Comparação entre critérios de recuperação auditiva na perda neurossensorial súbita

Inoue, Daniel Paganini; Bogaz, Eduardo Amaro; Barros, Flávia A.; Penido, Norma de Oliveira

doi:10.1590/s1808-86942012000300009

Cited by 9 publications

(4 citation statements)

References 9 publications

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“…Nevertheless, the comparison of hearing recovery rates is difficult because recovery is defined differently among the studies. 4,22…”

Section: Discussionmentioning

confidence: 99%

“…Although many studies concerning ISSNHL have been published, their methodological heterogeneity and small sample sizes undermine proper analysis and comparison of their results. 4 Further systematic evaluation with a large number of patients who are followed for a long period, including analysis of clinical and audiometric profiles and their correlation with hearing prognosis, is critical to allow the development of a pathophysiology-oriented diagnostic investigation and personalized treatment plan for patients with ISSNHL.…”

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confidence: 99%

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Clinical Profile of Patients With Unilateral Sudden Sensorineural Hearing Loss: Correlation With Hearing Prognosis

Neto

Monsanto

Jean

et al. 2021

Otolaryngol.--head neck surg.

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Objective To characterize, with a standard systematic protocol, the clinical and audiometric profile of patients with idiopathic sudden sensorineural hearing loss (ISSNHL) and to correlate the findings with hearing recovery prognosis. Study Design Retrospective cohort of patients with ISSNHL. Setting Outpatients of a tertiary referral center followed for 20 years. Methods We collected clinical information, including the presence of tinnitus, vertigo, and comorbidities, as well as initial pure tone averages, degree of hearing loss, audiogram curves, and time between hearing loss onset and treatment. These variables were statistically analyzed for their impact on hearing recovery prognosis. All patients were treated with oral corticosteroids, following a standard treatment protocol. Hearing recovery was defined according to the criteria of the American Academy of Otolaryngology–Head and Neck Surgery Foundation, and hearing outcomes were reported via a standardized method (scattergrams). Results Our final study group comprised 186 patients. Most patients were between 41 and 60 years of age. Univariate analysis revealed that vertigo; presence of severe or profound initial hearing loss; flat, U-shaped, and descending audiogram curves; and initiating treatment ≥15 days were correlated with worse hearing recovery. However, the multivariate logistic model revealed that only the presence of severe or profound hearing loss (odds ratio, 6.634; 95% CI, 2.714-16.216; P < .001) and initiating treatment ≥15 days (odds ratio, 0.250; 95% CI, 0.102-0.610; P = .008) were independent risk factors for worse hearing recovery prognosis. Conclusion This study demonstrated that the presence of severe or profound hearing loss at the first audiogram and initiating treatment after 14 days from ISSNHL onset were independent risk factors associated with a worse hearing recovery prognosis.

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“…Nevertheless, the comparison of hearing recovery rates is difficult because recovery is defined differently among the studies. 4,22…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Clinical Profile of Patients With Unilateral Sudden Sensorineural Hearing Loss: Correlation With Hearing Prognosis

Neto

Monsanto

Jean

et al. 2021

Otolaryngol.--head neck surg.

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“…Nevertheless, we used dextran in both groups to reduce any likely biases. Finally, because of the lack of a standard definition for hearing recovery, comparing studies is challenging 5 , 23 ; in addition, this deficiency leads to wide variation in the protocol for IT steroid treatment. 24 Thus, in the future, a standard definition of hearing recovery must be proposed; furthermore, large, multicenter randomized controlled trials should use this definition to comprehensively compare primary and salvage IT steroid treatments in terms of their efficacy.…”

Section: Discussionmentioning

confidence: 99%

Primary versus salvage intratympanic steroid treatment for idiopathic sudden sensorineural hearing loss

