Bilateral versus unilateral sudden sensorineural hearing loss

Oh, Jeong-Hoon; Park, Keehyun; Lee, Seung Joo; Shin, You Ree; Choung, Yun‐Hoon

doi:10.1016/j.otohns.2006.05.015

Cited by 100 publications

(107 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…SSNHL is usually unilateral. 2 About 80% of patients also have tinnitus, 80% have fullness of the ear and 30% have vertigo. 3 4 Recovery rates without treatment are 32-65%.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Sudden Sensorineural Hearing Loss in a 58-Year-Old Woman with Severe Dizziness: A Case Report

Huang

2012

Acupunct Med

View full text Add to dashboard Cite

A case of recurrent sudden sensorineural hearing loss in the right ear is presented. The patient was a 58-year-old Chinese woman with profound hearing loss, a feeling of fullness in the ear, vomiting and severe dizziness for 2 months. A head scan and MRI of the brain and neck showed no cause for the symptoms. The ear, nose and throat specialist diagnosed a microcirculatory dysfunction, rejecting the diagnosis of Meniere's disease. The patient did not respond to medical treatment and after 2 months attended for acupuncture. It was suspected that the severe dizziness was associated with her neck and back pain. Daily electroacupuncture treatments to her ear, back and neck were given. After 1 month the dizziness was signifi cantly reduced and the hearing loss recovered to a good level. The patient's symptoms recurred after exposure to cold and strong wind and again recovered with acupuncture. She later suffered a third recurrence of severe dizziness which again responded to acupuncture.

show abstract

“…SSNHL is usually unilateral. 2 About 80% of patients also have tinnitus, 80% have fullness of the ear and 30% have vertigo. 3 4 Recovery rates without treatment are 32-65%.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Sudden Sensorineural Hearing Loss in a 58-Year-Old Woman with Severe Dizziness: A Case Report

Huang

2012

Acupunct Med

View full text Add to dashboard Cite

show abstract

“…The remaining are idiopathic. Hearing loss is unilateral in idiopathic cases and bilateral involvement has been reported in less than 5% of cases [10]. Bilateral cases may occur due to functional (psychiatric reasons) and neurologic processes such as encephalitis or paraneoplastic syndromes [11].…”

Section: Introductionmentioning

confidence: 99%

Efficacy comparison of oral steroid, intratympanic steroid, hyperbaric oxygen and oral steroid + hyperbaric oxygen treatments in idiopathic sudden sensorineural hearing loss cases

Alimoğlu

İnci

Edızer

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Idiopathic sudden sensorineural hearing loss is a rare disorder of unknown pathogenesis in which hearing is lost partially or totally. About 60 treatment modalities have been described. We aimed to compare the efficacy of hyperbaric oxygen, oral steroid, intratympanic steroid therapy and their combinations in idiopathic sudden sensorineural hearing loss patients. Files of patients who were followed up between 2004 and 2010 in our clinic were examined retrospectively. Patients were divided into four groups according to the therapy received: Oral steroid, oral steroid + hyperbaric oxygen, intratympanic steroid and hyperbaric oxygen. Treatment success was assessed by Siegel criteria and mean gains using pre-treatment and post-treatment audiograms. 217 patients and 219 ears were examined. The proportion of patients responding to therapy was the highest in the oral steroid + hyperbaric oxygen group with 86.88% (53/61) followed by the oral steroid group with 63.79% (37/58), the intratympanic steroid group with 46,51% (20/43) and the hyperbaric oxygen group with 43.85% (25/57). The proportion of patients who had complete recovery was the highest in the oral steroid + hyperbaric oxygen group with 42.6% (26/61) followed by the oral steroid group with 19.0% (11/58), the hyperbaric oxygen group with 17.5% (10/57) and the intratympanic steroid group with 11.6% (5/43). The oral steroid + hyperbaric oxygen group has the highest mean hearing gain among all groups (p < 0.05). Idiopathic sudden sensorineural hearing loss patients receiving oral steroid + hyperbaric oxygen combination therapy have a higher likelihood of recovery than patients receiving oral steroids, hyperbaric oxygen or intratympanic steroids alone.

show abstract

“…Each theory may explain a fraction of the episodes of sudden sensorineural hearing loss, but none of the existing theories individually can account for all episodes, perhaps explaining the lack of a coherent treatment approach. A spontaneous return to normal hearing occurs in approximately half of all patients with unilateral sensorineural hearing loss [5], but in the case that we have described it is difficult to evaluate the underlying mechanism of the initial sudden unilateral loss of hearing and its sudden return to normal 2 months later. Sudden sensorineural hearing loss is a symptom of cochlear injury and, given the circumstances of each event, we suspect that the differential diagnosis lies between a vascular event and a congenital abnormality affected by the pressure changes in the right and left ear.…”

Section: Discussionmentioning

confidence: 87%

“…Although a variety of treatment modalities have been suggested, a standardised approach remains elusive. However, approximately half of all cases of unilateral hearing loss will make a spontaneous full recovery [5].…”

Section: Introductionmentioning

confidence: 99%

Resolution of Sudden Sensorineural Hearing Loss Following a Roller Coaster Ride

Kumar

Sinha

Alwaa

2011

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

We report a case of sudden unilateral sensorineural hearing loss of sudden onset during an aeroplane flight, which completely resolved during a roller coaster ride at Alton Towers theme park. A review of the literature concerning sudden idiopathic sensorineural hearing loss and spontaneous resolution are discussed. Initially, puretone audiometry showed a profound sensorineural hearing loss in the right ear and mild sensorineural hearing loss in the left ear (of note, the hearing was normal prior to the episode). Following resolution of the patient's symptoms during a roller coaster ride, pure-tone audiometry showed normal hearing thresholds in both ears. Sudden sensorineural hearing loss is a symptom of cochlear injury and the mechanism of the patient's symptoms was attributed to a patent cochlear aqueduct.

show abstract

Bilateral versus unilateral sudden sensorineural hearing loss

Abstract: Bi-SSNHL has a very low incidence and lower recovery rate than uni-SSNHL. Recognition of similarities and differences between bilateral and unilateral SSNHL can help in counseling and managing the patients.

Cited by 100 publications

References 15 publications

Recurrent Sudden Sensorineural Hearing Loss in a 58-Year-Old Woman with Severe Dizziness: A Case Report

Recurrent Sudden Sensorineural Hearing Loss in a 58-Year-Old Woman with Severe Dizziness: A Case Report

Efficacy comparison of oral steroid, intratympanic steroid, hyperbaric oxygen and oral steroid + hyperbaric oxygen treatments in idiopathic sudden sensorineural hearing loss cases

Resolution of Sudden Sensorineural Hearing Loss Following a Roller Coaster Ride

Contact Info

Product

Resources

About