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Cited by 17Vestibular and auditory disordersHearing, Cochlea, Tinnitus, GeneticsAcute Ischemic Stroke Management

Hearing outcome of recurrent sudden deafness: Ipsilateral versus contralateral types

Kuo, Yen-Lin, Young, Yi-Ho·2012·Acta Oto-Laryngologica
DOI 10.3109/00016489.2011.642817
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Abstract

Conclusion Patients with recurrent sudden deafness demonstrating normal vestibular-evoked myogenic potentials (VEMPs) in the lesion ear of the second episode may indicate a good hearing outcome. Objective This study retrospectively reviewed our experience of patients with recurrent sudden deafness during the past 20 years. Methods Sixteen (1.4 %) of 1156 patients with sudden deafness were diagnosed as having a recurrent episode, including ipsilateral type in 7 and contralateral type in 9. All patients underwent an audiovestibular test battery and blood and MRI examinations. After 2000, nine patients underwent the VEMP test. Results In the ipsilateral type, the mean interval between two episodes was 2 ± 2 years, which did not differ significantly from 3 ± 3 years in the contralateral type. There were no significant differences in relation to age at onset of the second episode, inter-episode interval, gender, presence of vertigo, and abnormal caloric results. However, abnormal rate of VEMP test in the contralateral type (five of five patients) was significantly higher than that in the ipsilateral type (none of four patients). At the second episode, all four patients with normal VEMPs on the lesion ear had improved hearing, while four of five patients with absent or delayed VEMPs showed unchanged hearing. Altogether, the hearing improvement rate in both types of recurrent sudden deafness was 50%.

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Crossref · 10.3109/00016489.2011.642817

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  • More than half of the recurrences occurred on the contralateral side in three of four studies reporting side, while one study reported a rate of ipsilateral recurrence of 91%.

    “Interestingly, more than half of the recurrences occurred on the contralateral side in three of those studies, 8,12,13 while the other one 11 reported a rate of ipsilateral recurrence of 91%.”

    From Recurrent sudden sensorineural hearing loss—A literature review (2022) · cites this paper as [13]

  • Kuo et al. reported a higher rate of recovery from the second episode in patients with normal cervical vestibular evoked myogenic potential, but the number of cases was small.

    “Kuo et al. reported a higher rate of recovery from the second episode in patients with normal cervical vestibular evoked myogenic potential, but the number of cases was small. 13”

    From Recurrent sudden sensorineural hearing loss—A literature review (2022) · cites this paper as [13]

  • Kuo et al. directly compared 16 patients (7 with ipsilateral recurrence and 9 with contralateral recurrence) and found no significant difference in the side of recurrence according to age, inter-episode interval, gender, presence of vertigo, or abnormal caloric results.

    “Kuo et al. directly compared 16 patients (7 with ipsilateral recurrence and 9 with contralateral recurrence) and found no significant difference in the side of recurrence according to age, inter-episode interval, gender, presence of vertigo, or abnormal caloric results. 13”

    From Recurrent sudden sensorineural hearing loss—A literature review (2022) · cites this paper as [13]

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Authors
Kuo, Y.-L., & Young, Y.-H.
Affiliations
National Taiwan University Hospital (TW)
Corresponding author
Young, Yi-Ho
ORCID
Young, Yi-Ho
Venue
Acta Oto-Laryngologica
Publisher
Informa UK Limited
Published
2012-01-04
Volume
132
Issue
3
Pages
247-254
ISSN
  • 0001-6489 (ISSN-L)
  • 1651-2251
DOI
10.3109/00016489.2011.642817
OpenAlex
W2045659867
Cited by
17
References
24
Citations by year
2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2017: 2 · 2016: 2 · 2015: 1 · 2013: 2 · 2012: 1
FWCI
0.64
Type
journal article
Language
en
Open access
closed
Locations
  • Acta Oto-Laryngologica (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Science Council
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
Keywords
sudden sensorineural hearing loss, ipsilateral recurrence, contralateral recurrence, vestibular evoked myogenic potentials, hearing outcomes, hearing recovery
MeSH terms
Adolescent, Adult, Child, Hearing Loss, Sudden, Female, Hearing, Humans, Male, Middle Aged, Prognosis, Recurrence, Young Adult, Vestibular Evoked Myogenic Potentials

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