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Year 2016, Volume: 33 Issue: 1, 87 - 93, 01.01.2016

Abstract

References

  • 1. Stachler RJ, Chandrasekhar SS, Archer SM, Rosenfeld RM, Schwartz SR, Barrs DM, et al: American Academy of Otolaryngology-Head and Neck Surgery. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012;146(Suppl 3):S1-35. [CrossRef]
  • 2. Wilson WR, Byl MF, Laird N. The Efficacy of Steroids in the Treatment of Idiopathic Sudden Hearing Loss A Double-blind Clinical Study, Arch Otolaryngol 1980;106:772-6. [CrossRef]
  • 3. Castro TM, Costa LA, Nemezio ME, Fonseca LJ. Bilateral sudden deafness. Braz J Otorhinolaryngol 2011;77:678. [CrossRef]
  • 4. Spear SA, Schwartz SR. Intratympanic steroids for sudden sensorineural hearing loss: a systematic review. Otolaryngol Head Neck Surg 2011;145:534-43. [CrossRef]
  • 5. Liu SC, Kang BH, Lee JC, Lin YS, Huang KL, Liu DW, et al. Comparison of therapeutic results in sudden sensorineural hearing loss with/without additional hyperbaric oxygen therapy: a retrospective review of 465 audiologically controlled cases. Clin Otolaryngol 2011;36:121-8. [CrossRef]
  • 6. Coelho DH, Thacker LR, Hsu DW. Variability in the management of idiopathic sudden sensorineural hearing loss. Otolaryngol Head Neck Surg 2011;145:813-7. [CrossRef]
  • 7. Piccirillo JF. Steroids for idiopathic sudden sensorineural hearing loss: some questions answered, others remain. JAMA 2011;305:2114-5. [CrossRef]
  • 8. Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC. Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif 2011;15:91-105. [CrossRef]
  • 9. Alimoglu Y, Inci E, Edizer DT, Ozdilek A, Aslan M. Efficacy comparison of oral steroid, intratympanic steroid, hyperbaric oxygen and oral steroid + hyperbaric oxygen treatments in idiopathic sudden sensorineural hearing loss cases. Eur Arch Otorhinolaryngol 2011;268:1735-41. [CrossRef]
  • 10. Jun HJ, Chang J, Im GJ, Kwon SY, Jung H, Choi J. Analysis of frequency loss as a prognostic factor in idiopathic sensorineural hearing loss. Acta Otolaryngol 2012;132:590-6. [CrossRef
  • 11. Suckfüll M. Perspectives on the pathophysiology and treatment of sudden idiopathic sensorineural hearing loss. Dtsch Arztebl Int 2009;106:669-75.
  • 12. Narozny W, Kuczkowski J, Kot J, Stankiewicz C, Sicko Z, Mikaszewski B. Prognostic factors in sudden sensorineural hearing loss: our experience and a review of the literature. Ann Otol Rhinol Laryngol 2006;115:553-8. [CrossRef]
  • 13. Ceylan A, Celenk F, Kemaloğlu YK, Bayazit YA, Göksu N, Ozbilen S. Impact of prognostic factors on recovery from sudden hearing loss. J Laryngol Otol 2007;121:1035-40. [CrossRef]
  • 14. Cadoni G, Agostino S, Scipione S, Ippolito S, Caselli A, Marchese R, et al. Sudden sensorineural hearing loss: our experience in diagnosis, treatment, and outcome. J Otolaryngol 2005;34:395-401. [CrossRef]
  • 15. Zadeh MH, Storper IS, Spitzer JB. Diagnosis and treatment of sudden-onset sensorineural hearing loss: a study of 51 patients. Otolaryngol Head Neck Surg 2003;128:92-8. [CrossRef]
  • 16. Saeki N, Kitahara M. Assessment of prognosis in sudden deafness. Acta Otolaryngol Suppl 1994;510:56-6. [CrossRef]
  • 17. Lin SW, Lin YS, Weng SF. Risk of developing sudden sensorineural hearing loss in diabetic patients: a population-based cohort study. Otol Neurotol 2012;33:1482-8. [CrossRef]
  • 18. Chien CY, Tai SY, Wang LF, Hsi E, Chang NC, Wu MT, et al. Metabolic syndrome increases the risk of sudden sensorineural hearing loss in Taiwan: a case-control study. Otolaryngol Head Neck Surg 2015;153:105-11. [CrossRef]
  • 19. Plaza G, Durio E, Herráiz C, Rivera T, García-Berrocal JR; Asociación Madrileña de ORL. Consensus on diagnosis and treatment of sudden hearing loss. Acta Otorrinolaringol Esp 2011;62:144-57. [CrossRef]
  • 20. Conlin AE, Parnes LS. Treatment of sudden sensorineural hearing loss: I. A systematic review. Arch Otolaryngol Head Neck Surg 2007;133:573-81. [CrossRef]
  • 21. Conlin AE, Parnes LS. Treatment of sudden sensorineural hearing loss: II. A Meta-analysis. Arch Otolaryngol Head Neck Surg 2007;133:582-6. [CrossRef]
  • 22. Kanemaru S, Fukushima H, Nakamura H, Tamaki H, Fukuyama Y, Tamura Y. Alpha-Interferon for the treatment of idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol 1997;254:158-62. [CrossRef]
  • 23. Fu Y, Zhao H, Zhang T, Chi F. Intratympanic dexamethasone as initial therapy for idiopathic sudden sensorineural hearing loss: Clinical evaluation and laboratory investigation. Auris Nasus Larynx 2011;38:165-71. [CrossRef]
  • 24. Park KH, Lee CK, Lee JD, Park MK, Lee BD. Combination therapy with systemic steroids, an antiviral agent, anticoagulants, and stellate ganglion block for treatment of sudden sensorineural hearing loss. Korean J Audiol 2012;16:71-4. [CrossRef]
  • 25. Chang NC, Ho KY, Kuo WR. Audiometric patterns and prognosis in sudden sensorineural hearing loss in southern Taiwan. Otolaryngol Head Neck Surg 2005;133:916-22. [CrossRef]
  • 26. Mamak A, Yilmaz S, Cansiz H, İnci E, Güçlü E, Dereköylü L. A study of prognostic factors in sudden hearing loss. Ear Nose Throat J 2005;84:641-4.
  • 27. Banerjee A, Parnes LS. Intratympanic corticosteroids for sudden idiopathic sensorineural hearing loss. Otol Neurotol 2005;26:878-81. [CrossRef]
  • 28. Belhassen S, Saliba I. Intratympanic steroid injection as a salvage treatment for sudden sensorineural hearing loss. J Laryngol Otol 2014;128:1044-9. [CrossRef]

