The DOI matches its Crossref record; 261 of the 264 references it cites were found in a registry or an index.
Clinical Practice Guideline: Sudden Hearing Loss (Update)
Abstract
Objective: Sudden hearing loss is a frightening symptom that often prompts an urgent or emergent visit to a health care provider. It is frequently but not universally accompanied by tinnitus and/or vertigo. Sudden sensorineural hearing loss affects 5 to 27 per 100,000 people annually, with about 66,000 new cases per year in the United States. This guideline update provides evidence‐based recommendations for the diagnosis, management, and follow‐up of patients who present with sudden hearing loss. It focuses on sudden sensorineural hearing loss in adult patients aged ≥18 years and primarily on those with idiopathic sudden sensorineural hearing loss. Prompt recognition and management of sudden sensorineural hearing loss may improve hearing recovery and patient quality of life. The guideline update is intended for all clinicians who diagnose or manage adult patients who present with sudden hearing loss. Purpose: The purpose of this guideline update is to provide clinicians with evidence‐based recommendations in evaluating patients with sudden hearing loss and sudden sensorineural hearing loss, with particular emphasis on managing idiopathic sudden sensorineural hearing loss. The guideline update group recognized that patients enter the health care system with sudden hearing loss as a nonspecific primary complaint. Therefore, the initial recommendations of this guideline update address distinguishing sensorineural hearing loss from conductive hearing loss at the time of presentation with hearing loss. They also clarify the need to identify rare, nonidiopathic sudden sensorineural hearing loss to help separate those patients from those with idiopathic sudden sensorineural hearing loss, who are the target population for the therapeutic interventions that make up the bulk of the guideline update. By focusing on opportunities for quality improvement, this guideline should improve diagnostic accuracy, facilitate prompt intervention, decrease variations in management, reduce unnecessary tests and imaging procedures, and improve hearing and rehabilitative outcomes for affected patients. Methods: Consistent with the American Academy of Otolaryngology–Head and Neck Surgery Foundation's “Clinical Practice Guideline Development Manual, Third Edition” (Rosenfeld et al. Otolaryngol Head Neck Surg . 2013;148[1]:S1‐S55), the guideline update group was convened with representation from the disciplines of otolaryngology–head and neck surgery, otology, neurotology, family medicine, audiology, emergency medicine, neurology, radiology, advanced practice nursing, and consumer advocacy. A systematic review of the literature was performed, and the prior clinical practice guideline on sudden hearing loss was reviewed in detail. Key Action Statements (KASs) were updated with new literature, and evidence profiles were brought up to the current standard. Research needs identified in the original clinical practice guideline and data addressing them were reviewed. Current research needs were identified and delineated. Results: The guideline update group made strong recommendations for the following: (KAS 1) Clinicians should distinguish sensorineural hearing loss from conductive hearing loss when a patient first presents with sudden hearing loss. (KAS 7) Clinicians should educate patients with sudden sensorineural hearing loss about the natural history of the condition, the benefits and risks of medical interventions, and the limitations of existing evidence regarding efficacy. (KAS 13) Clinicians should counsel patients with sudden sensorineural hearing loss who have residual hearing loss and/or tinnitus about the possible benefits of audiologic rehabilitation and other supportive measures. These strong recommendations were modified from the initial clinical practice guideline for clarity and timing of intervention. The guideline update group made strong recommendations against the following: (KAS 3) Clinicians should not order routine computed tomography of the head in the initial evaluation of a patient with presumptive sudden sensorineural hearing loss. (KAS 5) Clinicians should not obtain routine laboratory tests in patients with sudden sensorineural hearing loss. (KAS 11) Clinicians should not routinely prescribe antivirals, thrombolytics, vasodilators, or vasoactive substances to patients with sudden sensorineural hearing loss. The guideline update group made recommendations for the following: (KAS 2) Clinicians should assess patients with presumptive sudden sensorineural hearing loss through history and physical examination for bilateral sudden hearing loss, recurrent episodes of sudden hearing loss, and/or focal neurologic findings. (KAS 4) In patients with sudden hearing loss, clinicians should obtain, or refer to a clinician who can obtain, audiometry as soon as possible (within 14 days of symptom onset) to confirm the diagnosis of sudden sensorineural hearing loss. (KAS 6) Clinicians should evaluate patients with sudden sensorineural hearing loss for retrocochlear pathology by obtaining magnetic resonance imaging or auditory brainstem response. (KAS 10) Clinicians should offer, or refer to a clinician who can offer, intratympanic steroid therapy when patients have incomplete recovery from sudden sensorineural hearing loss 2 to 6 weeks after onset of symptoms. (KAS 12) Clinicians should obtain follow‐up audiometric evaluation for patients with sudden sensorineural hearing loss at the conclusion of treatment and within 6 months of completion of treatment. These recommendations were clarified in terms of timing of intervention and audiometry and method of retrocochlear workup. The guideline update group offered the following KASs as options : (KAS 8) Clinicians may offer corticosteroids as initial therapy to patients with sudden sensorineural hearing loss within 2 weeks of symptom onset. (KAS 9a) Clinicians may offer, or refer to a clinician who can offer, hyperbaric oxygen therapy combined with steroid therapy within 2 weeks of onset of sudden sensorineural hearing loss. (KAS 9b) Clinicians may offer, or refer to a clinician