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Cited by 4Vestibular and auditory disordersHearing, Cochlea, Tinnitus, GeneticsHearing Loss and Rehabilitation

Clinical characteristics and correlation between hearing outcomes after different episodes of recurrent idiopathic sudden sensorineural hearing loss

Wu, Pei-Hsuan, Lee, Chia-Yi, Chen, Hsin-Chien, Lee, Jih-Chin, Chu, Yueng-Hsiang, Cheng, Li-Hsiang, Wang, Chih-Hung, Shih, Cheng-Ping·2021·Auris Nasus Larynx
DOI 10.1016/j.anl.2021.01.021
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Abstract

Objectives Recurrent idiopathic sudden sensorineural hearing loss (ISSNHL) is a rare disease. In this study, we evaluated the correlations between hearing recovery after the first and recurrent episodes of ISSNHL and characterized the clinical features of different episodes of ISSNHL. Methods This retrospective study was conducted by reviewing medical records pertaining to the period 2008-2018. A total of 30 patients (16 male, 14 female) who had experienced at least two episodes of ISSNHL were included. All patients were had received steroid therapy (including systemic and IT) and/or hyperbaric oxygen therapy within 2 weeks after the onset of disease. The SDRG's criteria was used for the grading of hearing recovery. Results The median age at the first and second episode of ISSNHL was 48 and 53.5 years, respectively; a total of 30% of patients presented with vertigo in the first episode and 40% presented with vertigo in the second episode. The hearing outcomes of both episodes showed significant improvement after treatment. The rate of complete recovery after the first and second episodes was 46.67% and 33.33%, respectively. A significant positive correlation was observed between the treatment outcomes of the first and second episodes (r = 0.721, p Conclusion In ISSNHL, hearing recovery after a recurrent episode is significantly correlated with the hearing outcome after the initial episode (p = 0.042). The treatment outcome of the first episode is a prognostic factor for the o…

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Authors
Wu, P.-H., Lee, C.-Y., Chen, H.-C., Lee, J.-C., Chu, Y.-H., Cheng, L.-H., Wang, C.-H., & Shih, C.-P.
Affiliations
  • Tri-Service General Hospital (TW)
  • Chung Hwa University of Medical Technology (TW)
Corresponding author
Shih, Cheng-Ping
ORCID
Venue
Auris Nasus Larynx
Publisher
Elsevier BV
Published
2021-10
Volume
48
Issue
5
Pages
870-877
ISSN
0385-8146 (ISSN-L)
DOI
10.1016/j.anl.2021.01.021
OpenAlex
W3128175072
Cited by
4
References
1
Citations by year
2023: 2 · 2022: 2
FWCI
0.40
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Auris Nasus Larynx (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Ministry of Science and Technology, Taiwan (MOST109-2314-B-016-005)
  • Tri-Service General Hospital (TSGH-A-109001, TSGH-C108-011)
  • Ministry of National Defense (MAB-109-002)
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
Keywords
hearing recovery, hearing outcomes, vertigo, corticosteroid therapy, hyperbaric oxygen therapy, prognostic factors
MeSH terms
Injection, Intratympanic, Administration, Oral, Adult, Audiometry, Pure-Tone, Hearing Loss, Sudden, Female, Glucocorticoids, Hearing Loss, Sensorineural, Humans, Hyperbaric Oxygenation, Male, Middle Aged, Recurrence, Retrospective Studies, Vertigo, Treatment Outcome, Administration, Intravenous

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