Relationship between distortion product otoacoustic emission signal-to-noise and hearing threshold change during methylprednisolone therapy for sudden deafness

Bashiruddin, Jenny; Risdawati,; Bramantyo, Brastho; Bardosono, Saptawati

doi:10.1088/1742-6596/1073/4/042040

Cited by 2 publications

(4 citation statements)

References 11 publications

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“…5 Tuli mendadak adalah jenis tuli yang paling umum, yaitu 85-90% kasus mendadak dan sebagian besar (96-99%) hanya memengaruhi satu telinga. 3 Spain, steroid drugs are the treatment of choice for sudden deafness with an unknown etiology. Patients recovering from sudden deafness exhibit increasing otoacoustic emissions that begin prior to hearing improvement.…”

Section: Pendahuluanmentioning

confidence: 99%

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Hubungan Usia, Derajat Ketulian, dan Onset Tuli Mendadak dengan Perbaikan Pendengaran setelah Hyperbaric Oxygen Therapy

Chrisna

Savitri

Harjono³

2021

ejki

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Tuli mendadak adalah penurunan pendengaran sensorineural 30 dB pada tiga frekuensi berturut-turut dalam waktu 72 jam. Penatalaksanaannya dengan terapi steroid dan adjuvan hyperbaric oxygen therapy. HBOT yaitu seseorang bernapas dengan oksigen 100% di dalam ruang udara bertekanan lebih dari 1 ATA. Tujuan terapi adalah meningkatkan tekanan parsial oksigen dan memaksimalkan oksigenasi di dalam koklea sehingga tercapai perbaikan pendengaran yang ditentukan oleh faktor prognostik. Penelitian ini bertujuan untuk mengetahui hubungan usia, derajat, ketulian, dan onset tuli mendadak dengan perbaikan pendengaran setelah HBOT di Rumah Sakit Angkatan Laut Dr. Mintohardjo tahun 2016-2019. Desain studi potong lintang 36 pasien tuli mendadak. Faktor usia tidak dapat dinilai karena datanya konstan. Hasil uji Fisher menunjukkan tidak ada hubungan derajat ketulian dengan perbaikan pendengaran (p = 0,307). Onset tuli mendadak sebagai faktor prognostik tidak hubungan dengan perbaikan pendengaran (p = 0,559). Derajat ketulian dan onset tuli mendadak disebut faktor prognostik baik terhadap perbaikan pendengaran pasien tuli mendadak yang diterapi HBOT, tidak menunjukkan hubungan. Kata kunci: Usia, derajat ketulian, onset, tuli mendadak, HBOT. Relationship between Age, Degree of Hearing Loss, and Onset of Sudden Deafness with Hearing Improvement after Hyperbaric Oxygen Therapy Abstract Sudden deafness is sensorineural hearing deterioration of at least 30 dB in 3 sequential frequencies occuring within 72 hours. Management of sudden deafness is steroid and hyperbaric oxygen therapy HBOT as adjuvan therapy. HBOT is a therapy in which a person breathes with 100% oxygen in a compressed air space of more than 1 ATA. The therapy is intended to increase the parsial oxygen pressure and improve oxygenation in the cochlea so the hearing improvement is achieved, which determined by prognostic factors. This aim of this study is to determine the relationship between age, degree of hearing loss, and onset of sudden deafness with hearing improvement using HBOT at Dr. Mintohardjo Naval Hospital in 2016-2019. The cross-sectional study design was used in this research of 36 sudden deafness patients. Age cannot be assessed because the data is constant. Fisher's test results showed no relationship with the degree of hearing loss on hearing improvement with p = 0.307. Onset of sudden deafness as a prognostic factor showed no relationship with hearing improvement with p = 0.559. The degree of hearing loss and onset of sudden deafness which is referred to as a good prognostic factor for hearing improvement in sudden deafness treated with HBOT did not show any relationship. Keywords: age, degree of hearing loss, onset, sudden deafness, HBOT.

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Section: Pendahuluanmentioning

confidence: 99%

“…7 Paling sering mengenai individu dalam kelompok usia 40-54 tahun. 3 Kejadian tahunan tuli mendadak di Taiwan 10,21 per 100.000 per tahun. 8 Prinsip pengobatan tuli mendadak adalah meningkatkan sirkulasi darah dan suplai oksigen ke dalam koklea.…”

Section: Pendahuluanunclassified

Hubungan Usia, Derajat Ketulian, dan Onset Tuli Mendadak dengan Perbaikan Pendengaran setelah Hyperbaric Oxygen Therapy

Chrisna

Savitri

Harjono³

2021

ejki

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“…The authors noted these findings may reveal a greater impairment of cochlear cells at the mid frequencies in comparison with the higher frequencies [32]. On the other hand, it was found that the hearing improvement rate significantly correlated with DPOAE amplitudes at the f2 frequencies 3031 and 4812 Hz, but not at other f2 frequencies measured [24].…”

Section: Distortion Product Otoacoustic Emissionsmentioning

confidence: 99%

“…Furthermore, Chao and Chen [16,17] recognized that a PTA from 250 to 4000 Hz of greater than or equal to 65 dB was associated with a poorer hearing prognosis; however, they noted duration from onset to treatment could not be ruled out as a confounding factor [24,26]. Schweinfurth et al noted an average improvement of 33 dB in the PTA from 500 to 2000 Hz in conjunction with steroid therapy, which was also associated with intact DPOAEs [27].…”

Section: Pure Tone Audiometrymentioning

confidence: 99%

Idiopathic Sudden Sensorineural Hearing Loss: Should Otoacoustic Emissions Be Added to the Monitoring Protocol? A Systematic Review

Babich

Dunckley

2020

Applied Sciences

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Idiopathic sudden sensorineural hearing loss (ISSNHL) refers to a loss of hearing, most commonly unilateral, that occurs suddenly (≤72 h) with no identifiable cause or etiology. To date, there is no standard protocol to predict prognosis (hearing recovery) for patients with ISSNHL. However, studies have shown that changes in otoacoustic emissions (OAEs) often occur prior to changes in audiometric hearing thresholds. OAEs originate from the electrochemical motility of the outer hair cells (OHC) and reflect the integrity of the inner ear, specifically the cochlear amplifier. Therefore, OAEs may be useful as a prognostic predictive factor in patients with ISSNHL from the initial onset of symptoms through recovery. A systematic review of the literature was undertaken to assess the relationship between pure tone thresholds, OAEs, and subjective hearing improvement and/or recovery. Fourteen studies were identified for inclusion, and they overwhelmingly support the inclusion of OAEs in the protocol to monitor ISSNHL recovery. This finding supports the development of a standard diagnostic protocol that includes OAEs to predict patient hearing outcomes.

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Relationship between distortion product otoacoustic emission signal-to-noise and hearing threshold change during methylprednisolone therapy for sudden deafness

Cited by 2 publications

References 11 publications

Hubungan Usia, Derajat Ketulian, dan Onset Tuli Mendadak dengan Perbaikan Pendengaran setelah Hyperbaric Oxygen Therapy

Hubungan Usia, Derajat Ketulian, dan Onset Tuli Mendadak dengan Perbaikan Pendengaran setelah Hyperbaric Oxygen Therapy

Idiopathic Sudden Sensorineural Hearing Loss: Should Otoacoustic Emissions Be Added to the Monitoring Protocol? A Systematic Review

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