Questionnaire-Based Survey of the Daily-life Impact of Ear Symptoms in Patients with Inflammatory Bowel Disease

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  • Ichihara Hiroko
    Department of Otolaryngology, Tokyo Medical and Dental University San-ikukai Hospital
  • Fujikawa Taro
    Department of Otolaryngology, Tokyo Medical and Dental University
  • Ito Taku
    Department of Otolaryngology, Tokyo Medical and Dental University
  • Kawashima Yoshiyuki
    Department of Otolaryngology, Tokyo Medical and Dental University
  • Yamamoto Katsura
    Department of Otolaryngology, Tokyo Medical and Dental University
  • Kurata Natsuko
    Department of Otolaryngology, Tokyo Medical and Dental University
  • Honda Keiji
    Department of Otolaryngology, Tokyo Medical and Dental University
  • Watanabe Hiroki
    Department of Otolaryngology, Tokyo Medical and Dental University
  • Ooka Tomoki
    Department of Otolaryngology, Tokyo Medical and Dental University
  • Tsutsumi Takeshi
    Department of Otolaryngology, Tokyo Medical and Dental University

Bibliographic Information

Other Title
  • 炎症性腸疾患患者に合併した耳症状の社会的・心理的影響の質問紙調査
  • エンショウセイ チョウ シッカン カンジャ ニ ガッペイ シタ ミミ ショウジョウ ノ シャカイテキ ・ シンリテキ エイキョウ ノ シツモンシ チョウサ

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Abstract

<p>　Inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn's disease (CD), is also often associated with extraintestinal manifestations (EIMs), in addition to chronic intestinal symptoms. However, the significance of ear manifestations in IBD has not yet been well clarified. The aim of this study was to elucidate the clinical significance of ear symptoms in IBD patients using a questionnaire-based survey, including the Hearing Handicap Inventory for Adults (HHIA) and Vertigo Handicap Questionnaire (VHQ). A total of 11 patients with ear symptoms (9 females, median age: 52 [range, 33-70]) were enrolled, including eight patients with UC and three with CD. The median disease duration was 13 years, and 3 patients had EIMs. All patients had sensorineural hearing loss (SNHL) and 6 patients (55%) had vestibular symptoms. Ear symptoms appeared an average of 5 years after the IBD diagnosis, with most patients developing the symptoms within 10 years after IBD diagnosis. SNHL was independent of the activity of the intestinal disease, but responded to immunosuppressive therapy. Interestingly, both the HHIA and VHQ scores were positively correlated with the duration of IBD (R=0.49, P=0.16; R=0.71, P=0.02), but not with the duration of the ear symptoms (R=0.30; R=0.16). These findings suggest that chronic ear symptoms can cause social and/or psychological handicap in IBD patients during their lifetime. Early and long-term intervention by otolaryngologists is important in IBD patients with ear symptoms.</p>

Journal

  • Nippon Jibiinkoka Gakkai Kaiho

    Nippon Jibiinkoka Gakkai Kaiho 124 (6), 890-896, 2021-06-20

    Japanese Society of Otorhinolaryngology-Head and neck surgery

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