Management Of Sudden Hearing Loss Research Articles

Clinical characteristics of sudden hearing loss during pregnancy

AbstractObjectiveThe objective of this study was to explore the clinical characteristics and management of sudden hearing loss (HL) during pregnancy, thus better guiding the clinical practice.MethodsThe clinical and follow‐up data of 17 patients (17 ears) with sudden HL during pregnancy were analyzed retrospectively (the observe group). Twelve nonpregnant female patients (12 ears) with sudden HL of similar clinical characteristics were selected as the control group. The prognosis of the two groups was compared. All the patients were followed up after delivery, and two of them were readmitted to the hospital 1–2 months after delivery.ResultsThe observe group had better improvement in hearing and a higher response rate compared to the control group. The pure tone hearing and speech recognition rate of patients could still be improved after the readmitted treatment, and the hearing could partially recover spontaneously during follow‐up. The laboratory indicators that affect the inflammatory response and coagulation pathway were significantly different between the two groups.ConclusionsThe hearing condition of sudden HL during pregnancy is severe, and the prognosis of these patients is better than nonpregnant patients of similar clinical characteristics. Postpartum treatment is still effective, and some patients showed self‐healing with time during follow‐up. The inflammatory response and coagulation function may affect the hearing of patients through a metabolic pathway.

A review of the diagnosis and management of sudden hearing loss in the military population

Sudden hearing loss can be both an immediately debilitating and long-term career-threatening condition within the military population. Careful assessment is key, particularly in an environment where heightened occupational risk factors may contribute to or confound diagnoses, and where access to basic investigation may be limited. This article looks at the patient with a new presentation of sudden hearing loss in a military setting and, by providing key features and a structured approach to examination and basic investigation, how to consider key diagnoses through clinical assessment alone. The acute management of sudden sensorineural hearing loss (SNHL) remains a difficult issue, particularly regarding the efficacy of treatment regimes to restore hearing. We have reviewed the evidence to help military medical personnel make well-informed decisions when treating and making occupational assessment of those they have diagnosed with sudden hearing loss.

Clinical Practice Guideline: Sudden Hearing Loss

Program DescriptionThe miniseminar will consist of a lively panel discussion on the evidence‐based recommendations for the diagnosis and treatment of sudden hearing loss. The panel will discuss the newly developed AAO‐HNS clinical practice guideline. The primary purpose of the guideline is to improve the diagnosis and management of sudden hearing loss in adults aged 18 years and older. In creating this guideline the AAO‐HNSF selected a panel representing the fields of otolaryngology‐head and neck surgery, audiology, otology, neurology, neurotology, family medicine, emergency medicine, and consumers.Educational Objectives1) Learn diagnostic criteria for sudden sensorineural hearing loss. 2) Plan treatment based on current best evidence from randomized, controlled trials. 3) Identify management and counseling strategies that improve quality of care.

Effectiveness of hyperbaric oxygen therapy in management of sudden hearing loss

To evaluate the effectiveness of hyperbaric oxygen therapy in the management of sudden hearing loss. Patients with sudden hearing loss were divided into study and control groups. The 36 patients in the study group were treated with hyperbaric oxygen therapy in addition to standard medical therapy, whereas the 21 patients in the control group were treated with only standard medical therapy. Both groups were treated with standard therapy, comprising prednisolone starting at a dose of 1 mg/kg and reducing over three weeks. Patients in the study group received hyperbaric oxygen therapy in addition to standard drug therapy. Success rates were 78.95 per cent in the study group and 71.30 per cent in the control group. However, this difference was not statistically significant (p > 0.05). Considering the cost of hyperbaric oxygen therapy and its inconvenience to patients, this treatment should only be considered in patients suffering sudden hearing loss if there are contraindications to standard medical treatment.

Sudden sensorineural hearing loss

While it's not very common, sudden loss of hearing is one of the most mysterious conditions that hearing professionals encounter. It's also frequently one of the hardest to treat. Page Ten provides the latest information on the causes, diagnosis, treatment, and management of sudden hearing loss.

Diagnosis and Management of Sudden Hearing Loss

Educational objectives: To evaluate and manage patients with sudden sensorineural hearing loss appropriately and to counsel patients and their families regarding the implication of, and prognosis after, sudden sensorineural hearing loss.

Medical management of sudden hearing loss.

A hurdle in the evaluation of any therapy of ISHL has previously been proposed-a spontaneous recovery of satisfactory hearing of 63% of patients. The hurdle has yet to be convincingly passed by any drug therapy. The intent here is not to denigrate the use of drugs in this syndrome; on the contrary, it remains likely that some subgroups of ISHL would benefit from specific medical management. For instance, a systemic viremia would be most logically treated with anti-inflammatory agents and a thrombotic event with anticoagulants. However, prospective studies in which patients are divided into prognostic categories before treatment with adequate control groups must be performed.