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首页> 外文期刊>Journal of Rehabilitation Research and Development >Auditory and vestibular dysfunction associated with blast-related traumatic brain injury
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Auditory and vestibular dysfunction associated with blast-related traumatic brain injury

机译：与爆炸相关的颅脑外伤相关的听觉和前庭功能障碍

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摘要

The dramatic escalation of blast exposure in military deployments has created an unprecedented amount of traumatic brain injury (TBI) and associated auditory impairment. Auditory dysfunction has become the most prevalent individual serviceconnected disability, with compensation totaling more than 1 billion dollars annually. Impairment due to blast can include peripheral hearing loss, central auditory processing deficits, vestibular impairment, and tinnitus. These deficits are particularly challenging in the TBI population, as symptoms can be mistaken for posttraumatic stress disorder, mentalhealth issues, and cognitive deficits. In addition, comorbid factors such as attention, cognition, neuronal loss, noise toxicity, etc., can confound assessment, causing misdiagnosis. Furthermore, some auditory impairments, such as sensorineural hearing loss, will continue to progress with age, unlike many other injuries. In the TBI population, significant clinical challenges are the accurate differentiation of auditory and vestibular impairments from multiple, many times overlapping, symptoms and the development of multidisciplinary rehabilitation strategies to improve treatment outcomes and quality of life for these patients.
机译：军事部署中爆炸暴露的急剧增加已造成前所未有的创伤性脑损伤（TBI）和相关的听觉障碍。听觉功能障碍已成为最普遍的个人服务相关残疾，每年的赔偿总额超过10亿美元。爆炸引起的损伤可包括周围性听力障碍，中枢听觉处理缺陷，前庭损伤和耳鸣。这些症状在TBI人群中尤其具有挑战性，因为症状可能被误认为是创伤后应激障碍，心理健康问题和认知障碍。另外，注意力，认知，神经元丢失，噪声毒性等合并症也可能使评估混乱，导致误诊。此外，与许多其他伤害不同，一些听觉障碍（例如感觉神经性听力损失）会随着年龄的增长而继续发展。在TBI人群中，重大的临床挑战是​​听觉和前庭损伤与多次，多次重叠，症状的准确区分以及开发多学科康复策略以改善这些患者的治疗结果和生活质量。

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