Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Introduction: Accumulating data indicate that patients with COVID-19 could be affected by sudden sensorineural hearing loss (SSNHL). The aim of the study was to analyze the epidemiological and clinical trend of SSNHL occurrence during the COVID-19 pandemic by applying a systematic review and meta-an...

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Main Authors: Andrea Frosolini, Leonardo Franz, Antonio Daloiso, Cosimo de Filippis, Gino Marioni
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/12/3139
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author Andrea Frosolini
Leonardo Franz
Antonio Daloiso
Cosimo de Filippis
Gino Marioni
author_facet Andrea Frosolini
Leonardo Franz
Antonio Daloiso
Cosimo de Filippis
Gino Marioni
author_sort Andrea Frosolini
collection DOAJ
description Introduction: Accumulating data indicate that patients with COVID-19 could be affected by sudden sensorineural hearing loss (SSNHL). The aim of the study was to analyze the epidemiological and clinical trend of SSNHL occurrence during the COVID-19 pandemic by applying a systematic review and meta-analysis approach. Methods: PubMed, Scopus, Web of Science, ScienceDirect, and Cochrane databases were searched. Results: The seven included studies had adequate relevance to the topic and the quality was fair. The mean age at SSNHL onset ranged from 39.23 to 62.18 years during the pandemic year period (PYP); a meta-analysis of four studies comparing these data with those of previous periods in the same institutions found a younger age during the PYP (pooled mean −0.2848). The heterogeneity was high (76.1935%) and no frank asymmetry was observed in the funnel plot. The SARS-CoV-2 positivity rate of SSNHL patients ranged from 0% to 57.53%. Standard steroid treatments were applied without significant adverse effects. Comprehensively, hearing improvement was achieved for more than half of the cases. No studies reported long-term follow-up data. Conclusions: Further prospective analyses on large series and a long-term follow up on COVID-related SSNHL cases are necessary to address the open questions regarding the causative link between COVID-19 infection and SSNHL.
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spelling doaj.art-23edfa303efe4f919ce0cfc5c78ad30b2023-11-24T14:19:22ZengMDPI AGDiagnostics2075-44182022-12-011212313910.3390/diagnostics12123139Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-AnalysisAndrea Frosolini0Leonardo Franz1Antonio Daloiso2Cosimo de Filippis3Gino Marioni4Audiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyOtolaryngology Section, Department of Neuroscience DNS, University of Padova, 35100 Padova, ItalyAudiology Unit, Department of Neuroscience DNS, University of Padova, 31100 Treviso, ItalyOtolaryngology Section, Department of Neuroscience DNS, University of Padova, 35100 Padova, ItalyIntroduction: Accumulating data indicate that patients with COVID-19 could be affected by sudden sensorineural hearing loss (SSNHL). The aim of the study was to analyze the epidemiological and clinical trend of SSNHL occurrence during the COVID-19 pandemic by applying a systematic review and meta-analysis approach. Methods: PubMed, Scopus, Web of Science, ScienceDirect, and Cochrane databases were searched. Results: The seven included studies had adequate relevance to the topic and the quality was fair. The mean age at SSNHL onset ranged from 39.23 to 62.18 years during the pandemic year period (PYP); a meta-analysis of four studies comparing these data with those of previous periods in the same institutions found a younger age during the PYP (pooled mean −0.2848). The heterogeneity was high (76.1935%) and no frank asymmetry was observed in the funnel plot. The SARS-CoV-2 positivity rate of SSNHL patients ranged from 0% to 57.53%. Standard steroid treatments were applied without significant adverse effects. Comprehensively, hearing improvement was achieved for more than half of the cases. No studies reported long-term follow-up data. Conclusions: Further prospective analyses on large series and a long-term follow up on COVID-related SSNHL cases are necessary to address the open questions regarding the causative link between COVID-19 infection and SSNHL.https://www.mdpi.com/2075-4418/12/12/3139sudden sensorineural hearing lossSSNHLSARS-CoV-2COVID-19
spellingShingle Andrea Frosolini
Leonardo Franz
Antonio Daloiso
Cosimo de Filippis
Gino Marioni
Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
Diagnostics
sudden sensorineural hearing loss
SSNHL
SARS-CoV-2
COVID-19
title Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
title_full Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
title_fullStr Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
title_full_unstemmed Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
title_short Sudden Sensorineural Hearing Loss in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
title_sort sudden sensorineural hearing loss in the covid 19 pandemic a systematic review and meta analysis
topic sudden sensorineural hearing loss
SSNHL
SARS-CoV-2
COVID-19
url https://www.mdpi.com/2075-4418/12/12/3139
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