Idiopathic sudden sensorineural hearing loss: A trial of modified Stennert’s infusion therapy

Abstract

Introduction and Aim: Sudden sensorineural hearing loss presents as rapid onset hearing deterioration of more than 30dB within 72 hours at the minimum of three adjacent frequencies. The aim of this research was to determine the effect of Modified Stennert’s Protocol in addressing idiopathic sudden sensorineural hearing loss. Materials and Methods: Retrospective pilot study was done. 14 patients were started on Modified Stennert’s protocol within 72 hours of onset of symptoms and were observed. Our modification included using hydrocortisone instead of prednisolone. Results: All patients presenting with sudden sensorineural hearing loss showed significant improvement in hearing by the end of two weeks and at the end of 3 months. Conclusion: With such obscured pathophysiology, treatment of modified versions of usage of hydrocortisone instead of prednisolone along with dextran and pentoxyfylline has shown prime augmentation towards the patients resulting in near normal hearing.