Prognostic Factors in Sudden Sensorineural Hearing Loss

Year 2016, Volume: 33 Issue: 1, 87 - 93, 01.01.2016

Abstract

Background: Sudden sensorineural hearing loss (SSNHL) is still a complex and challenging process which requires clinical evidence regarding its etiology, treatment and prognostic factors. Therefore, determination of prognostic factors might aid in the selection of proper treatment modality. Aims: The aim of this study is to analyze whether there is correlation between SSNHL outcomes and (1) systemic steroid therapy, (2) time gap between onset of symptoms and initiation of therapy and (3) audiological pattern of hearing loss. Study Design: Retrospective chart review. Methods: Patients diagnosed at our clinic with SSNHL between May 2005 and December 2011were reviewed. A detailed history of demographic features, side of hearing loss, previous SSNHL and/or ear surgery, recent upper respiratory tract infection, season of admission, duration of symptoms before admission and the presence of co-morbid diseases was obtained. Radiological and audiological evaluations were recorded and treatment protocol was assessed to determine whether systemic steroids were administered or not. Treatment started ≤5 days was regarded as “early” and >5 days as “delayed”. Initial audiological configurations were grouped as “upward sloping”, “downward sloping”, “flat” and “profound” hearing loss. Significant recovery was defined as thresholds improved to the same level with the unaffected ear or improved ≥30 dB on average. Slight recovery was hearing improvement between 10-30dB on average. Hearing recovery less than 10 dB was accepted as unchanged. Results: Among the 181 patients who met the inclusion criteria, systemic steroid was administered to 122 patients (67.4%), whereas 59 (32.6%) patients did not have steroids. It was found that steroid administration did not have any statistically significant effect in either recovered or unchanged hearing groups. Early treatment was achieved in 105 patients (58%) and 76 patients (42%) had delayed treatment. Recovery rates were no different in these two groups; however, when unchanged hearing rates were compared, it was statistically significantly lower in the early treatment group (p<0.05). When hearing outcomes were compared according to initial audiological pattern, significant recovery and unchanged hearing rates did not differ between groups; however, slight recovery rate was highest in the “flat” type audiological configuration (p<0.05). Conclusion: According to this patient series, oral steroid therapy does not have any influence on the outcomes of SSNHL. However, mid-frequency hearing loss of flat type and initiation of treatment earlier than 5 days from the onset of symptoms, seem to have positive prognostic effects. Further randomized controlled subject groups might contribute to determine prognostic factors of SSNHL.

