Recurrence of Idiopathic Sudden Sensorineural Hearing Loss

Wu, Che-Ming; Lee, Kuan-Ji; Chang, Shih‐Lun; Weng, Shih‐Feng; Lin, Yung‐Song

doi:10.1097/mao.0000000000000630

Cited by 19 publications

(22 citation statements)

References 17 publications

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“…However, it is likely that, as also reported by recent literature [13,14], after a certain age (mostly~65), the success rate drops drastically, with aging having a discontinuous impact on the success. From this study also the time lapse between the onset of the ISSNHL and the IT therapy appears to play a significant role in predicting the therapeutic success, with the PTA values recorded at the first visit significantly influencing the therapeutic success.…”

Section: Discussionmentioning

confidence: 83%

Does age influence the success of intra-tympanic steroid treatment in idiopathic sudden deafness?

Attanasio

Covelli

Cagnoni

et al. 2015

Acta Oto-Laryngologica

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PTA recorded before the beginning of the therapy (PTA_PRE) in group one was worse than for group two. In both groups the therapy was significantly effective in improving hearing thresholds, even if PTA_PRE was significant and negatively correlated with success rate. This effect disappeared within the population over 65. On average, each day of DELAY from the onset of hearing loss to the beginning of therapy cuts almost 2% of the possibility to recover. AGE was negative and significant when specified continuously for group two.

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Section: Discussionmentioning

confidence: 83%

Does age influence the success of intra-tympanic steroid treatment in idiopathic sudden deafness?

Attanasio

Covelli

Cagnoni

et al. 2015

Acta Oto-Laryngologica

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“…A report shows that about 50% of patients experience stroke over 2 years after the SHL 23 . However, studies show that SSNHL increases the risk of ischemic stroke in the general population 21 , 24 .…”

Section: Introductionmentioning

confidence: 99%

Sensorineural hearing loss and risk of stroke: a systematic review and meta-analysis

Khosravipour

Rajati

2021

Sci Rep

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The aim of this systematic review and meta-analysis study was to clarify the effects of sensorineural hearing loss (SNHL) on the incidence of stroke. In line with this, PubMed, Scopus, Web of Science, and ScienceDirect databases were searched using related keywords and MeSH terms from inception to March 1, 2020. Out of the 1961 initial records, eight cohort studies comprising 4,564,202 participants were included, and their qualities were assessed using the Newcastle-Ottawa Scale (NOS). Then, the random-effects model was used to pool HR (95% CI) for risk of stroke; and heterogeneity was presented with I2 index. Subgroup analysis and publication bias tests were performed, and the pooled HR (95% CI) of stroke in SNHL was estimated as 1.31 (1.08, 1.53) for the unadjusted model and 1.33 (1.18, 1.49) for the adjusted model. Subgroup analysis indicates a significantly higher risk of stroke in patients with sudden SNHL (SSNHL) in comparison to age-related HL (ARHL) both in the unadjusted model, [HR = 1.46; 95% CI (1.08, 1.63)] versus [HR = 1.14; 95% CI (0.64, 1.65)], and in the adjusted model, [HR = 1.44; 95% CI (1.15, 1.74)] versus [HR = 1.29; 95% CI (1.24, 1.34)]. Our study showed that patients with SNHL face a higher risk of stroke than those without SNHL. It is necessary to perform hematologic and neurological examinations to help clinicians detect patients who are potentially at risk for stroke.

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“…In our study, the long‐term cumulative recurrence rate in the affected ear was 3.5%. In some studies, the recurrence rate has been reported to vary from 0.8% to 4.99%, but none of these studies has described the severity of hearing loss …”

Section: Discussionmentioning

confidence: 99%