Sudden sensorineural hearing loss in children and adolescents: Clinical characteristics and age-related prognosis

Kim, Jin Youp; Han, Jae Joon; Sunwoo, Woong Sang; Koo, Ja Won; Oh, Seung Ha; Park, Min Hyun; Kim, Young Ho

doi:10.1016/j.anl.2017.08.010

Cited by 36 publications

(58 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to standards established by the WHO (1997), hearing loss is classified on the basis of pure tone averages for air conduction at 0.5, 1, 2, 4 kHz, and is as follows: Level 0 (normal): ≤ 25 dBHL; Level 1 (mild hearing loss): 26–40 dBHL; Level 2 (moderate hearing loss): 41–60 dBHL; Level 3 (severe hearing loss): 61–80 dBHL; Level 4 (profound hearing loss): > 80 dBHL. Four types of audiograms were defined based on the pattern of hearing loss in the initial PTA: ascending (the average threshold at 0.25–0.5 kHz was 20 dB higher than the average threshold at 4–8 kHz), descending (the average threshold at 4–8 kHz was 20 dB higher than the average threshold at 0.25–0.5 kHz), flat (similar threshold observed across the entire frequency range and hearing threshold not exceeding 90 dB HL), 4. profound (the average thresholds at 0.5, 1, 2, and 4 kHz over 90 dB HL) (8). After treatment, the patients were again examined for pure tone air conduction thresholds at 0.25, 0.5, 1, 2, 4, and 8 kHz.…”

Section: Methodsmentioning

confidence: 99%

“…Na et al (7) pointed out that the level of hearing loss, gender, side and recovery rates in children and adults with sudden deafness were similar but the proportion of children with complete recovery was higher. Younger age, steeply sloping hearing curve, late initial diagnosis, higher initial hearing thresholds, and the absence of tinnitus and vertigo were poor prognostic factors for recovery (1,8,9). This study retrospectively analyzed the clinical data of 174 patients diagnosed with SSNHL upon admission to the Department of Otolaryngology—Head and Neck Surgery, Tongji Hospital, in affiliation with the Huazhong University of Science and Technology, from November 2011 to December 2017.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Sudden Sensorineural Hearing Loss in Children: Clinical Characteristics, Etiology, Treatment Outcomes, and Prognostic Factors

Zhou

Imrit

et al. 2019

Otology &Amp; Neurotology

View full text Add to dashboard Cite

Objective:To investigate the clinical characteristics, etiology, treatment outcomes, and prognostic factors of sudden sensorineural hearing loss (SSNHL) in children to guide the clinical diagnosis and treatment of SSNHL in the pediatric population.Study Design:Retrospective case review.Setting:Tertiary referral center.Patients:Patients diagnosed with SSNHL from November 2011 to December 2017 with relatively complete clinical data.Intervention:Diagnosis and systemic treatment of SSNHL.Main Outcome Measures:Patients’ clinical characteristics, etiology, laboratory tests, imaging, pure-tone audiometry at admission, and discharge were analyzed.Results:A total of 25 children and 149 adults with SSNHL were included. Recent or previous viral infection rates (81.8%) and fasting blood glucose level (5.23 + 1.47 mmol/L) in children with SSNHL were lower than those in adult SSNHL patients (p = 0.033, p = 0.033). Autoimmune abnormalities (90.0%) and plasma fibrinogen abnormalities (27.3%) were higher in children with SSNHL than those in adult SSNHL patients (40.0%, 8.8%, respectively, p < 0.05). The recovery rate in children (38.4%) with SSNHL is comparable to that in adults (22.6%), but children have a higher complete rate compared to adults (26.9%, 11.3%, respectively, p < 0.05). Children with a profound audiometric curve had a worse prognosis in comparison to other types of audiometric curves (p = 0.041).Conclusions:Children with SSNHL have a lower rate of viral infection in comparison to adults with SSNHL. Fasting blood glucose levels, complement C3, C4, and fibrinogen may be closely related to childhood SSNHL. The recovery rate in children with SSNHL is comparable to that in adults, but children have a higher complete rate compared to adults. A profound hearing curve is an unfavorable prognostic factor in both children and adults with SSNHL.

