Modified Siegel's criteria for sudden sensorineural hearing loss: Reporting recovery outcomes with matched pretreatment hearing grades

Lee, Fa-Yauh; Tu, Tzong-Yang; Shiao, An‐Suey; Wu, Shang-Liang; Liao, Wen-Huei

doi:10.1016/j.jcma.2018.03.012

Cited by 31 publications

(29 citation statements)

References 20 publications

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“…The patient auditory measurements were based on the pure-tone average (PTA; hearing thresholds at 500, 1000, 2000 and 4000 Hz) before and after treatment. The hearing recovery was classified according to the modified Siegel's criteria for SSNHL [13] : complete recovery (CR), partial recovery (PR), slight improvement (SI), no improvement (NI), and non-serviceable hearing (NSH).…”

Section: Methodsmentioning

confidence: 99%

Sudden hearing loss and vestibular disorders during and before COVID-19 pandemic: An audiology tertiary referral centre experience

Parrino¹,

Frosolini²,

Toninato³

et al. 2022

American Journal of Otolaryngology

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Purpose During the Coronavirus disease 2019 (COVID-19) pandemic a reduction in the diagnosis of many otorhinolaryngological and audiological disorders has been widely reported. The main aim of this investigation was to evaluate the impact of COVID-19 outbreak on the incidence of acute hearing and vestibular disorders. Materials and methods A retrospective analysis was performed of all patients evaluated in an audiology tertiary referral centre for acute cochleo-vestibular impairment between March 1st 2020 and February 28th 2021 (Pandemic Year Period, PYP). Results were compared to patients presenting with the same disorders during two previous periods (March 1st 2019 to February 29th 2020 and March 1st 2018 to February 28th 2019; First Precedent Year Period, FPYP and Second Precedent Year Period, SPYP, respectively). Results The annual incidence of total acute audio-vestibular disorders (number of annual diagnoses divided by total number of annual audiological evaluations) was 1.52% during the PYP, 1.31% in FPYP and 1.20% in SPYP. Comparison between the pandemic period and previous periods did not show a significant difference ( p > 0.05). The overall incidence of SSNHL and combined acute cochlear-vestibular involvement was significantly higher during the PYP compared to the previous periods ( p = 0.022). Conclusions There were no differences in the absolute number of acute audio-vestibular disorders during the pandemic compared to previous periods. Although not significant, the SSNHL during the pandemic appeared worse in terms of pure-tone average with a higher incidence of associated vestibular involvement. Further studies are needed to clarify the role of SARS-CoV-2 on audio-vestibular disorders incidence and pathophysiology.

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Section: Methodsmentioning

confidence: 99%

Sudden hearing loss and vestibular disorders during and before COVID-19 pandemic: An audiology tertiary referral centre experience

Parrino¹,

Frosolini²,

Toninato³

et al. 2022

American Journal of Otolaryngology

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“…We used modified Siegel's criteria to assess the grade of recovery after treatment [40]: All patients underwent a brain CT and MRI assessment, which excluded brain diseases in all of them.…”

Section: Methodsmentioning

confidence: 99%

“…We used modified Siegel’s criteria to assess the grade of recovery after treatment [ 40 ]: complete recovery (CR): final hearing better than 25 dB; partial recovery (PR): more than 15 dB gain, final hearing 25–45 dB; slight improvement (SI): more than 15 dB gain, final hearing poorer than 45 dB; no improvement (NO): less than 15 dB gain, final hearing poorer than 75 dB. …”

