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Cited by 84Vestibular and auditory disordersHearing, Cochlea, Tinnitus, GeneticsAcute Ischemic Stroke Management

Recovery of idiopathic sudden sensorineural hearing loss

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Edizer, Deniz Tuna, Çelebi, Özlem, Hamit, Bahtiyar, Baki, Ahmet, Yiğit, Özgür·2019·The Journal of International Advanced Otology
DOI 10.5152/iao.2015.1227
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Abstract

Objective The objective was to identify and evaluate factors that may influence the recovery rate in patients with idiopathic sudden sensorineural hearing loss (ISSNHL). Materials and methods A retrospective analysis was performed for patients with sudden sensorineural hearing loss between 2009 and 2013. Those with an identified etiology were excluded. The patients were divided into four treatment groups: (i) systemic corticosteroids (SC) only, (ii) SC+low-molecular-weight heparin (LMWH), (iii) SC+hyperbaric oxygen (HBO), and (iv) SC+LMWH+HBO. Recovery was evaluated according to Siegel's criteria. Age, initial hearing level, onset, treatment and audiogram types, comorbidities, and associated tinnitus and vestibular symptoms were investigated for their impact on prognosis. Results Two hundred five patients with ISSNHL were included. Recovery was seen in 59% of the patients. The complete recovery rate was significantly lower in patients older than 60 years and in patients presenting with profound hearing loss. Different audiogram curves had no significant effect on recovery. Sudden hearing loss was accompanied by tinnitus in 107 (52.1%) patients and vestibular symptoms in 55 (26.8%); however, neither was noted to affect prognosis. Different treatment combinations did not significantly affect prognosis. However, hypertension and a delay in treatment by more than 10 days from the onset of hearing loss were associated with a worse prognosis. Conclusion Profound hearing loss, older…

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Authors
Edizer, D. T., Çelebi, Ö., Hamit, B., Baki, A., & Yiğit, Ö.
ORCID
Venue
The Journal of International Advanced Otology
Publisher
Caleo
Published
2019-09-03
Volume
11
Issue
2
Pages
122-126
ISSN
  • 1308-7649 (ISSN-L)
  • 2148-3817
DOI
10.5152/iao.2015.1227
OpenAlex
W2413006837
Cited by
84
References
0
Citations by year
2026: 3 · 2025: 7 · 2024: 5 · 2023: 10 · 2022: 10 · 2021: 12 · 2020: 15 · 2019: 9 · 2018: 6 · 2017: 3 · 2016: 4
FWCI
2.31
Type
journal article
Language
en
Open access
Locations
  • The Journal of International Advanced Otology (publishedVersion)
  • PubMed (publishedVersion)
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
idiopathic sudden sensorineural hearing loss, hearing recovery, prognostic factors, systemic corticosteroids, low molecular weight heparin, hyperbaric oxygen therapy, tinnitus, vestibular symptoms, hypertension, treatment delay, age, profound hearing loss
MeSH terms
Adult, Audiometry, Pure-Tone, Combined Modality Therapy, Hearing Loss, Sudden, Female, Glucocorticoids, Hearing Loss, Sensorineural, Heparin, Low-Molecular-Weight, Humans, Hyperbaric Oxygenation, Hypertension, Male, Middle Aged, Prognosis, Retrospective Studies, Risk Factors, Turkey, Comorbidity, Treatment Outcome, Recovery of Function, Time-to-Treatment

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