Sudden Sensorineural Hearing Loss: Comparative Study of Different Treatment Modalities
Int. arch. otorhinolaryngol. (Impr.)
; 22(3): 245-249, July-Sept. 2018. tab
Article
in English
| LILACS
| ID: biblio-975577
Responsible library:
BR66.1
ABSTRACT
Abstract Introduction Idiopathic sudden sensorineural hearing loss (ISSNHL) is hearing loss of at least 30 dB in at least 3 contiguous frequencies within at least 72 hours. There are many different theories to explain it, and many differentmodalities are used for its management, such as systemic steroids (SSs), intratympanic steroid injection (ITSI), hyperbaric oxygen therapy (HOT), antiviral drugs, and vasodilators or vasoactive substances. Objectives This study aims to evaluate the efficacy of the combination of the most common treatmentmodalities of ISSNHL and to compare the results if HOTwas not one of the treatment modalities administered. Methods The study was conducted with 22 ISSNHL patients with ages ranging from 34 to 58 years. The patients were divided into 2 groups; group A included 11 patients managed by SSs, ITSI, antiviral therapy, and HOT simultaneously, and group B included 11 patients exposed to the aforementioned modalities, with the exception of HOT. Results After one month, all of the patients in group A showed total improvement in hearing in all frequencies, with pure tone average (PTA) of 18.1 ± 2.2, while in group B, 5/11 (45.5%) patients showed total improvement, and 6 /11 (54.5%) patients showed partial improvement, with a total mean PTA of 28.1 ± 8.7. Conclusion The early administration of HOT in combination with other clinically approved modalities (SSs, ITSI, antiviral therapy) provides better results than the administration of the same modalities, with the exception of HOT, in the treatment of ISSNHL.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Antiviral Agents
/
Hearing Loss, Sudden
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Injection, Intratympanic
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Glucocorticoids
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Hyperbaric Oxygenation
Type of study:
Observational study
/
Risk factors
Limits:
Adult
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Female
/
Humans
/
Male
Language:
English
Journal:
Int. arch. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2018
Document type:
Article
Affiliation country:
Egypt
Institution/Affiliation country:
Zagazig University/EG