show abstract

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Sudden Sensorineural Hearing Loss in Children: Clinical Characteristics, Etiology, Treatment Outcomes, and Prognostic Factors

Zhou

Imrit

et al. 2019

Otology &Amp; Neurotology

View full text Add to dashboard Cite

show abstract

“…The epidemiology of SSNHL in children is unknown as most of the available data are based on rather small case series. Nevertheless, it seems that young children with SSNHL have a poorer prognosis than adolescents (7,8).…”

Section: Introductionmentioning

confidence: 99%

Hereditary bilateral sudden sensorineural hearing loss

Varga¹,

Jovankovičová²,

Hučková³

et al. 2019

BLL

View full text Add to dashboard Cite

The aim of our study is to demonstrate a causal link between two distinct diagnoses, the hereditary hearing loss, and the sudden sensorineural hearing loss. BACKGROUND: Sudden sensorineural hearing loss is an emergency condition in otolaryngology and a rare diagnosis in childhood. Most often it only affects one ear and its cause remains unknown. METHODS: We present a clinical study of a 10-year-old female patient presenting with bilateral sudden sensorineural hearing loss analyzed by Sanger sequencing of the GJB2 gene. RESULTS: The subject was referred to the hospital for bilateral sudden hearing loss which developed 3 days before the admission. Audiometric testing confi rmed bilateral asymmetric sensorineural hearing loss. All routine diagnostic procedures including MRI and CT imaging showed normal results. She was treated with intravenous and intratympanic corticosteroids followed by hyperbaric oxygen therapy with partial hearing recovery in one ear. DNA analysis of the GJB2 gene identifi ed biallelic c.35delG deletion. The subject had no other affected family members and her auditory development to that time was normal. CONCLUSION: Our fi nding extends the knowledge on phenotype variability in GJB2 variants. We suggest considering genetic testing in pediatric cases of bilateral sudden sensorineural hearing loss (Tab. 1, Fig. 4, Ref. 24).

show abstract

“…Even though this case its frequently present in older patients, it can be present in young patients, more commonly females. Calcification makes harvesting more difficult and if totally calcified, it cannot be used as a grafting material [13].…”

Section: Costal Cartilage Harvestingmentioning

confidence: 99%

“…Harvesting can be performed by an initial incision with a blade and the cartilage cut its completed with a Freer elevator [13]. After superior and inferior perichondrium elevation, rib cartilage can be harvested circumferentially, being cautious of the pleura on the medial surface and the neuro-vascular bundle inferiorly.…”

Section: Costal Cartilage Harvestingmentioning

confidence: 99%

Secondary Rhinoplasty Using Autologous Rib Cartilage: A Review

Navarro¹,

Villarreal²,

Lara³

et al. 2020

J Otolaryngol Rhinol

View full text Add to dashboard Cite

Rhinoplasty is one of the most complex procedures in the cosmetic surgery field. Satisfactory long-term results rely on using grafts with enough strength for adequate support and low resorption rates. Grafts in septorhinoplasty can be obtained from autologous, homologous and alloplastic materials. Autologous rib cartilage is the graft material of choice for secondary rhinoplasty when enough septal cartilage is not available. In this review different types of grafts, techniques to avoid warping, complications and surgery techniques with emphasis on autologous rib cartilage are assessed.

show abstract

Sudden sensorineural hearing loss in children and adolescents: Clinical characteristics and age-related prognosis

Cited by 36 publications

References 24 publications

Sudden Sensorineural Hearing Loss in Children: Clinical Characteristics, Etiology, Treatment Outcomes, and Prognostic Factors

Sudden Sensorineural Hearing Loss in Children: Clinical Characteristics, Etiology, Treatment Outcomes, and Prognostic Factors

Hereditary bilateral sudden sensorineural hearing loss

Secondary Rhinoplasty Using Autologous Rib Cartilage: A Review

Contact Info

Product

Resources

About