Impact of prognostic factors on recovery from sudden hearing loss

Ceylan, Alper; Çelenk, Fatih; Kemaloğlu, Yusuf Kemal; Ya, Bayazit; Göksu, Nebil; Özbilen, Suat

doi:10.1017/s0022215107005683

Cited by 75 publications

(94 citation statements)

References 42 publications

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“…have been suggested. Some studies have reported that the female gender was suggested to be poor prognostic factor for recovery of hearing loss (Ceylan et al, 2007) and male gender was related to better hearing outcomes (Xenellis J et al, 2006). In our study, correlation between gender and prognosis for recovery of hearing loss was not evident.…”

Section: Fig 3 Decision Tree Model Of Important Variables As Prognocontrasting

confidence: 67%

“…Many studies regarded the severity of hearing loss is one of the important prognostic factors for improvement of ISSHL (Byl FM., 1984;Fetterman BL et al, 1999;Psifidis AD et al, 2006;Cvorovic L et al, 2008;Ceylan A et al, 2007) However, the standard of severity which could affect the prognosis, was different in each study Moreover, some studies have reported that the initial hearing level had no statistical point on prognosis (Suzuki H et al, 2011;Wang L et al, 2009). In our study, there was no difference in severity of hearing loss between improvement and no improvement groups.…”

Section: Fig 3 Decision Tree Model Of Important Variables As Prognomentioning

confidence: 99%

“…There also have been several studies reported the prognostic factors of ISSHL (Mattox & Simmons, 1977;Shikowitz, 1991;Byl, 1984;Ceylan et al, 2007). However, the rate of spontaneous recovery of ISSHL is 45 to 65 percent (Mattox & Simmons, 1977;Eisenman D., 2000) and there is no improvement criterion that was universally accepted.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects and Prognostic Factors of Acupuncture Treatment for Idiopathic Sudden Sensorineural Hearing Loss

Kim¹,

Nam²

2012

Hearing Loss

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Section: Fig 3 Decision Tree Model Of Important Variables As Prognocontrasting

confidence: 67%

Section: Fig 3 Decision Tree Model Of Important Variables As Prognomentioning

confidence: 99%

See 1 more Smart Citation

Effects and Prognostic Factors of Acupuncture Treatment for Idiopathic Sudden Sensorineural Hearing Loss

Kim¹,

Nam²

2012

Hearing Loss

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“…This uncertainty leads to the investigation of efficacy of commonly used agents, particularly systemic steroids. The randomized controlled study by Wilson et al (2) in 1980 is known as a milestone in SHL treatment as high dose systemic steroid therapy, either oral, intravenous or parenteral, has been considered standard therapy (13). Although the exact mechanism is unknown, corticosteroids are thought to improve hearing loss by suppressing immune response, improving the decreased microcirculation, and reducing inflammation, edema and endolymphatic pressure in inner ear (14,15).…”

Section: Discussionmentioning

confidence: 99%

“…As the majority of patients have idiopathic SSNHL, treatment options also depend on hypotheses. Steroids, rheological agents, vasodilators, antiviral agents, vitamin-electrolyte complexes, anticoagulants and hyperbaric oxygen therapy are being used for SSNHL in form of "gun-shot" therapy (3,10,(13)(14)(15)(16).…”

mentioning

confidence: 99%

Prognostic Factors in Sudden Sensorineural Hearing Loss

Atay¹,

Kayahan²,

Çınar³

et al. 2016

Balkan Med J

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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.

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Association of Vertigo With Hearing Outcomes in Patients With Sudden Sensorineural Hearing Loss

2018

JAMA Otolaryngol Head Neck Surg

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Impact of prognostic factors on recovery from sudden hearing loss

Cited by 75 publications

References 42 publications

Effects and Prognostic Factors of Acupuncture Treatment for Idiopathic Sudden Sensorineural Hearing Loss

Effects and Prognostic Factors of Acupuncture Treatment for Idiopathic Sudden Sensorineural Hearing Loss

Prognostic Factors in Sudden Sensorineural Hearing Loss

Association of Vertigo With Hearing Outcomes in Patients With Sudden Sensorineural Hearing Loss

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