Section: Methodsmentioning

confidence: 99%

Sudden Sensorineural Hearing Loss in Mild COVID-19: Case Series and Analysis of the Literature

et al. 2021

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Background: There is growing evidence of otoneurological involvement of SARS-CoV-2, such as tinnitus and balance disorders and smell and taste disorders, but HL in COVID-19 patients has still been marginally studied. Investigating the role of SARS-CoV-2 as an aetiological factor of Sudden Sensorineural Hearing Loss (SSNHL) may offer the opportunity to address treatment strategies to maximize clinical recovery and avoid side effects. Methods and results: For this purpose, we will present case studies of five patients who experienced SSNHL during COVID-19. Patients were selected from COVID-19 positive adult subjects with mild clinical presentation, admitted to the outpatient Ear Nose and Throat Department of Cardarelli Hospital due to the onset of SSNHL during the infection. All underwent a complete audio-vestibular investigation before and after SSNHL treatment protocol. Each patient is described with a detailed analysis. Conclusions: SSNHL could be an occasional symptom of COVID-19, even in mild manifestations of the disease. Our experience leads us to underline the value of promptly recognizing and addressing this and other uncommon symptoms, giving patients the opportunity to receive early treatment.

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“…Th erefore, the modifi ed forms of this Scala have been used as a hearing improvement chart in the literature. 12,19…”

Section: Discussionmentioning

confidence: 99%

Ani Sensörinöral İşitme Kaybı Olan Hastalarda Tıbbi Tedavinin Etkinliği

Özdamar¹,

Acar²

2021

Sakarya Medical Journal

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Objective Management of sudden sensorineural hearing loss still remains unclear in otology. To evaluate our experience medical management of sudden hearing loss with review of the literature. Materials and MethodsIn this study, we performed retrospective chart review including 60 patients presenting sudden sensorineural hearing loss (SSNHL) between 2008-2018 years. We included only patients given medical management, and hyperbaric oxygen was not performed in any patients. Pure tone audiometric measurements investigated before (PTA I) and after treatment at two weeks (PTA II) and three months (PTA III). We also performed cranial MRI on all patients to disclose intracranial pathology if it was present.Results The mean age of our cases of was 49.7 years. No certain etiology was detected in all patients in the study. The improvement of hearing loss in our cases was classified according to Siegel's criteria as follows: Type I (3.3%) in 2 patients, Type II (16.7%) in 10 patients, Type III (33.3%) in 20 patients, Type IV (28) in 28 patients (46.7%). Three mean audiometric measurements were compared statistically with each other (PTA I and PTA II: p <0.05; PTA I and III: p <0.05, PTA II and III: p <0.05). ConclusionIn current study, we found that 60 patients diagnosed as SSNHL and given only medical treatment had positive satisfactory hearing improvement who was observed mainly in that patients with moderate to severe hearing loss and younger ones; however, these results require prospective studies involving a large number of patients.Keywords Sudden hearing loss; sensorineural hearing loss; drug therapy management. ÖzAmaç Ani sensörinöral işitme kaybının tedavisi otolojide hala belirsizliğini korumaktadır. Bu çalışmanın amacı ani işitme kaybının tıbbi yönetimi konusundaki deneyimlerimizi literatür eşliğinde değerlendirmektir. Gereç ve YöntemlerBu çalışmada 2008-2018 yılları arasında ani sensörinöral işitme kaybı olan 60 hastadan oluşan retrospektif inceleme tablosu yaptık. Sadece tıbbi tedavi verilen hastaları dahil ettik ve hiçbir hastaya hiperbarik oksijen uygulanılmadı. Saf ses odyometrik ölçümler tedaviden önce (PTA I), ve tedaviden sonra ikinci hafta (PTA II) ve üçüncü ayda (PTA III) yapıldı. Eğer varsa intrakranial bir patolojiyi ortaya çıkarmak için tüm hastalara kranial MRI uygulandı.

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Modified Siegel's criteria for sudden sensorineural hearing loss: Reporting recovery outcomes with matched pretreatment hearing grades

Cited by 31 publications

References 20 publications

Sudden hearing loss and vestibular disorders during and before COVID-19 pandemic: An audiology tertiary referral centre experience

Sudden hearing loss and vestibular disorders during and before COVID-19 pandemic: An audiology tertiary referral centre experience

Sudden Sensorineural Hearing Loss in Mild COVID-19: Case Series and Analysis of the Literature

Ani Sensörinöral İşitme Kaybı Olan Hastalarda Tıbbi Tedavinin Etkinliği

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