Sudden Sensorineural Hearing Loss and Why It’s an Emergency

Jung, Wynnie W; Hoegerl, Carl

doi:10.7759/cureus.21418

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…In addition, the lack of high-quality clinical research and evidence-based medical proof makes the diagnosis and treatment of sudden inductive neural deafness controversial. Terefore, seeking an efcient diagnostic method is a reliable way to achieve clinical treatment optimization [22]. In this study, 80 patients with severe right SHL who visited the hospital were selected as the study subjects (patient group), and 40 healthy volunteers who underwent physical examination in the hospital during the same period were selected as the control group.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Changes in Brain Region and Connectomics in the Acute Stage of Sudden Sensorineural Hearing Loss in the Resting State via Functional Magnetic Resonance Imaging

2023

Concepts in Magnetic Resonance Part A

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To explore the functional changes in the whole brain network in patients with sudden sensorineural hearing loss (SHL) at the acute stage from functional magnetic resonance imaging (fMRI) imaging evaluation results, 80 patients with sudden right SHL were selected as subjects (patient group). In addition, 40 healthy volunteers who underwent physical examination in the hospital during the same period were recruited as a control group. fMRI imaging was performed to analyze functional parameters and core nodes of the whole brain network. It was found that at all thresholds, the fMRI parameters Cp and Lp of the patient group were dramatically superior to those of the control group. The fMRI parameter Eglobal of the patient group was substantially lower than that of the control group ( P < 0.05 ). At most of the thresholds, the fMRI parameter λ in patients was dramatically superior to that in the control group ( P < 0.05 ). There were ten specific network core nodes in patients, including the right parahippocampal gyrus, right supra-occipital gyrus, left suboccipital gyrus, right fusiform gyrus, right parietal lobule, right subparietal lobule, right superior temporal gyrus, left superior marginal gyrus, and right superior temporal gyrus. In summary, the whole brains of patients with sudden SHL still had small-world attributes, but some characteristics of the brain network had changed, and there was a trend of transformation to a regular network. The connection between the auditory brain area and the functional areas related to language and vision was weakened, and the distribution of core nodes changed. This study provides a reference basis for exploring the changes in local brain and connectome levels in patients with sudden sensorineural hearing loss in the acute phase based on resting-state fMRI.

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Section: Discussionmentioning

confidence: 99%

Analysis of Changes in Brain Region and Connectomics in the Acute Stage of Sudden Sensorineural Hearing Loss in the Resting State via Functional Magnetic Resonance Imaging

2023

Concepts in Magnetic Resonance Part A

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Access to Sudden Hearing Loss Care at Urgent Care Centers

Haleem,

Rosenthal,

Lee

2024

The Laryngoscope

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ObjectivesTo compare patient access to urgent care centers (UCCs) with a diagnosis of sudden hearing loss based on insurance.MethodsOne hundred twenty‐five random UCCs in states with Medicaid expansion and 125 random UCCs in states without Medicaid expansion were contacted by a research assistant posing as a family member seeking care on behalf of a patient with a one‐week history of sudden, unilateral hearing loss. Each clinic was called once as a Medicaid patient and once as a private insurance (PI) patient for 500 total calls. Each phone encounter was evaluated for insurance acceptance and self‐pay price. Secondary outcomes included other measures of timely/accessible care. Chi‐square/McNemar's tests and independent/paired sample t‐tests were performed to determine whether there were statistically significant differences between expansion status and insurance type. Calls ended before answering questions were not included in the analysis.ResultsMedicaid acceptance rate was significantly lower than PI (68.1% vs. 98.4%, p < 0.001). UCCs in Medicaid expansion states were significantly more likely to accept Medicaid (76.8% vs. 59.2%, p = 0.003). The mean wage‐adjusted self‐pay price was significantly greater in states with Medicaid expansion at $169.84 than in states without at $145.34 when called as a Medicaid patient (mean difference: $24.50, 95% Confidence Interval: $0.45–$48.54, p = 0.046). The rates of referral to an emergency department and self‐pay price nondisclosure rates were greater for Medicaid calls than for private insurance calls (8.2% vs. 0.4% and 17.4% vs. 5.8%; p < 0.001 for both).ConclusionMedicaid patients with otologic emergencies face reduced access to care at UCCs.Level of EvidenceNA Laryngoscope, 2024

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Sudden Sensorineural Hearing Loss and Why It’s an Emergency

Cited by 2 publications

References 10 publications

Analysis of Changes in Brain Region and Connectomics in the Acute Stage of Sudden Sensorineural Hearing Loss in the Resting State via Functional Magnetic Resonance Imaging

Analysis of Changes in Brain Region and Connectomics in the Acute Stage of Sudden Sensorineural Hearing Loss in the Resting State via Functional Magnetic Resonance Imaging

Access to Sudden Hearing Loss Care at Urgent Care Centers

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