RJOR - Official publication of Romanian Association of Oral Rehabilitation

Str. Mihail Kogalniceanu No.2, Iasi, Romania

Janacondurache@yahoo.com

+40735523366

Romanian Journal of Oral Rehabilitation 2011,Numarul 4 Auditory Function Recovery In Sudden Sensorineural Hearing Loss: 3-Year Study

Auditory Function Recovery In Sudden Sensorineural Hearing Loss: 3-Year Study

Bogdan Cavaleriu, Luminita Radulescu, Daniel Rusu, Costela Gegea, Corina Butnaru, Dan Martu

Objectives: The goal of this study was to assess the post-therapeutic rehabilitation for a group of patients in order to evaluate the conventional treatment of sudden sensorineural hearing loss. Materials and methods: 45 patients diagnosed with sudden sensorineural hearing loss, where clinically examined. A careful examination is needed to exclude life threatening causes such as vascular events and malignant diseases. Conventional treatment that include corticosteroids, antiviral drugs, vasoactive and vitamins (B1, B6) was administered to patients. Results: Post-treatment rehabilitation degree varies. The greatest recovery of hearing has been shown when corticosteroids are started within the first 1—2 weeks after symptom onset. About 45% of patients show good recovery, usually in about 2 weeks. Patients in whom there is no change within 2 weeks are unlikely to show much recovery. Conclusions: In most cases the cause is not identified, although various infective, vascular, and immune causes have been proposed. It is recommended that patients with sudden sensorineural hearing loss with no clear underlying cause after investigation are treated with a short course of oral prednisolone started within 2 weeks after onset. There is much to learn about pathogenesis of sudden sensorineural hearing loss and more clinical trials are needed to establish evidence-based management.

Objectives: The goal of this study was to assess the post-therapeutic rehabilitation for a group of patients in order to evaluate the conventional treatment of sudden sensorineural hearing loss. Materials and methods: 45 patients diagnosed with sudden sensorineural hearing loss, where clinically examined. A careful examination is needed to exclude life threatening causes such as vascular events and malignant diseases. Conventional treatment that include corticosteroids, antiviral drugs, vasoactive and vitamins (B1, B6) was administered to patients. Results: Post-treatment rehabilitation degree varies. The greatest recovery of hearing has been shown when corticosteroids are started within the first 1—2 weeks after symptom onset. About 45% of patients show good recovery, usually in about 2 weeks. Patients in whom there is no change within 2 weeks are unlikely to show much recovery. Conclusions: In most cases the cause is not identified, although various infective, vascular, and immune causes have been proposed. It is recommended that patients with sudden sensorineural hearing loss with no clear underlying cause after investigation are treated with a short course of oral prednisolone started within 2 weeks after onset. There is much to learn about pathogenesis of sudden sensorineural hearing loss and more clinical trials are needed to establish evidence-based management.

Download (PDF, 402KB)

Tags: , ,

By continuing to use the site, you agree to the use of cookies || Prin continuarea navigarii pe acest site esti de acord cu utilizarea cookie-urilor more information || mai multe informatii

RJOR.RO utilizeaza fisiere de tip cookie pentru a personaliza si imbunatati experienta ta pe Website-ul nostru. Te informam ca ne-am actualizat politicile pentru a integra in acestea si in activitatea curenta a adre.ro cele mai recente modificari propuse de Regulamentul (UE) 2016/679 privind protectia persoanelor fizice in ceea ce priveste prelucrarea datelor cu caracter personal si privind libera circulatie a acestor date. inainte de a continua navigarea pe Website-ul nostru te rugam sa aloci timpul necesar pentru a citi si intelege continutul Politicii de Cookie. Prin continuarea navigarii pe Website-ul nostru confirmi acceptarea utilizarii fisierelor de tip cookie conform Politicii de Cookie. Nu uita totusi ca poti modifica in orice moment setarile acestor fisiere cookie urmand instructiunile din Politica de Cookie The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.

Close