who can offer, hyperbaric oxygen therapy combined with steroid therapy as salvage therapy within 1 month of onset of sudden sensorineural hearing loss. Differences from Prior Guideline: Incorporation of new evidence profiles to include quality improvement opportunities, confidence in the evidence, and differences of opinion Included 10 clinical practice guidelines, 29 new systematic reviews, and 36 new randomized controlled trials Highlights the urgency of evaluation and initiation of treatment, if treatment is offered, by emphasizing the time from symptom occurrence Clarification of terminology by changing potentially unclear statements; use of the term sudden sensorineural hearing loss to mean idiopathic sudden sensorineural hearing loss to emphasize that >90% of sudden sensorineural hearing loss is idiopathic sudden sensorineural hearing loss and to avoid confusion in nomenclature for the reader Changes to the KASs from the original guideline: KAS 1—When a patient first presents with sudden hearing loss, conductive hearing loss should be distinguished from sensorineural. KAS 2—The utility of history and physical examination when assessing for modifying factors is emphasized. KAS 3—The word “routine” is added to clarify that this statement addresses nontargeted head computerized tomography scan that is often ordered in the emergency room setting for patients presenting with sudden hearing loss. It does not refer to targeted scans, such as temporal bone computerized tomography scan, to assess for temporal bone pathology. KAS 4—The importance of audiometric confirmation of hearing status as soon as possible and within 14 days of symptom onset is emphasized. KAS 5—New studies were added to confirm the lack of benefit of nontargeted laboratory testing in sudden sensorineural hearing loss. KAS 6—Audiometric follow‐up is excluded as a reasonable workup for retrocochlear pathology. Magnetic resonance imaging, computerized tomography scan if magnetic resonance imaging cannot be done, and, secondarily, auditory brainstem response evaluation are the modalities recommended. A time frame for such testing is not specified, nor is it specified which clinician should be ordering this workup; however, it is implied that it would be the general or subspecialty otolaryngologist. KAS 7—The importance of shared decision making is highlighted, and salient points are emphasized. KAS 8—The option for corticosteroid intervention within 2 weeks of symptom onset is emphasized. KAS 9—Changed to KAS 9A and 9B. Hyperbaric oxygen therapy remains an option but only when combined with steroid therapy for either initial treatment (9A) or salvage therapy (9B). The timing of initial therapy is within 2 weeks of onset, and that of salvage therapy is within 1 month of onset of sudden sensorineural hearing loss. KAS 10—Intratympanic steroid therapy for salvage is recommended within 2 to 6 weeks following onset of sudden sensorineural hearing loss. The time to treatment is defined and emphasized. KAS 11—Antioxidants were removed from the list of interventions that the clinical practice guideline recommends against using. KAS 12—Follow‐up audiometry at conclusion of treatment and also within 6 months posttreatment is added. KAS 13—This statement on audiologic rehabilitation includes patients who have residual hearing loss and/or tinnitus who may benefit from treatment. Addition of an algorithm outlining KASs Enhanced emphasis on patient education and shared decision making with tools provided to assist in same
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Current clinical practice guidelines for SSNHL include the administration of oral, systemic corticosteroids and/or salvage intratympanic (IT) steroid injections [2], though they have been shown to be comparatively efficacious when given adjunctively [3].”
From Intratympanic steroid administration and predictors of recovery in sudden sensorineural hearing loss (2025) · cites this paper as [2]
In the citing paper
“These findings support current AAOHNS guidelines for ideal IT therapy, which stipulate treatment within 14 days of SSNHL symptom onset.”
From Intratympanic steroid administration and predictors of recovery in sudden sensorineural hearing loss (2025) · cites this paper as [2]
In the citing paper
“Hearing serviceability and recovery classifications were classified according to the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) guidelines [2].”
From Intratympanic steroid administration and predictors of recovery in sudden sensorineural hearing loss (2025) · cites this paper as [2]
In the citing paper
“Although standard diagnostic criteria for SSNHL constitutes a decrease of ≥30 decibels in hearing thresholds affecting three or more consecutive frequencies, many clinicians have adopted more flexible cutoffs to prioritize symptomatic complaints and overall clinical picture of their patients [2].”
From Intratympanic steroid administration and predictors of recovery in sudden sensorineural hearing loss (2025) · cites this paper as [2]
In the citing paper
“More broadly, this finding underscores the critical, time-sensitive nature of early referral and intervention, particularly among nonotolaryngologists [2,8,9].”
From Intratympanic steroid administration and predictors of recovery in sudden sensorineural hearing loss (2025) · cites this paper as [2]
In the citing paper
“only 41% of patients exhibited partial or complete recovery according to AAO-HNS guidelines [2], with nearly 60% of patients exhibiting no response to treatment.”
From Intratympanic steroid administration and predictors of recovery in sudden sensorineural hearing loss (2025) · cites this paper as [2]
In the citing paper
“current AAOHNS guidelines for ideal IT therapy, which stipulate treatment within 14 days of SSNHL symptom onset.”
From Intratympanic steroid administration and predictors of recovery in sudden sensorineural hearing loss (2025) · cites this paper as [2]
In the citing paper
“Although standard diagnostic criteria for SSNHL constitutes a decrease of ≥30 decibels in hearing thresholds affecting three or more consecutive frequencies, many clinicians have adopted more flexible cutoffs to prioritize symptomatic complaints and overall clinical picture of their patients [2].”
