Sudden (reversible) sensorineural hearing loss in pregnancy

Kenny, Rose Anne; Patil, Naishadh; Considine, N.

doi:10.1007/s11845-010-0525-z

Cited by 21 publications

(17 citation statements)

References 16 publications

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“…Physiological findings support these claims: Tandon et al (1990) found that ABR inter-peak intervals are prolonged during pregnancy. Additionally, in rare circumstances pregnancy may cause sudden deafness (Goh and Hussain, 2012; Kenny et al, 2011). The exact etiology of these symptoms is still unknown, though many hypotheses have been proposed, including hormonally-mediated osmotic shifts that alter the ionic balance of the cochlea, and cochlear hypoxia resulting from compromised circulation (for review see Goh and Hussain, 2012).…”

Section: Estrogens Modulate Human Auditory Functionmentioning

confidence: 99%

Estrogenic modulation of auditory processing: A vertebrate comparison

Caras

2013

Frontiers in Neuroendocrinology

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Sex-steroid hormones are well-known regulators of vocal motor behavior in several organisms. A large body of evidence now indicates that these same hormones modulate processing at multiple levels of the ascending auditory pathway. The goal of this review is to provide a comparative analysis of the role of estrogens in vertebrate auditory function. Four major conclusions can be drawn from the literature: First, estrogens may influence the development of the mammalian auditory system. Second, estrogenic signaling protects the mammalian auditory system from noise- and age-related damage. Third, estrogens optimize auditory processing during periods of reproductive readiness in multiple vertebrate lineages. Finally, brain-derived estrogens can act locally to enhance auditory response properties in at least one avian species. This comparative examination may lead to a better appreciation of the role of estrogens in the processing of natural vocalizations and may provide useful insights toward alleviating auditory dysfunctions emanating from hormonal imbalances.

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Section: Estrogens Modulate Human Auditory Functionmentioning

confidence: 99%

Estrogenic modulation of auditory processing: A vertebrate comparison

Caras

2013

Frontiers in Neuroendocrinology

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“…However, maternal physiological status, which is known to be associated with SSNHL, is strongly influenced by placental hormones, especially in late pregnancy . The effect of placental hormones on glucose and lipid metabolism has been shown to markedly increase total serum cholesterol and triglyceride concentrations during late pregnancy . Thus, the significant difference in the first trimester may be attributed to a lack of SSNHL cases, rather than pregnancy‐induced alterations in maternal physiology.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, little attention has been paid to the risk of SSNHL during pregnancy or the postpartum period. Furthermore, to date, all published studies have been case reports due to the rare occurrence of SSNHL in pregnant women; therefore, a large cohort study seems necessary to address the genuine effect of pregnancy on the development of SSNHL …”

Section: Introductionmentioning

confidence: 99%

Pregnancy Does Not Increase the Risk of Sudden Sensorineural Hearing Loss: A National Cohort Study

Lee

Kong

et al. 2019

The Laryngoscope

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Objectives/Hypothesis Pregnancy‐induced systemic physiological changes appear to be associated with reversible hearing changes in pregnant/postpartum women. However, most studies are case reports due to the rare occurrence of sudden sensorineural hearing loss (SSNHL) during pregnancy. We aimed to evaluate the risk of SSNHL during the pregnancy and postpartum periods. Study Design A longitudinal case‐control study using a nationwide population cohort. Methods Using the Korean National Health Insurance Review and Assessment Service, we collected data from 63,331 pregnant/postpartum participants who were matched 1:2 by age, income, region of residence, and medical history with 126,662 control participants. We included participants who had International Classification of Diseases, 10th Revision (ICD‐10) codes indicating delivery (O80–O84). For SSNHL (ICD‐10 code H91.2), we included only those participants who underwent audiometry and were treated with steroids. The incidence of SSNHL was measured for the periods corresponding to pregnancy (conception through delivery) up to 1 year postpartum in the pregnant participants. Results During the pregnancy period, the SSNHL rate was not higher (19.5 per 100,000) compared with the control group (60.7 per 100,000). The adjusted odds ratio of SSNHL during pregnancy was 0.32 (95% confidence interval: 0.16‐0.65, P = .002). The SSNHL rate during the postpartum period (37.9 per 100,000) was similar to that of the control group (36.3 per 100,000). The adjusted odds ratio of SSNHL during the postpartum period was 1.04 (95% confidence interval: 0.64‐1.71, P = .867). The risk of SSNHL in the patients during the pregnancy/postpartum period was not higher than that in controls, regardless of age and specific subperiod. Conclusions The pregnant and postpartum women were not at higher risk of SSNHL. Level of Evidence NA Laryngoscope, 130:E237–E242, 2020

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“…Sudden sensorineural hearing loss (SSNHL) during pregnancy has been described in case reports. 6 The one with similar SSNHL with each serial pregnancy and all episodes resolving postpartum, is interesting. 7 Otosclerosis is one of the most common causes of acquired hearing loss and is accepted as being aggravated with pregnancy.…”

Section: Hearing Lossmentioning

confidence: 98%

Otorhinolaryngological complaints in pregnancy: a prospective study in a tertiary care centre

Singla

Gupta

Matreja

et al. 2015

Int J Otorhinolaryngol Head Neck Surg

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Background: The noteworthy changes occur throughout the female body during pregnancy, due to hormonal processes. Mostly they are self-limiting and do not harm the expectant mother or fetus, but some become pathological and require early medical intervention to limit the damage. The objective was to recognize and compartmentalize such complaints; and additionally gaining figures reflecting the frequency of such complaints.Methods: This study design consists of pregnant women coming with various ENT complaints to outpatient department. Results: ENT-related symptoms are common during pregnancy. Conclusions: Practitioners should have general idea of the etiology, clinical severity and most favorable treatment of these conditions.

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Sudden (reversible) sensorineural hearing loss in pregnancy

Abstract: Our case demonstrates that pregnancy can lead to hearing loss in two sequential pregnancies. Mechanisms are discussed in detail. Clinically it appears that the hearing loss and tinnitus associated with pregnancy can spontaneously recover.

Cited by 21 publications

References 16 publications

Estrogenic modulation of auditory processing: A vertebrate comparison

Estrogenic modulation of auditory processing: A vertebrate comparison

Pregnancy Does Not Increase the Risk of Sudden Sensorineural Hearing Loss: A National Cohort Study

Otorhinolaryngological complaints in pregnancy: a prospective study in a tertiary care centre

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