Hearing Outcome of Low-tone Compared to High-tone Sudden Sensorineural Hearing Loss
Open accessAbstract
Introduction Low-tone sudden sensorineural hearing loss (SSHL) is a well-recognized disease, in which the hearing loss is restricted to low frequencies. In contrast to low-tone SSHL, high-tone SSHL is characterized by high-frequency (4,000, 8,000 Hz) hearing loss and preservation of low-, middle-frequency hearing. Objective The objective of this study is to compare the hearing recovery and long-term outcome of low-tone SSHL with those of patients affected by high-tone SSHL in a follow-up of ∼ 3 years. Methods The low-tone SSHL and high-tone SSHL groups included 27 and 20 patients, respectively; the patients of both groups were treated with intravenous steroids. Predictive factors (gender, affected side, delay of treatment, follow-up time) were also examined. Results Overall, complete hearing recovery was observed in 77.7% of the patients in the low-tone SSHL group and in 15% of the patients in the high-tone SSHL group. In the high-tone SSHL group, a higher proportion of patients reported tinnitus compared with the low-tone SSHL group (13 cases [65%] versus 3 cases [11%]); however, recurrences were more common in the low-tone SSHL (22%, 6 patients) compared with the high-tone SSHL (2 cases [10%]) group. No predictive factor was found to statistically impact on hearing outcome. Conclusion After initial therapy, the low-tone SSHL patients have more favorable hearing outcome than high-tone SSHL patients. However, recurrences occurred more frequently in the low-tone SSHL group, while the high-tone SSHL group was more often accompanied by residual symptoms, such as tinnitus.
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Psillas et al. compared low- with high-tone SSNHL and concluded that the recurrence rate was higher in the low-tone group.
“Psillas et al. compared low- with high-tone SSNHL and concluded that the recurrence rate was higher in the low-tone group. 10”
From Recurrent sudden sensorineural hearing loss—A literature review (2022) · cites this paper as [10]
Only a small proportion of patients progressed to Ménière's disease.
“Only a small proportion of patients progressed to Ménière's disease. 6,10”
From Recurrent sudden sensorineural hearing loss—A literature review (2022) · cites this paper as [10]
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Research works printed but not linked: 15
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Cited by
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Recurrent sudden sensorineural hearing loss—A literature review
Zhang, B., Wang, Y., & Chan, K. (2022) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.828 · Cited by 9 · see citing works
- Authors
- Psillas, G., Rizou, A., Rachovitsas, D., Tsiropoulos, G., & Constantinidis, J.
- Affiliations
- Aristotle University of Thessaloniki (GR)
- ORCID
- Psillas, George
- Venue
- International Archives of Otorhinolaryngology
- Publisher
- Georg Thieme Verlag KG
- Published
- 2018-06-19
- Volume
- 23
- Issue
- 01
- Pages
- 065-069
- ISSN
- 1809-4864 (ISSN-L)
- 1809-9777
- PMC
- PMC6331312
- OpenAlex
- W2808759986
- Cited by
- 25
- References
- 0
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 4 · 2021: 1 · 2020: 4 · 2019: 1
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- International Archives of Otorhinolaryngology (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- 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
- sudden sensorineural hearing loss, hearing recovery, hearing outcomes, tinnitus, recurrence, intravenous corticosteroids, treatment delay, predictive factors
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