From Intratympanic steroid administration and predictors of recovery in sudden sensorineural hearing loss (2025) · cites this paper as [2]
Citations
Cites
Shared decision making — The pinnacle of patient-centered care
Barry, M. J., & Edgman-Levitan, S. (2012) · New England Journal of Medicine · doi:10.1056/nejmp1109283 · Cited by 3,433 · cited 1×
“patient preferences and values, which result in mutual responsibility in decisions regarding treatment and care.(35) The role of patient preferences in making decisions deserves further clarification.”
BackgroundDevelopment of the Tinnitus Handicap Inventory.
Newman, C., Jacobson, G., & Spitzer, J. (1996) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1996.01890140029007 · Cited by 2,140
Clinical Practice Guideline: Otitis Media with Effusion (Update)
Rosenfeld, R. M., Shin, J. J., Schwartz, S. R., Coggins, R., Gagnon, L., Hackell, J. M., Hoelting, D., Hunter, L. L., Kummer, A. W., Payne, S. C., et al. (2016) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599815623467 · Cited by 2,006
Self-citationThe Hearing Handicap Inventory for the Elderly
Ventry, I. M., & Weinstein, B. E. (1982) · Ear and Hearing · doi:10.1097/00003446-198205000-00006 · Cited by 1,150
Clinical Practice Guideline: Sudden Hearing Loss
Stachler, R. J., Chandrasekhar, S. S., Archer, S. M., Rosenfeld, R. M., Schwartz, S. R., Barrs, D. M., Brown, S. R., Fife, T. D., Ford, P., Ganiats, T. G., et al. (2012) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599812436449 · Cited by 971
Self-citationSudden hearing loss: eight years’ experience and suggested prognostic table
Byl, F. M. (1984) · The Laryngoscope · doi:10.1288/00005537-198405000-00014 · Cited by 886
Natural history of sudden sensorineural hearing loss
Mattox, D. E., & Simmons, F. B. (1977) · Annals of Otology, Rhinology & Laryngology · doi:10.1177/000348947708600406 · Cited by 833
Clinical practice guideline: tinnitus
Tunkel, D. E., Bauer, C. A., Sun, G. H., Rosenfeld, R. M., Chandrasekhar, S. S., Cunningham, E. R., Archer, S. M., Blakley, B. W., Carter, J. M., Granieri, E. C., et al. (2014) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599814545325 · Cited by 769
Self-citationRelationships Between Authors of Clinical Practice Guidelines and the Pharmaceutical Industry
Choudhry, N. K. (2002) · JAMA · doi:10.1001/jama.287.5.612 · Cited by 637
Parnes, L. S., Sun, A., & Freeman, D. J. (1999) · The Laryngoscope · doi:10.1097/00005537-199907001-00001 · Cited by 634
Research works printed but not linked: 13
- National Institute on Deafness and Other Communication Disorders, 2018, NIDCD Fact Sheet: Sudden Deafness
- OCEBM Levels of Evidence Working Group*, The Oxford Levels of Evidence 2
- Eddy D, 1992, A Manual for Assessing Health Practices and Designing Practice Policies: The Explicit Approach
- American National Standards Institute, American National Standards of Acoustics: Methods for Manual Pure‐Tone Threshold Audiometry
- American National Standards Institute, American National Standards of Acoustics: Maximum Permissible Ambient Noise Levels for Audiometric Test Rooms
- American National Standards Institute, American National Standards of Acoustics: Specifications for Audiometers
- Wilson R, Acoustic reflex measurements, Contemporary Perspectives in Hearing Assessment, 1999, 131
- Occupational Safety and Health Administration, 1983, Occupational Safety and Health Standards: Occupational Noise Exposure, 95
- Nadol J, Treatment of sudden hearing loss is illogical, Controversy in Otolaryngology, 1980, 22
- American Speech‐Language‐Hearing Association, 2002, Guidelines for Fitting and Monitoring FM Systems [guidelines]
- US Food and Drug Administration, 2016, Immediately in Effect Guidance Document: Conditions for Sale for Air‐Conduction Hearing Aids
- American Academy of Audiology, 2015, Adult Patients with Severe‐to‐Profound Unilateral Sensorineural Hearing Loss
- Shearer AE, 1993, GeneReviews
Cited by
Sorted by citations
Items 601–700 of 998
Assessing the Efficacy of Tragal Pumping in a Novel Tympanostomy Tube‐Rat Model
Hara, S., Liu, X., Shah, F. A., Saeki, H., Orita, H., Sakyo, A., Anzai, T., Takata, Y., Kamiya, K., Matsumoto, F., et al. (2024) · OTO Open · doi:10.1002/oto2.160 · Cited by 1
Zahira, A. A., Djati Widodo, E. P., Hisnindarsyah, H., Buana, A. W., & Indrawati, R. (2024) · Jurnal Riset Kesehatan Poltekkes Depkes Bandung · doi:10.34011/juriskesbdg.v16i2.2536 · Cited by 1
