Controversies in the management of sudden sensorineural hearing loss: an evidence‐based review

Lawrence, Rachael; Thevasagayam, Ravi

doi:10.1111/coa.12363

Cited by 69 publications

(65 citation statements)

References 16 publications

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“…Our study showed that 2.3% MRIs performed for progressive asymmetrical SNHL newly diagnosed an AN. However, SSNHL has also been recognized as a presenting symptom of AN in around 10–20% of cases . Therefore, it was not unexpected that AN was the most common abnormality detected on MRI in our SSNHL population with an incidence of 4%.…”

Section: Discussionmentioning

confidence: 71%

Inner ear and retrocochlear pathology on magnetic resonance imaging for sudden and progressive asymmetrical sensorineural hearing loss

Baird

Nguyen

Bhatia

et al. 2018

ANZ Journal of Surgery

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Background: In sudden and asymmetrical progressive sensorineural hearing loss (SNHL), magnetic resonance imaging (MRI) is required to evaluate retrocochlear pathology and, with recent advances in MRI techniques, inner ear pathology. Given the limited literature regarding inner ear pathology associated with SNHL, we aimed to assess the incidence of retrocochlear and inner ear pathology, and congenital malformation on MRI in sudden SNHL (SSNHL) and progressive SNHL. Methods: A total of 987 acoustic neuroma (AN) protocol MRI internal acoustic meatus studies performed at our institution to investigate SNHL between January 2013 and December 2015 inclusive were identified. Following categorization for indication of SSNHL versus progressive asymmetrical SNHL, MRIs with retrocochlear or inner ear abnormality, congenital malformation or other otology-related abnormality were identified, and further data were collected for these patients including patient demographics, associated symptomatology, management and outcomes. Results: In SSNHL, aetiological abnormality on MRI was identified for 6.9% patients with AN present on 4% overall. 3.2% of MRIs for progressive asymmetrical SNHL identified a causative lesion with 2.3% of scans overall diagnosing AN. The incidence of congenital inner ear malformation on MRI in the setting of SSNHL and progressive asymmetrical SNHL are 1.7% and 0.6%, respectively. Conclusion: This is the first retrospective study of inner ear MRI abnormalities in both SSNHL and progressive asymmetrical SNHL in Australia and one of the largest cohorts published in the literature to date. MRI must be performed in the setting of SNHL to ensure aforementioned and rarer causative lesions are identified.

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Section: Discussionmentioning

confidence: 71%

Inner ear and retrocochlear pathology on magnetic resonance imaging for sudden and progressive asymmetrical sensorineural hearing loss

Baird

Nguyen

Bhatia

et al. 2018

ANZ Journal of Surgery

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“…Discussing the limitations of treatment with the patient is important to set reasonable expectations of recovery. Intratympanic steroids may also be considered in secondary care, either alone or in combination with oral steroids 910. Serial audiograms are used to monitor hearing thresholds.…”

Section: How Are These Patients Managed?mentioning

confidence: 99%

Investigating sudden hearing loss in adults

Fishman

Cullen²

2018

BMJ

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“…Sudden sensorineural hearing loss (SSHL) is an emergency condition requiring immediate otolaryngological treatment . National surveys have estimated that SSHL affects five to 30 subjects per 100,000/year .…”

Section: Introductionmentioning

confidence: 99%

Laboratory assessment of sudden sensorineural hearing loss: A case‐control study

Fasano¹,

Pertinhez

Tribi³

et al. 2017

The Laryngoscope

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Controversies in the management of sudden sensorineural hearing loss: an evidence‐based review

Cited by 69 publications

References 16 publications

Inner ear and retrocochlear pathology on magnetic resonance imaging for sudden and progressive asymmetrical sensorineural hearing loss

Inner ear and retrocochlear pathology on magnetic resonance imaging for sudden and progressive asymmetrical sensorineural hearing loss

Investigating sudden hearing loss in adults

Laboratory assessment of sudden sensorineural hearing loss: A case‐control study

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