hearing outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Surdez súbita]]></kwd>
<kwd lng="pt"><![CDATA[acufeno]]></kwd>
<kwd lng="pt"><![CDATA[oxigenoterapia hiperbárica]]></kwd>
<kwd lng="pt"><![CDATA[surdez neuro-sensorial]]></kwd>
<kwd lng="en"><![CDATA[Sudden deafness]]></kwd>
<kwd lng="en"><![CDATA[tinnitus]]></kwd>
<kwd lng="en"><![CDATA[hyperbaric oxygen therapy]]></kwd>
<kwd lng="en"><![CDATA[sensorineural hearing loss]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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