Clinical Analysis of Recurrent Sudden Sensorineural Hearing Loss

Park, Il‐Seok; Kim, Yong Bok; Choi, Sung Ho; Hong, Seok Min

doi:10.1159/000353552

Cited by 21 publications

(30 citation statements)

References 17 publications

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“…To be noted, even though 13% of our patients had recurrent hearing loss none of these patients had a history or symptoms for diagnosing Ménière’s disease and a vestibular schwannoma could be ruled out by MRI. Similar findings demonstrating poorer prognosis after recurrent episode of SSHL could also be shown by others [47, 48]. The reasons for this association could not be clarified yet.…”

Section: Discussionsupporting

confidence: 79%

Predictors of hearing recovery in patients with severe sudden sensorineural hearing loss

Weiß

Böcker

Koopmann³

et al. 2017

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundSudden sensorineural hearing loss (SSHL) is a disease, which severely affects the patient’s social and relational life. The underlying pathomechanisms have not been finally clarified yet and outcome is not predictable.MethodsWe conducted a retrospective study in order to identify parameters that influence hearing recovery. The data base contains results of basic otoneurological tests and clinical parameters of 198 patients with idiopathic SSHL of at least 60 dB in at least four frequencies, diagnosed and treated at the University Hospital of Münster, Germany, between 1999 and 2015. Hearing recovery was measured by pure tone audiometry.ResultsMultivariate linear and logistic regression analyses indicate that the chance as well as the magnitude of hearing recovery is higher for patients with normal caloric testing than for patients with pathological caloric testing. However, for the subgroup of patients who attained a hearing recovery, the caloric testing result was not found to influence the magnitude. Instead, the magnitude was noticeably lower for patients within this subgroup who had a previous hearing loss. Furthermore, we found indications that the magnitude is higher for men than for women and that receiving a high-dose steroid therapy is associated with a higher chance and magnitude of a hearing recovery.ConclusionsWe conclude that SSHL associated with disorders of the vestibular system or previous hearing loss represent special sub-entities of SSHL that may be caused by unique pathophysiological mechanisms and are associated with worse outcome. Furthermore, our data support the importance of elevated dosage of steroids in SSHL therapy.

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Section: Discussionsupporting

confidence: 79%

Predictors of hearing recovery in patients with severe sudden sensorineural hearing loss

Weiß

Böcker

Koopmann³

et al. 2017

Journal of Otolaryngology - Head & Neck Surgery

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“…One of the children in our study had relapse after 3 months, the child had the ascending audiogram type and showed no recovery, but had completely recovered at the first onset. Park et al ( 25 ) reported 11 of 809 patients studied had recurrent idiopathic SSNHL, hearing recovery was poorer after a recurrent episode than that after the first episode.…”

Section: Discussionmentioning

confidence: 99%

Sudden Sensorineural Hearing Loss in Children: A Report of 75 Cases

Zhong

et al. 2018

Otology &Amp; Neurotology

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Objective:To investigate the characteristics, treatment, and prognostic factors of sudden sensorineural hearing loss (SSNHL) in children.Methods:Seventy-five cases (78 ears) of SSNHL in children from February 2011 to June 2016 were retrospectively analyzed. We scrutinized the clinical manifestations, audiological assessments, and serologic examinations of these pediatric cases by univariate and multivariate logistic analysis methods. The patients were divided into four groups according to their audiometric curve type: ascending, descending, flat, and profound.Results:Of the 75 patients (78 ears), 25 patients were in the ascending group (32.00%), 9 patients were in the descending group (12.00%), 17 patients were in the flat group (22.67%), and 24 patients were in the profound group (32.32%). The overall recovery rates (complete + partial + slight) of the different groups were as follows: ascending group, 96.00%; flat group, 76.47%; profound group, 50.00%; and descending group, 44.44%. The overall recovery rate of all patients was 70.67%. The multivariate logistic analysis showed that the type of audiometric curve and the interval from onset to intervention were two independent risk factors that correlated with the prognosis of SSNHL in children. Some children had positive cytomegaoviyns, rubella virus, and herpes simplex virus immunoglobulin G antibodies. Twenty-one children were treated with additional intratympanic methylprednisolone as salvage therapy and 13 of these children showed improved (complete + partial + slight) recoveries. Three children had postauricular compound betamethasone injections, but none of them showed improvement. One of three children recovered slightly after treatment with intratympanic methylprednisolone combined with postauricular betamethasone injection.Conclusions:The prognosis of SSNHL in children is closely related to the type of audiometric curve and the onset of treatment. Intratympanic methylprednisolone and compound betamethasone injected postauricularly could be effective for SSNHL in children.

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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%