References

  • 1. Stachler RJ, Chandrasekhar SS, Archer SM, Rosenfeld RM, Schwartz SR, Barrs DM, et al: American Academy of Otolaryngology-Head and Neck Surgery. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012;146(Suppl 3):S1-35. [CrossRef]
  • 2. Wilson WR, Byl MF, Laird N. The Efficacy of Steroids in the Treatment of Idiopathic Sudden Hearing Loss A Double-blind Clinical Study, Arch Otolaryngol 1980;106:772-6. [CrossRef]
  • 3. Castro TM, Costa LA, Nemezio ME, Fonseca LJ. Bilateral sudden deafness. Braz J Otorhinolaryngol 2011;77:678. [CrossRef]
  • 4. Spear SA, Schwartz SR. Intratympanic steroids for sudden sensorineural hearing loss: a systematic review. Otolaryngol Head Neck Surg 2011;145:534-43. [CrossRef]
  • 5. Liu SC, Kang BH, Lee JC, Lin YS, Huang KL, Liu DW, et al. Comparison of therapeutic results in sudden sensorineural hearing loss with/without additional hyperbaric oxygen therapy: a retrospective review of 465 audiologically controlled cases. Clin Otolaryngol 2011;36:121-8. [CrossRef]
  • 6. Coelho DH, Thacker LR, Hsu DW. Variability in the management of idiopathic sudden sensorineural hearing loss. Otolaryngol Head Neck Surg 2011;145:813-7. [CrossRef]
  • 7. Piccirillo JF. Steroids for idiopathic sudden sensorineural hearing loss: some questions answered, others remain. JAMA 2011;305:2114-5. [CrossRef]
  • 8. Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC. Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif 2011;15:91-105. [CrossRef]
  • 9. Alimoglu Y, Inci E, Edizer DT, Ozdilek A, Aslan M. Efficacy comparison of oral steroid, intratympanic steroid, hyperbaric oxygen and oral steroid + hyperbaric oxygen treatments in idiopathic sudden sensorineural hearing loss cases. Eur Arch Otorhinolaryngol 2011;268:1735-41. [CrossRef]
  • 10. Jun HJ, Chang J, Im GJ, Kwon SY, Jung H, Choi J. Analysis of frequency loss as a prognostic factor in idiopathic sensorineural hearing loss. Acta Otolaryngol 2012;132:590-6. [CrossRef
  • 11. Suckfüll M. Perspectives on the pathophysiology and treatment of sudden idiopathic sensorineural hearing loss. Dtsch Arztebl Int 2009;106:669-75.
  • 12. Narozny W, Kuczkowski J, Kot J, Stankiewicz C, Sicko Z, Mikaszewski B. Prognostic factors in sudden sensorineural hearing loss: our experience and a review of the literature. Ann Otol Rhinol Laryngol 2006;115:553-8. [CrossRef]
  • 13. Ceylan A, Celenk F, Kemaloğlu YK, Bayazit YA, Göksu N, Ozbilen S. Impact of prognostic factors on recovery from sudden hearing loss. J Laryngol Otol 2007;121:1035-40. [CrossRef]
  • 14. Cadoni G, Agostino S, Scipione S, Ippolito S, Caselli A, Marchese R, et al. Sudden sensorineural hearing loss: our experience in diagnosis, treatment, and outcome. J Otolaryngol 2005;34:395-401. [CrossRef]
  • 15. Zadeh MH, Storper IS, Spitzer JB. Diagnosis and treatment of sudden-onset sensorineural hearing loss: a study of 51 patients. Otolaryngol Head Neck Surg 2003;128:92-8. [CrossRef]
  • 16. Saeki N, Kitahara M. Assessment of prognosis in sudden deafness. Acta Otolaryngol Suppl 1994;510:56-6. [CrossRef]
  • 17. Lin SW, Lin YS, Weng SF. Risk of developing sudden sensorineural hearing loss in diabetic patients: a population-based cohort study. Otol Neurotol 2012;33:1482-8. [CrossRef]
  • 18. Chien CY, Tai SY, Wang LF, Hsi E, Chang NC, Wu MT, et al. Metabolic syndrome increases the risk of sudden sensorineural hearing loss in Taiwan: a case-control study. Otolaryngol Head Neck Surg 2015;153:105-11. [CrossRef]
  • 19. Plaza G, Durio E, Herráiz C, Rivera T, García-Berrocal JR; Asociación Madrileña de ORL. Consensus on diagnosis and treatment of sudden hearing loss. Acta Otorrinolaringol Esp 2011;62:144-57. [CrossRef]
  • 20. Conlin AE, Parnes LS. Treatment of sudden sensorineural hearing loss: I. A systematic review. Arch Otolaryngol Head Neck Surg 2007;133:573-81. [CrossRef]
  • 21. Conlin AE, Parnes LS. Treatment of sudden sensorineural hearing loss: II. A Meta-analysis. Arch Otolaryngol Head Neck Surg 2007;133:582-6. [CrossRef]
  • 22. Kanemaru S, Fukushima H, Nakamura H, Tamaki H, Fukuyama Y, Tamura Y. Alpha-Interferon for the treatment of idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol 1997;254:158-62. [CrossRef]
  • 23. Fu Y, Zhao H, Zhang T, Chi F. Intratympanic dexamethasone as initial therapy for idiopathic sudden sensorineural hearing loss: Clinical evaluation and laboratory investigation. Auris Nasus Larynx 2011;38:165-71. [CrossRef]
  • 24. Park KH, Lee CK, Lee JD, Park MK, Lee BD. Combination therapy with systemic steroids, an antiviral agent, anticoagulants, and stellate ganglion block for treatment of sudden sensorineural hearing loss. Korean J Audiol 2012;16:71-4. [CrossRef]
  • 25. Chang NC, Ho KY, Kuo WR. Audiometric patterns and prognosis in sudden sensorineural hearing loss in southern Taiwan. Otolaryngol Head Neck Surg 2005;133:916-22. [CrossRef]
  • 26. Mamak A, Yilmaz S, Cansiz H, İnci E, Güçlü E, Dereköylü L. A study of prognostic factors in sudden hearing loss. Ear Nose Throat J 2005;84:641-4.
  • 27. Banerjee A, Parnes LS. Intratympanic corticosteroids for sudden idiopathic sensorineural hearing loss. Otol Neurotol 2005;26:878-81. [CrossRef]
  • 28. Belhassen S, Saliba I. Intratympanic steroid injection as a salvage treatment for sudden sensorineural hearing loss. J Laryngol Otol 2014;128:1044-9. [CrossRef]
There are 28 citations in total.