Predictors of computed tomography imaging in patients presenting with sudden hearing loss
Sieben, O., Reid, J., Ho, A., & Cooper, T. J. (2024) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.70004 · Cited by 1
Perfusion Steroid via Ventilation Tube as Salvage Treatments for Sudden Sensorineural Hearing Loss
Yang, M., Zhang, B., Guan, Y., Xiuni, L., & Beiping, M. (2024) · Ear Nose & Throat Journal · doi:10.1177/01455613241284154 · Cited by 1
Recent pathogenetic aspects of hearing loss in COVID: A literature review
Бакалець, О. В., & Behosh, N. B. (2024) · Bulletin Of Medical And Biological Research · doi:10.61751/bmbr/2.2024.66 · Cited by 1
A Study on Intratympanic Steroid Injection for Idiopathic Sudden Sensorineural Hearing Loss
Kitoh, R., & Takumi, Y. (2024) · Practica Oto-Rhino-Laryngologica · doi:10.5631/jibirin.117.961 · Cited by 1
Canadian Association of Radiologists Central Nervous System Diagnostic Imaging Referral Guideline
Hamel, C., Avard, B., Dea, N., Margau, R., Mattar, A. A. G., Michaud, A., Schmidt, M. H., Volders, D., Witiw, C. D., Worrall, J. C., et al. (2025) · Canadian Association of Radiologists Journal · doi:10.1177/08465371241311247 · Cited by 1
Associations between gastroesophageal reflux disease and otolaryngological diseases
Xiao, Y., Zhang, H. W., Zhang, F., Luo, J., Zhao, X., Liu, H., & Zhang, J. (2025) · Medicine · doi:10.1097/md.0000000000041750 · Cited by 1
A systematic review of SARS-CoV-2 associated sudden onset sensorineural hearing loss
Fouweather, M., Talks, B. J., Dawe, N., & Mather, M. W. (2025) · The Journal of Laryngology & Otology · doi:10.1017/s002221512500026x · Cited by 1
Gupta, D. K., Rai, N., Sood, A., Kumar, S., Das, B., Nagarjuna, P., Chaudhary, H., Deepthi, S., & Bharadwaja, S. (2025) · Medical Journal Armed Forces India · doi:10.1016/j.mjafi.2025.01.008 · Cited by 1
Efficacy and Side Effect of Different Doses of Glucocorticoids on Sudden Deafness
He, Y., Zhi, L., Feng, Y., Li, S., Liu, Q., Jiang, Z., & Zhong, C. (2025) · Current Therapeutic Research · doi:10.1016/j.curtheres.2025.100794 · Cited by 1
Oussoren, F. K., van Leeuwen, R. B., Schermer, T. R., Hensen, E. F., Lammers, M. J. W., Poulsen, L. M. N., Kardux, J. J., Colijn, C., & Bruintjes, T. D. (2025) · BMJ Open · doi:10.1136/bmjopen-2023-074071 · Cited by 1
Administration of corticosteroids into the middle ear does not limit steroid-induced side effects
Roger, S. D., & Kertesz, T. (2025) · Australian Journal of Otolaryngology · doi:10.21037/ajo-24-84 · Cited by 1
Li, P., Che, C., Gu, D., Lu, X., Xiao, X., Yu, Y., Tang, D., You, D., Qian, T., Wu, Y., et al. (2025) · iScience · doi:10.1016/j.isci.2025.112840 · Cited by 1
Katiri, R., Hall, D. A., Hoare, D. J., Smith, S., Adams, B., Fackrell, K., Horobin, A. J., Hogan, N., Buggy, N., & Kitterick, P. T. (2025) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-025-00902-4 · Cited by 1
Zhu, Z., Chen, J., Li, S., Yang, J., & Wei, W. (2025) · Acta Oto-Laryngologica · doi:10.1080/00016489.2025.2521809 · Cited by 1
Zheng, Y., Yin, Y., Liu, H., Gao, W., & Wang, Q. (2025) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s517679 · Cited by 1
Targeting NLRP3/caspase-1/GSDMD to treat inner ear injury from labyrinthine hemorrhage
Qi, J., Zhang, L., Lu, Y., & Chai, R. (2025) · Molecular Therapy · doi:10.1016/j.ymthe.2025.07.052 · Cited by 1
Analysis of stress-induced hearing loss in repeated cold stress-exposed mice
Sumi, T., Koyama, Y., & Shimada, S. (2025) · Neuroscience · doi:10.1016/j.neuroscience.2025.08.039 · Cited by 1
Guo, Q., Lin, Y., Hang, P., & Zha, D. (2025) · Frontiers in Neurology · doi:10.3389/fneur.2025.1642700 · Cited by 1
Nordlie, E., Elander, J., Värendh, M., Stenfeldt, K., Tjernström, F., Gisselsson‐Solén, M., Sjögren, J., Magnusson, M., & Ehinger, J. K. (2025) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-025-09675-4 · Cited by 1
Infectious Complications After Oral Corticosteroid Use in Otolaryngology
Mitchell, M. B., & Bhattacharyya, N. (2025) · The Laryngoscope · doi:10.1002/lary.70150 · Cited by 1
Huang, C., Li, J., Tan, G., & Liu, L. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14207369 · Cited by 1
Prediction Model for Etiologic Differentiation of Isolated Vestibular Syndrome in Emergency Settings
Guo, W., Liping, D., Yang, Y., Hu, J., Bijun, Y., Jianer, W., Shuangsi, L., Shunyuan, G., Cai, X., Wang, H., et al. (2025) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.70213 · Cited by 1
