Effect of N‐acetyl‐cysteine treatment on sensorineural hearing loss: a meta‐analysis

Abstract N‐acetyl‐cysteine (NAC) is an efficacious treatment for sensorineural hearing loss in animal models, such as noise‐induced hearing loss (NIHL), however previous research into the effect of NAC on patients with hearing loss produced contradictory results. In this study, we investigated the e...

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Main Authors: Xue Bai, Miao Wang, Xun Niu, Hong Yu, Jian‐Xin Yue, Yu Sun
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:World Journal of Otorhinolaryngology-Head and Neck Surgery
Subjects:
Online Access:https://doi.org/10.1016/j.wjorl.2021.01.005
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author Xue Bai
Miao Wang
Xun Niu
Hong Yu
Jian‐Xin Yue
Yu Sun
author_facet Xue Bai
Miao Wang
Xun Niu
Hong Yu
Jian‐Xin Yue
Yu Sun
author_sort Xue Bai
collection DOAJ
description Abstract N‐acetyl‐cysteine (NAC) is an efficacious treatment for sensorineural hearing loss in animal models, such as noise‐induced hearing loss (NIHL), however previous research into the effect of NAC on patients with hearing loss produced contradictory results. In this study, we investigated the effect of NAC treatment on sensorineural hearing loss. PubMed, Web of Science and Embase databases were searched in their entirety using the key words: hearing loss, NAC, N‐acetylcysteine, and sensorineural hearing loss. Studies which included assessment of hearing loss with pure‐tone threshold (PTA) data were selected. Eligible studies regarding the effects of NAC treatment on patients with hearing loss were collected by two independent reviewers. A total of 1197 individuals were included from seven published studies. Two studies reported data for a sudden idiopathic sensorineural hearing loss (SISNHL) group. Three studies reported data for a NIHL group. Other studies reported data for drug‐induced hearing loss. The meta‐analysis demonstrated that the overall effect of NAC treatment on sensorineural hearing loss was invalid. However, NAC treatment was linked with improved patient outcomes of hearing tests in cases of sudden hearing loss, but did not prevent hearing loss induced by noise or ototoxicity. However, there is a need for better‐designed studies with larger samples to further prove the correlation between the effect of NAC and hearing loss.
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spelling doaj.art-6e31306da07f486d8543a145e17614532022-12-22T04:41:16ZengWileyWorld Journal of Otorhinolaryngology-Head and Neck Surgery2095-88112589-10812022-09-018320521210.1016/j.wjorl.2021.01.005Effect of N‐acetyl‐cysteine treatment on sensorineural hearing loss: a meta‐analysisXue Bai0Miao Wang1Xun Niu2Hong Yu3Jian‐Xin Yue4Yu Sun5Department of Otorhinolaryngology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan 430022 ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan 430022 ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan 430022 ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan 430022 ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan 430022 ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan 430022 ChinaAbstract N‐acetyl‐cysteine (NAC) is an efficacious treatment for sensorineural hearing loss in animal models, such as noise‐induced hearing loss (NIHL), however previous research into the effect of NAC on patients with hearing loss produced contradictory results. In this study, we investigated the effect of NAC treatment on sensorineural hearing loss. PubMed, Web of Science and Embase databases were searched in their entirety using the key words: hearing loss, NAC, N‐acetylcysteine, and sensorineural hearing loss. Studies which included assessment of hearing loss with pure‐tone threshold (PTA) data were selected. Eligible studies regarding the effects of NAC treatment on patients with hearing loss were collected by two independent reviewers. A total of 1197 individuals were included from seven published studies. Two studies reported data for a sudden idiopathic sensorineural hearing loss (SISNHL) group. Three studies reported data for a NIHL group. Other studies reported data for drug‐induced hearing loss. The meta‐analysis demonstrated that the overall effect of NAC treatment on sensorineural hearing loss was invalid. However, NAC treatment was linked with improved patient outcomes of hearing tests in cases of sudden hearing loss, but did not prevent hearing loss induced by noise or ototoxicity. However, there is a need for better‐designed studies with larger samples to further prove the correlation between the effect of NAC and hearing loss.https://doi.org/10.1016/j.wjorl.2021.01.005Hearing lossMeta‐analysisN‐acetyl‐cysteine
spellingShingle Xue Bai
Miao Wang
Xun Niu
Hong Yu
Jian‐Xin Yue
Yu Sun
Effect of N‐acetyl‐cysteine treatment on sensorineural hearing loss: a meta‐analysis
World Journal of Otorhinolaryngology-Head and Neck Surgery
Hearing loss
Meta‐analysis
N‐acetyl‐cysteine
title Effect of N‐acetyl‐cysteine treatment on sensorineural hearing loss: a meta‐analysis
title_full Effect of N‐acetyl‐cysteine treatment on sensorineural hearing loss: a meta‐analysis
title_fullStr Effect of N‐acetyl‐cysteine treatment on sensorineural hearing loss: a meta‐analysis
title_full_unstemmed Effect of N‐acetyl‐cysteine treatment on sensorineural hearing loss: a meta‐analysis
title_short Effect of N‐acetyl‐cysteine treatment on sensorineural hearing loss: a meta‐analysis
title_sort effect of n acetyl cysteine treatment on sensorineural hearing loss a meta analysis
topic Hearing loss
Meta‐analysis
N‐acetyl‐cysteine
url https://doi.org/10.1016/j.wjorl.2021.01.005
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