Details

Other ID JA72RC25EP
Journal Section Research Article
Authors

Gamze Atay This is me

Bahar Kayahan This is me

Levent Sennaroğlu This is me

Betül Çiçek Çınar This is me

Sarp Saraç This is me

Publication Date January 1, 2016
Published in Issue Year 2016 Volume: 33 Issue: 1

Cite

APA Atay, G., Kayahan, B., Sennaroğlu, L., Çınar, B. . Ç., et al. (2016). Prognostic Factors in Sudden Sensorineural Hearing Loss. Balkan Medical Journal, 33(1), 87-93.
AMA Atay G, Kayahan B, Sennaroğlu L, Çınar BÇ, Saraç S. Prognostic Factors in Sudden Sensorineural Hearing Loss. Balkan Medical Journal. January 2016;33(1):87-93.
Chicago Atay, Gamze, Bahar Kayahan, Levent Sennaroğlu, Betül Çiçek Çınar, and Sarp Saraç. “Prognostic Factors in Sudden Sensorineural Hearing Loss”. Balkan Medical Journal 33, no. 1 (January 2016): 87-93.
EndNote Atay G, Kayahan B, Sennaroğlu L, Çınar BÇ, Saraç S (January 1, 2016) Prognostic Factors in Sudden Sensorineural Hearing Loss. Balkan Medical Journal 33 1 87–93.
IEEE G. Atay, B. Kayahan, L. Sennaroğlu, B. . Ç. Çınar, and S. Saraç, “Prognostic Factors in Sudden Sensorineural Hearing Loss”, Balkan Medical Journal, vol. 33, no. 1, pp. 87–93, 2016.
ISNAD Atay, Gamze et al. “Prognostic Factors in Sudden Sensorineural Hearing Loss”. Balkan Medical Journal 33/1 (January 2016), 87-93.
JAMA Atay G, Kayahan B, Sennaroğlu L, Çınar BÇ, Saraç S. Prognostic Factors in Sudden Sensorineural Hearing Loss. Balkan Medical Journal. 2016;33:87–93.
MLA Atay, Gamze et al. “Prognostic Factors in Sudden Sensorineural Hearing Loss”. Balkan Medical Journal, vol. 33, no. 1, 2016, pp. 87-93.
Vancouver Atay G, Kayahan B, Sennaroğlu L, Çınar BÇ, Saraç S. Prognostic Factors in Sudden Sensorineural Hearing Loss. Balkan Medical Journal. 2016;33(1):87-93.