Kareem, R. H. R., Omer, G. L., Donato, G., Girolamo, S. D., Ali, S. S., Abdullah, A. S., Maurizi, R., Velletrani, G., Francavilla, B., & Marzocchella, G. (2025) · Australian Journal of Otolaryngology · doi:10.21037/ajo-25-7 · Cited by 1
Neurovascular compression and vestibular compromises in idiopathic sudden sensorineural hearing loss
Liu, Y., Lei, P., Chen, C., Xia, K., Zhou, R., Leng, Y., Liu, B., & Xiao, H. (2025) · Acta Otorhinolaryngologica Italica · doi:10.14639/0392-100x-a950 · Cited by 1
Koo, H.-B., Noh, S.-H., Lim, D., Kwon, J.-H., & Jeong, C. (2026) · Frontiers in Neurology · doi:10.3389/fneur.2025.1701856 · Cited by 1
Ibarra, L. E., & Shahsavarani, S. (2026) · Frontiers in Audiology and Otology · doi:10.3389/fauot.2026.1712022 · Cited by 1
Bryant, E. A., Thomas, R., & Sanders, S. (2026) · Clinical and Public Health Guidelines · doi:10.1002/gin2.70061 · Cited by 1
The Effect of Vestibular Migraine on the Prognosis of Idiopathic Sudden Sensorineural Hearing Loss
Karababa, E., Öçal, F. C. A., Balaban, A., & Satar, B. (2026) · American Journal of Audiology · doi:10.1044/2025_aja-25-00211 · Cited by 1
Fernández, A. G., Zapata, M. D. C., de Erenchun, I. R., Sanhueza, I., Uzcanga-Lacabe, M., Boleas-Aguirre, M. S., & Santos, C. Z. (2026) · The Egyptian Journal of Otolaryngology · doi:10.1186/s43163-026-01018-2 · Cited by 1
Li, X., & Dong, Y. (2026) · Frontiers in Neurology · doi:10.3389/fneur.2025.1643435 · Cited by 1
Feng, Y., Fang, L., Dou, Y., & Zhang, J. (2026) · Ear Nose & Throat Journal · doi:10.1177/01455613261426168 · Cited by 1
Li, S.-F., Yu, S.-Y., Liu, Y.-Y., Fu, S.-C., & Xiong, Y.-P. (2026) · World Journal of Diabetes · doi:10.4239/wjd.v17.i3.115180 · Cited by 1
Comorbidity Patterns Between Hearing Loss and Symptomatic Dizziness in Middle‐Aged and Older Adults
Liu, C., Wu, X., Li, J., Zhang, J., Gao, Y. Z., Wang, D.-Y., & Wang, Q. (2026) · World Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.1002/wjo2.70078 · Cited by 1
Risiken und Komplikationen bei der Cerumenentfernung – Praxisalltag und KI basierte Literatursuche
Löhler, J., Mathes, T., Dazert, S., Zahnert, T., Deitmer, T., Stöver, T., & Guntinas-Lichius, O. (2026) · Laryngo-Rhino-Otologie · doi:10.1055/a-2811-3985 · Cited by 1
Luo, G., Lin, Q., Xiao, C., & Zheng, J. (2026) · Frontiers in Neurology · doi:10.3389/fneur.2026.1769720 · Cited by 1
Hearing Loss and Infectious Diseases
Sanfins, M. D., & Gil, D. (2026) · IntechOpen eBooks · doi:10.5772/intechopen.1014079 · Cited by 1
Xie, S., Chen, Z., Huang, L., Hong, Y., & Lin, C. (2026) · PLoS ONE · doi:10.1371/journal.pone.0345042 · Cited by 1
Li, Q., Lai, H., Ma, L., Yin, J., Wu, J., & Yang, H. (2026) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-026-10262-4 · Cited by 1
Alosaimi, S. A., Alotaibi, N. E., Malek, A. I., Aljarallah, B. F., Alharbi, S. A., Sindi, S. B., Atawi, S. H. S., Alenezi, F. A., Alzahrani, A. S., Hejazi, F. T., et al. (2026) · Ear Nose & Throat Journal · doi:10.1177/01455613261448368 · Cited by 1
Ren, Q., Luo, H., Li, J., Yuan, H. J., Hu, Y., Tang, H., & Tian, L. (2026) · BMJ Open · doi:10.1136/bmjopen-2026-117521 · Cited by 1
Wang, Y., Pan, Z., & Hu, X. (2026) · Frontiers in Nutrition · doi:10.3389/fnut.2026.1844126 · Cited by 1
Ye, X., Deng, Y., Xiong, B., Chen, M., Chen, G., & Huang, C. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1845137 · Cited by 1
Li, H., Zhao, C., Zhang, W., & Fu, Y. (2026) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-026-10441-3 · Cited by 1
Transient Sensorineural Hearing Loss and Rhabdomyolysis, Associated With Chronic Kratom Use
Watanabe, H., Zhang, K., & Shapiro, Y. (2026) · Case Reports in Otolaryngology · doi:10.1155/crot/9699246 · Cited by 1
Clinical Practice Guideline: Tinnitus Update
Adams, M. E., Cramer, J. D., Tunkel, D. E., Lee, V. S., Bourgeois, J. A., Eshraghi, A. A., Fagelson, M. A., White, K. B., Juliano, A. F. T., Kim, H., et al. (2026) · Otolaryngology · doi:10.1002/ohn.70417 · Cited by 1
Montúfar, D. M. T., & Tobar, D. A. E. (2020) · RECIMUNDO · doi:10.26820/recimundo/4.(4).noviembre.2020.40-61 · Cited by 1
What did you say? A review of the management of sudden sensorineural hearing loss
Tiefel, N. L. (2020) · The Nurse Practitioner · doi:10.1097/01.npr.0000722324.50788.dc · Cited by 1
[Outcome of otolith organ function after treatment of sudden sensorineural hearing loss].
