Can COVID-19 cause sudden sensorineural hearing loss?

Kalcıoğlu, M. Tayyar; Çağ, Yasemin; Kılıç, Osman Hasan Tahsin; Tüysüz, Ozan

doi:10.1016/j.ijid.2020.09.1468

Cited by 12 publications

(14 citation statements)

References 6 publications

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“…During the ongoing pandemic, there are many infected individuals with atypical symptoms. Each symptom should be considered for association with COVID-19 ( 51 ). Kilic et al detected one positive patient for SARS-CoV-2 among five male patients with unilateral SSNHL as the only complaint in an outpatient otolaryngology clinic ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 and Sudden Sensorineural Hearing Loss: A Systematic Review

et al. 2022

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A growing body of evidence suggests that patients with the 2019 Coronavirus disease (COVID-19) have a risk of developing sudden sensorineural hearing loss (SSNHL). The pathogenesis of COVID-19-related SSNHL remains unclear. This systematic review examined whether COVID-19 causes an increased incidence of SSNHL and the clinical characteristics of patients with COVID-19-related SSNHL according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. SSNHL usually developed between a few days and 2 months after the diagnosis of COVID-19, and a proportion of patients developed it before the diagnosis of COVID-19. The literature is inconsistent regarding whether COVID-19 causes an increased incidence of SSNHL, and this matter remains unclear. This review included 23 patients with COVID-19-related SSNHL, all adult patients with an average age of 43.1 years. Of these patients, 60.9% had accompanying tinnitus symptoms. Glucocorticoids are the preferred medication to treat COVID-19-related SSNHL. Intratympanic administration may be considered to reduce the side effects of the drug. Hearing tests are suggested when hearing loss is suspected in COVID-19 individuals, and if SSNHL is detected, prompt and aggressive treatment is vital. Large-scale, multicenter research on the pathophysiology, treatment, and prognosis of COVID-19- related SSNHL should be conducted in the future.

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Section: Discussionmentioning

confidence: 99%

COVID-19 and Sudden Sensorineural Hearing Loss: A Systematic Review

et al. 2022

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“…The first study on this topic started by Kılıç et al conducting simultaneous PCR screening of 5 patients presenting with SSNHL and finding that one patient had a positive COVID-19 test, where it was claimed that COVID-19 and SSNHL are associated, and COVID-19 could increase the incidence of SSNHL [ 19 ]. In their letter to the editor as a response to criticisms of their study, Kalcıoğlu et al emphasized that the relationship between sudden hearing loss and COVID-19 could be overlooked due to healthcare services that have been interrupted in the current pandemic period [ 20 ]. In their comments on the study by Kılıç et al, Luca et al stated that no serious increases in case numbers were reported in the pandemic period regarding hearing loss, the result in the study by Kılıç et al could be coincidental, and it needed to be investigated [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Can isolated sudden sensorineural hearing loss (SSNHL) and idiopathic acute facial paralysis (Bell's palsy) be symptoms of COVID-19?

