Penatalaksanaan Acute Low-tone Sensorineural Hearing Loss

Abstract

Acute Low-tone Sensorineural Hearing Loss (ALHL) merupakan ketulian mendadak sensorineural pada nada rendah dengan penyebab yang tidak diketahui secara jelas (idiopatik) dan tidak disertai dengan keluhan vertigo. Tujuan: Melaporkan ALHL sebagai salah satu kegawatdaruratan di bagian telinga hidung tenggorok bedah kepala dan leher (THT-KL) yang memerlukan tindakan penanganan yang cepat. Diagnosis dini dan penatalaksanaan segera pada kasus ALHL dapat meningkatkan angka kesembuhan dan menurunkan risiko ketulian permanen pada pasien. Kasus: Dilaporkan seorang pasien perempuan 22 tahun dengan diagnosis Acute Low-tone Sensorineural Hearing Loss telinga kanan. Pasien datang dengan keluhan telinga berdengung, telinga terasa penuh, penurunan pendengaran tanpa disertai dengan pusing berputar. Pasien diberikan terapi kombinasi kortikosteroid dengan terapi tambahan lainnya dan menunjukkan perbaikan komplit dalam 2 minggu terapi. Simpulan: Pemberian terapi yang cepat dan tepat (terapi inisial) dapat memberikan perbaikan yang maksimal pada pasien dengan ALHL. Evaluasi terapi awal sangat berpengaruh terhadap prognosis jangka panjang pasien ALHL, terutama evaluasi pada satu bulan pertama.

Management of Bilateral Acute Low Tone Sensorineural Hearing Loss (ALHL)

“…1 Because ALHL only affects low-tone frequencies and has a fair prognosis, it differs clinically from sudden sensorineural hearing loss (ISSNHL). [2][3][4] Most medical professionals do not consider ALHL to be a distinct illness from SSNHL. 2 ALHL was first distinguished from idiopathic sudden sensorineural hearing loss (ISSHL) by Abe in 1981 as a type of sensorineural hearing loss confined to low frequencies.…”

“…[2][3][4] Most medical professionals do not consider ALHL to be a distinct illness from SSNHL. 2 ALHL was first distinguished from idiopathic sudden sensorineural hearing loss (ISSHL) by Abe in 1981 as a type of sensorineural hearing loss confined to low frequencies. 5,6 The possible cause of this condition is the fact that the prognosis for ALHL is far better than idiopathic SSNHL.…”

“…5,6 The possible cause of this condition is the fact that the prognosis for ALHL is far better than idiopathic SSNHL. 2 ALHL is an emergency in the ORL-HNS that requires immediate treatment. [2][3][4] The incidence of ALHL is reported to be 42.8-65.8 per 100,000 population in Japan (18% of these patients were diagnosed with SSNHL or ISSNHL).…”

“…2 ALHL is an emergency in the ORL-HNS that requires immediate treatment. [2][3][4] The incidence of ALHL is reported to be 42.8-65.8 per 100,000 population in Japan (18% of these patients were diagnosed with SSNHL or ISSNHL). 2 In contrast to SSNHL which is more common in the elderly, ALHL is more common in young patients.…”

“…[2][3][4] The incidence of ALHL is reported to be 42.8-65.8 per 100,000 population in Japan (18% of these patients were diagnosed with SSNHL or ISSNHL). 2 In contrast to SSNHL which is more common in the elderly, ALHL is more common in young patients. 2 The incidence of idiopathic SSNHL was highest in older men, and that of ALHL was highest in younger women.…”