Lan

Lin

Tsou

et al. 2023

Laryngoscope Investig Oto

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ObjectiveThe objective of this research is to compare primary and salvage intratympanic (IT) steroid treatments in terms of hearing outcomes in patients with idiopathic sudden sensorineural hearing loss (ISSNHL).MethodsThe patients were randomized into two (primary and salvage) groups. Both groups received systemic steroid treatment for 2 weeks. The primary group also received IT dexamethasone injection three times during the treatment period, whereas the salvage group received IT dexamethasone injection only if no or slight recovery was noted at the 2‐week follow‐up. If needed, salvage steroid injection was administered three times during the following 2 weeks. Hearing recovery was analyzed according to the modified American Academy of Otolaryngology‐Head and Neck Surgery criteria.ResultsThe degrees of hearing improvement at the 3‐month follow‐up were similar in the two groups. Compared with baseline, the pure‐tone average values and speech discrimination scores improved by 38.45 ± 21.95 dB HL and 34.32% ± 30.55%, respectively, in the primary group and 36.80 ± 22.33 dB HL and 31.87% ± 27.88%, respectively, in the salvage group (p = .762 and .659, respectively). In addition, the complete or partial hearing recovery rates were also similar in the primary and salvage groups (67.7% vs. 73.3%, respectively; p = .780). In the salvage group, 18 patients required no IT steroid injection because they recovered after systemic steroid treatment.ConclusionPrimary and salvage IT steroid treatments for ISSNHL led to similar outcomes. In summary, salvage IT steroid injection is recommended for patients with ISSNHL patients to prevent unnecessary IT injection.Level of evidence2.

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“…6 There are several parameters used to assess hearing improvement in sudden hearing loss, including Siegel's criteria; (1) complete recovery: final hearing threshold <25 dB, (2) partial recovery: hearing improvement >15 dB and final hearing threshold 25 until 45 dB, (3) slight improvement: hearing improvement >15 dB and final hearing threshold >45 dB, (4) no improvement: hearing improvement <15 dB and final hearing threshold >75 dB. 7 The aim of this case report is to determine the success of combination of systemic corticosteroid therapy and intratympanic corticosteroid in bilateral sudden deafness patients.…”

Section: Introductionmentioning

confidence: 99%

Management of Bilateral Sudden Deafness

Wulandari,

Munilson

2023

JOKLI

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Introduction: Sudden deafness or sudden sensorineural hearing loss (SSNHL) is defined as sensorineural hearing loss of more than 30 dB at three consecutive frequencies within 3 days of onset, often unilateral, and only 0,4-3,4 % of patients with bilateral of sudden deafness. The definite cause of sudden deafness is only found in 10-15% cases and most of the cause was unkown (idiophatic). The management of systemic corticosteroid injection is the first choice in the treatment of SSNHL and can be combined with corticosteroid intratympanic injection. One case reported, A 33-year-old male patient with diagnosis of bilateral sudden deafness which is performed systemic corticosteroids and combined with dexamethasone injection intratympanic with the good result. Keywords: Sudden deafness, sensorineural hearing loss, intratympanic injection ABSTRAK Pendahuluan: Tuli mendadak didefinisikan sebagai kehilangan pendengaran sensorineural yang lebih dari 30 dB pada 3 frekuensi berturut-turut dalam onset 3 hari, sering unilateral, hanya sekitar 0,4-3,4% dari pasien yang mengalami tuli mendadak bilateral. Penyebab pasti tuli mendadak hanya ditemukan pada 10–15% kasus, sebagian besar penyebabnya tidak diketahui (idiopatik). Tatalaksana injeksi kortikosteroid sistemik menjadi pilihan utama pada tatalaksana tuli mendadak dan dapat dikombinasikan dengan kortikosteroid injeksi intratimpani. Dilaporkan satu kasus pasien laki-laki, 33 tahun yang didiagnosis dengan tuli mendadak bilateral yang dilakukan terapi kortikosteroid sistemik dan dikombinasikan dengan injeksi deksametason intratimpani dengan hasil yang baik. Kata Kunci: Tuli mendadak, tuli sensorineural, injeksi intratimpani

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Comparação entre critérios de recuperação auditiva na perda neurossensorial súbita

Cited by 9 publications

References 9 publications

Clinical Profile of Patients With Unilateral Sudden Sensorineural Hearing Loss: Correlation With Hearing Prognosis

Clinical Profile of Patients With Unilateral Sudden Sensorineural Hearing Loss: Correlation With Hearing Prognosis

Primary versus salvage intratympanic steroid treatment for idiopathic sudden sensorineural hearing loss

Management of Bilateral Sudden Deafness

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