Aslan

Çiçek

2021

American Journal of Otolaryngology

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Objectives The symptoms of COVID-19 at the time of presentation mainly include fever, cough, respiratory distress and myalgia. On the other hand, as neurological symptoms, disruption of taste and smell and cerebrovascular pathologies are well-known, whereas other neurological symptoms and signs are being newly recognized. Sudden-onset sensorineural hearing loss (SSNHL) and idiopathic acute facial paralysis (Bell's palsy) are otologic emergencies that are frequently encountered by otorhinolaryngology specialists. Although there are many articles describing SSNHL and Bell's palsy in the literature, the literature describing their relationship to COVID-19 is limited. In our study, we aimed to present the neuro-otologic relationship of SSNHL and Bell's palsy with COVID-19. Material and methods The pretreatment real-time oronasopharyngeal PCR tests, COVID-19 symptomatology and COVID-19 infection statuses of patients who presented to our clinic with isolated SSNHL and Bell's palsy between April 2020 and April 2021 were questioned, and the data of the patients were collected. Throughout their treatment, the patients were followed-up in terms of COVID-19 infection. This is a prospective study. Moreover, to observe the change in the incidence, the data of patients visiting between January 2019 and January 2020 were also collected. The data of the patients were statistically analyzed using SPSS. Results The study included a total of 177 patients. The SSNHL group consisted of 91 patients, and the Bell's palsy group consisted of 86 patients. Neither group showed a statistically significant difference in comparison to the year without the pandemic in terms of the patient numbers (incidence), sex, age, morbidity, response to treatment or social habits. There was a statistically significant difference in age only in the Bell's palsy group, but this difference was not medically significant. Conclusion As a result of our study, we did not observe a relationship between COVID-19 and cases of SSNHL and Bell's palsy. It is recommended to apply standard otologic treatment to isolated SSNHL and Bell's palsy patients whose association with COVID-19 is not determined.

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“…Early during the pandemic, tinnitus was described as one of the initial symptoms of COVID-19, accounting for 3.5% of the cases (4). This observation was followed by case reports (5-7) and more extensive studies suggesting that tinnitus is a frequent complaint of patients affected by COVID-19 (8,9). Among the 119 hospitalized SARS-CoV-2-PCR-positive patients, tinnitus comprised 11% of otolaryngological complaints (10).…”

Section: Introductionmentioning

confidence: 95%

Long-Term Effects of COVID-19 and the Pandemic on Tinnitus Patients

et al. 2022

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This study aimed to explore the effect of COVID-19 and the pandemic period on the tinnitus-related complaints of patients with chronic tinnitus. Ninety-six patients who were diagnosed with chronic tinnitus before the pandemic were enrolled in this study. Before the pandemic and in January 2022, all patients used the Visual Analog Scale (VAS) to assess tinnitus loudness, annoyance, and effect on everyday life, sleep, and concentration. Additionally, patients filled the Tinnitus Handicap Inventory (THI) and the Hyperacusis Questionnaire (HQ). In the entire cohort, tinnitus loudness, annoyance, and tinnitus-induced difficulties with concentration as well as THI and HQ scores increased significantly during the two pandemic years. Thirty-seven tinnitus patients contracted COVID-19 between March 2020 and January 2022. These patients were asked to list leading COVID-19 symptoms, changes in tinnitus complaints during and after the disease, and whether their hearing abilities were affected. Three patients in the COVID-19 group confirmed worsening their hearing abilities. There was no decrease in the tinnitus complaint during COVID-19, 24.3% of the infected patients reported exacerbation of tinnitus, and 75.7% said tinnitus remained the same. In the COVID-19-negative group, 13.5% reported tinnitus decrease during the pandemic, 57.6% said it remained the same, and 28.8% reported exacerbation of tinnitus. When split into infected and non-infected groups, a significant increase in tinnitus loudness, tinnitus effect on concentration, and THI scores were seen only in patients who contracted COVID-19, while hyperacusis worsened significantly (p < 0.05) only in COVID-19-negative tinnitus patients. Despite significant differences within the groups, there were no differences found between the groups. This study points to possible different effects of the infection with SARS-CoV-2 and the pandemic period on patients with chronic tinnitus. It also provides evidence for deterioration of preexisting tinnitus as a possible long-term effect of COVID-19.

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Can COVID-19 cause sudden sensorineural hearing loss?

Cited by 12 publications

References 6 publications

COVID-19 and Sudden Sensorineural Hearing Loss: A Systematic Review

COVID-19 and Sudden Sensorineural Hearing Loss: A Systematic Review

Can isolated sudden sensorineural hearing loss (SSNHL) and idiopathic acute facial paralysis (Bell's palsy) be symptoms of COVID-19?

Long-Term Effects of COVID-19 and the Pandemic on Tinnitus Patients

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