Hu, J., Chen, Z., Zhang, Y., Wei, X., Zhao, H., Ren, P., Han, P., Cheng, Y., Shi, W., & Zhang, Q. (2020) · PubMed Central · doi:10.13201/j.issn.2096-7993.2020.11.008 · Cited by 1
Sherlock, S., Kelly, S., & Bennett, M. H. (2021) · Diving and Hyperbaric Medicine Journal · doi:10.28920/dhm51.1.68-71 · Cited by 1
Speech & Language Pathologists Interpretation of Pure Tone Audiometrical Test
Designing, C. I. C. &., Rana, K. K., Revised and Accountable for all Aspects, P., Ahmad, U., & Bhutta, A. H. (2021) · Physical Medicine and Rehabilitation - International · doi:10.26420/physmedrehabilint.2021.1172 · Cited by 1
Campagnoli, M., Cerasuolo, M., Arena, G., Toso, A., Borello, G., Garzaro, M., & Valletti, P. A. (2021) · Otorhinolaryngology · doi:10.23736/s2724-6302.20.02328-0 · Cited by 1
Shilo, S., Ziv‐Baran, T., Oron, Y., Handzel, O., Cavel, O., Eta, R. A., Muhanna, N., & Ungar, O. J. (2021) · The Journal of Laryngology & Otology · doi:10.1017/s0022215121002024 · Cited by 1
[Research progress on the protective mechanism of insulin like growth factor-1 on inner ear].
Wu, T., Xu, C., & Sun, Y. (2021) · PubMed Central · doi:10.13201/j.issn.2096-7993.2021.06.020 · Cited by 1
Macrólidos como posible causa de hipoacusia en la infancia
Barreiro, S. B., González, J. C. F., Chicharro-Soria, I., Afonso, J. M., & Macías, Á. R. (2021) · Andes pediatrica · doi:10.32641/andespediatr.v92i5.2980 · Cited by 1
An, Y., & Shim, H. J. (2021) · Research in Vestibular Science · doi:10.21790/rvs.2021.20.3.101 · Cited by 1
Cho, K. R., Choi, J. H., Kim, B. Y., & Chang, Y. (2021) · Journal of International Medical Research · doi:10.1177/03000605211053553 · Cited by 1
Screening for hearing loss in the setting of primary care, and the most common used tests
Turkistani, O. A., Arqan, W. A. A., Alkhaibry, R. S., Ayoub, Y. A., Alhuthali, R. M., Alsayegh, H. A., Momenah, K. K., Mansour, M. H. A., Felemban, M. S., Alqahtani, A. A., et al. (2021) · International Journal of Community Medicine and Public Health · doi:10.18203/2394-6040.ijcmph20214788 · Cited by 1
Cao, X., & Yi, H. (2021) · World Journal of Clinical Cases · doi:10.12998/wjcc.v9.i36.11311 · Cited by 1
Influence of Metabolic Syndrome on the Recovery from Idiopathic Sudden Sensorineural Hearing Loss
Breda, M., Menezes, A. S., Oliveira, T. G., & Dias, L. (2022) · International Archives of Otorhinolaryngology · doi:10.1055/s-0041-1741027 · Cited by 1
Analysis of Prognostic Factors in Sudden Idiopatic Sensorineural Hearing Loss
Yüksel, F., Tuncer, E., Yücel, H., Özsöz, E., & Kır, S. (2022) · Genel Tıp Dergisi · doi:10.54005/geneltip.1012146 · Cited by 1
Sensorineural hearing loss during and post COVID-19 infections
Qaloosiraqia, R. K. E., & Al-Karawi, H. A. Y. (2022) · International Journal of Health Sciences · doi:10.53730/ijhs.v6ns1.8642 · Cited by 1
Sun, Y., Xiaodan, J., Xia, L., Tang, X., Wu, H., Zhou, H., Feng, Y., Zheng, Z., & Dong, H. (2022) · Advances in Therapy · doi:10.1007/s12325-022-02312-0 · Cited by 1
Lipid Profile in Patients with Idiopathic Sudden Sensorineural Hearing Loss
Hashim, H., Kassem, K., Ahmed, R. M., Abdelhakim, S., & Abdelaal, A. (2022) · Benha Medical Journal · doi:10.21608/bmfj.2022.143421.1604 · Cited by 1
Sudden Sensorineural Hearing Loss (SSNHL): Case Report
Azis, F. A., Kamilah, A. S., Restyani, A. L., Miraghassani, A., & Widyastuti, H. (2022) · Medical Clinical Update · doi:10.58376/mcu.v1i1.8 · Cited by 1
Application of inner ear MRI after intravenous gadolinium injection in SSNHL
Zhou, F., Wang, Z., Huang, Y., & Chen, X. (2023) · Acta Oto-Laryngologica · doi:10.1080/00016489.2022.2164612 · Cited by 1
Fan, X., Zhu, Q., Hou, H., Hou, L., Wang, Z., Zhang, H., & Xu, A. (2023) · Auris Nasus Larynx · doi:10.1016/j.anl.2023.01.013 · Cited by 1
Autoimmune inner ear disease in a young patient – an unsolvable challenge?
