Is the time from the onset to the treatment a prognostic indicator for hearing recovery in idiopathic sudden sensorineural hearing loss?

Yıl 2015, Cilt: 25 Sayı: 2, 70 - 76, 20.05.2015

İsmail Önder Uysal Togay Müderris Kerem Polat Salim Yüce Sefa Gültürk

Öz

Objectives: This study aims to investigate whether the time from the onset of symptoms to the start of treatment is a prognostic indicator in patients with idiopathic sudden sensorineural hearing loss ISSNHL . Patients and Methods: In this study, 96 patients 58 males, 38 females; mean age 37.8±2.5 years; range 16 to 67 years who were diagnosed with ISSNHL in our clinic between January 1992 and April 2010 were retrospectively analyzed. All patients were treated with dextran 40 rheomacrodex , pentoxifyllin, vitamin B complex and vitamin C regimen over 10 days with hospitalization and bed rest. The patients were tested by pure-tone audiometry. Audiograms were obtained on alternate days and at the end of the treatment. Results: There was a complete recovery in 45 60% of 75 patients whose treatment was started in the first seven days, while a partial recovery was observed in 17 22.66% and no recovery was observed in 13 17.33% . There was a complete recovery in two 9.52% of 21 patients whose treatment was started after the eighth day, while a partial recovery was observed in seven 33.33% and no recovery was observed in 12 57.14% . Conclusion: Our study results suggest that treatment outcomes are better in the patients presenting to hospital at an early stage of loss of hearing.

Anahtar Kelimeler

Hearing recovery, idiopathic sudden sensorineural hearing loss, prognostic factor

İdiyopatik ani sensörinöral işitme kaybında işitmenin iyileşmesinde başlangıçtan tedaviye kadar geçen süre prognostic bir belirteç midir?

Öz

Amaç: Bu çalışmada idiyopatik ani sensörinöral işitme kaybı İASNİK olan hastalarda semptomların başlangıcından tedaviye başlama zamanına kadar geçen sürenin prognostik bir belirteç olup olmadığı araştırıldı.Hastalar ve Yöntemler: Bu çalışmada Ocak 1992 - Nisan 2010 tarihleri arasında kliniğimizde İASNİK tanısı konmuş 96 hasta 58 erkek, 38 kadın; ort. yaş 37.8±2.5 yıl; dağılım 16-67 yıl retrospektif olarak değerlendirildi. Hastaların tümü 10 gün süreyle hastane yatışı ve yatak istirahati ile dekstran 40 rheomacrodex , pentoksifilin, B vitamin kompleksi ve C vitamin rejimi ile tedavi edildi. Hastalar saf ton odyometrisi ile test edildi. Odyogramlar farklı günlerde ve tedavi sonunda elde edildi.Bulgular: Tedavilerine ilk yedi gün içerisinde başlanan 75 hastanın 45’inde %60 tam iyileşme, 17’sinde %22.66 kısmi iyileşme görüldü, 13’ünde %17.33 ise herhangi bir iyileşme gözlenmedi. Tedavilerine sekizinci günden sonra başlanan 21 hastanın ikisinde %9.52 tam iyileşme görülürken, yedisinde %33.33 kısmi iyileşme görüldü, 12 hastada %57.14 ise herhangi bir iyileşme gözlenmedi.Sonuç: Çalışma sonuçlarımız, işitme kaybının erken döneminde hastaneye başvuran hastalarda tedavi sonucunun daha iyi olduğunu göstermektedir

Anahtar Kelimeler

İşitme iyileşmesi, idiyopatik ani sensörinöral işitme kaybı, prognostik faktör

Kaynakça

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