Weitgasser, L., Ferstl, F. S., O’Sullivan, A., & Rösch, S. (2023) · Acta Oto-Laryngologica Case Reports · doi:10.1080/23772484.2023.2176309 · Cited by 1
Cochlear Implant After Sudden Onset Sensorineural Hearing Loss: A Case Report
Curtis, D. P., Shaw, A., Malik, N. Z., Baumann, A., & Jeyakumar, A. S. (2023) · Cureus · doi:10.7759/cureus.35559 · Cited by 1
Kim, J. S., Seo, J., Kim, C. J., Ro, H., Kim, L., Lee, H., & Park, H. J. (2022) · International journal of Pain · doi:10.56718/ijp.22-007 · Cited by 1
Nourizadeh, N., Rezaiee, N., Rajati, M., Dabiri, S., Afzalzadeh, M. R., & Hasanabadi, K. (2023) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/s12070-023-03641-4 · Cited by 1
Li, Y., Zhou, X., Dou, Z., Deng, D., & Bing, D. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1121656 · Cited by 1
Son, H. J., Choi, E., Jeong, U., & Choi, Y. J. (2023) · Medicina · doi:10.3390/medicina59040808 · Cited by 1
Re-fixation Saccade at Video-Head Impulse Test in Patients with Sudden Sensorineural Hearing Loss
Jang, D. H., Kang, S. S., Shim, H. J., & An, Y. (2023) · Research in Vestibular Science · doi:10.21790/rvs.2023.22.2.46 · Cited by 1
Chen, I., Perez, R., Eligal, S., Menahem, O., Salem, R., Sichel, J., & Shaul, C. (2023) · Applied Sciences · doi:10.3390/app13148546 · Cited by 1
Elmarawany, M. N. (2023) · The Egyptian Journal of Neurosurgery : the official publication of the Egyptian Society of Neurological Surgeons/Egyptian journal of neurosurgery · doi:10.1186/s41984-023-00212-1 · Cited by 1
Ertürk, Y. G., & Sunar, F. (2023) · Turkish Journal of Audiology and Hearing Research · doi:10.34034/tjahr.1265744 · Cited by 1
Assessing sudden onset hearing loss in general practice: Where are the tuning forks?
Embury‐Young, Y., Shelton, F., & Clamp, P. J. (2023) · Clinical Otolaryngology · doi:10.1111/coa.14095 · Cited by 1
Vertebrobasilar System Laterality and Idiopathic Sudden Sensorineural Hearing Loss
Shilo, S., Gilboa, D., Oron, Y., Handzel, O., Eta, R. A., Muhanna, N., Brenner, A., & Ungar, O. J. (2023) · Audiology and Neurotology · doi:10.1159/000534153 · Cited by 1
Fuji, S., Takeuchi, A., Kariya, A., Akisada, N., Koyama, T., Abe–Fujisawa, I., Hamada, K., Ishihara, H., & Akagi, S. (2023) · International Journal of Practical Otolaryngology · doi:10.1055/s-0043-1770369 · Cited by 1
Corazza, M. C. A., Alcarás, P. A. D. S., Vianna, L., Corazza, L. A., de Lacerda, A. B. M., & Zeigelboim, B. S. (2023) · Revista CEFAC · doi:10.1590/1982-0216/20232556223 · Cited by 1
Chiari Type 1 Malformation: An Unusual Cause of Tinnitus
Machado, A. D. S., Dias, J. I., SILVA, A. C. F. D., & Meireles, L. (2023) · The International Tinnitus Journal · doi:10.5935/0946-5448.20230002 · Cited by 1
The Role of Hyperbaric Oxygen Therapy in the Treatment of Sudden Sensorineural Hearing Loss
Kim, H., & Oh, S. (2024) · Korean Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.3342/kjorl-hns.2023.01179 · Cited by 1
Evaluating the Recommended Indications of HBOT
Gupta, M., & Somasundaram, I. (2023) · Springer eBooks · doi:10.1007/978-981-99-7278-4_7 · Cited by 1
Bilateral Sudden Hearing Loss in Iron Deficiency Anemia
Choi, J. W., Kim, S., & Kim, C. (2024) · Cureus · doi:10.7759/cureus.54505 · Cited by 1
Tsuzuki, N., Wasano, K., & Ozawa, H. (2024) · Frontiers in Audiology and Otology · doi:10.3389/fauot.2024.1351382 · Cited by 1
Vento, M. G., Marinelli, C., Ferrari, L., & Pedrazzi, G. (2024) · Cureus · doi:10.7759/cureus.54925 · Cited by 1
The impact of hyperbaric oxygen treatment for cardiovascular implantable electronic devices
Goto, K., Miyazaki, S., Oyaizu, T., Negishi, M., Ikenouchi, T., Yamamoto, T., Kawamura, I., Nishimura, T., Takamiya, T., Tao, S., et al. (2024) · Journal of Arrhythmia · doi:10.1002/joa3.13070 · Cited by 1
Koizumi, T., Seo, T., Saito, K., Fujita, H., & Kitahara, T. (2024) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.1295 · Cited by 1
Wang, S., & He, G. (2024) · Asian Journal of Surgery · doi:10.1016/j.asjsur.2024.07.206 · Cited by 1
Predicting Hearing Recovery for Patients With iSSNHL
Smetak, M. R., Jiramongkolchai, P., & Herzog, J. A. (2024) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2024.2634 · Cited by 1
Treatment of Idiopathic Sudden Sensorineural Hearing Loss with Hyperbaric Oxygen Therapy
Arumi, A. M. G., Alá, J. D., Mesa, P. L., & Rodríguez, M. P. (2024) · Springer eBooks · doi:10.1007/978-3-031-61385-2_9 · Cited by 1
Aetiology of Sudden Sensorineural Hearing Loss: Vascular, Viral or due to Perilymphatic Fistula
Herrera, M., & Plaza, G. (2024) · Springer eBooks · doi:10.1007/978-3-031-61385-2_3 · Cited by 1
Complications of Oral Corticosteroid Use in Otolaryngology
Mitchell, M. B., Workman, A. D., & Bhattacharyya, N. (2024) · Annals of Otology Rhinology & Laryngology · doi:10.1177/00034894241282577 · Cited by 1
Increasing Utilization of Intratympanic Injections among Medicare Fee-for-Service Providers
Fujiwara, R. J. T., Tan, D. T. H., & Kutz, J. W. (2024) · Otology & Neurotology · doi:10.1097/mao.0000000000004337 · Cited by 1
Slattery, W. H., Andalibi, A., Angeli, S. I., Babu, S. C., Bolt, K., Britt, W. J., Buckey, J. C., Butman, J. A., Chandrasekhar, S. S., Fernandez, K. A., et al. (2024) · Otology & Neurotology · doi:10.1097/mao.0000000000004341 · Cited by 1
Self-citationKilgué, A., Kim, R., Scholtz, L., Riemann, C., Pfeiffer, C., Schürmann, M., & Todt, I. (2024) · Brain Sciences · doi:10.3390/brainsci14111154 · Cited by 1
Eftekharian, K., Najafi, E., Amizadeh, M., Mokari, N., Faramarzi, M. R., Izadparast, Y., Moghaddam, Y. J., & Eftekharian, A. (2024) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.70054 · Cited by 1
Eom, T., Jeong, B., Kim, S., Kim, D.-J., Lee, I., Lee, H. M., & Kim, H. G. (2025) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2025.104600 · Cited by 1
Metadata
- Authors
- Chandrasekhar, S. S., Tsai Do, B. S., Schwartz, S. R., Bontempo, L. J., Faucett, E. A., Finestone, S. A., Hollingsworth, D. B., Kelley, D. M., Kmucha, S. T., Moonis, G., Poling, G. L., Roberts, J. K., Stachler, R. J., Zeitler, D. M., Corrigan, M. D., Nnacheta, L. C., & Satterfield, L.
- Affiliations
- Hofstra University (US)
- Kaiser Permanente Walnut Creek California USA
- Virginia Mason Medical Center (US)
- University of Maryland, Baltimore (US)
- Hospital for Sick Children (CA)
- Consumers United for Evidence‐Based Healthcare Baltimore Maryland USA
- Ear, Nose & Throat Specialists of Northern Virginia PC Manassas Virginia USA
- University of Oklahoma Health Sciences Center (US)
- Gould Medical Group—Otolaryngology Stockton California USA
- Columbia University Irving Medical Center (US)
- Mayo Clinic (US)
- StachlerENT West Bloomfield Michigan USA
- American Academy of Otolaryngology — Head and Neck Surgery (US)
- Corresponding author
- Chandrasekhar, Sujana S.
- ORCID
- Venue
- Otolaryngology–Head and Neck Surgery
- Publisher
- Wiley
- Published
- 2019-08
- Volume
- 161
- Issue
- S1
- Pages
- S1-S45
- ISSN
- 0161-6439 (ISSN-L)
- 0194-5998
- 1097-6817
- OpenAlex
- W2966563382
- Semantic Scholar
- 2ede71c305436f6943f5bf853a42fb131e89794d
- Cited by
- 931
- References
- 264
- Citations by year
- 2026: 67 · 2025: 145 · 2024: 192 · 2023: 168 · 2022: 138 · 2021: 140 · 2020: 68 · 2019: 8
- FWCI
- 32.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Otolaryngology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Keywords
- sudden sensorineural hearing loss, idiopathic sudden sensorineural hearing loss, corticosteroids, hyperbaric oxygen therapy, intratympanic steroid injection, tinnitus, vertigo, conductive hearing loss, hearing recovery, hearing rehabilitation, cochlear implants, cochlear implantation, pediatric cochlear implantation
- MeSH terms
- Algorithms, Hearing Loss, Sudden, Humans
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
