Delayed Recovery in Idiopathic Sudden Sensorineural Hearing Loss
Sudden hearing loss is an easily encountered disease in clinics, but its prognosis has not been completely elucidated. In the present study, we investigated the long-term prognosis of sudden hearing loss with 130 patients who were diagnosed based on strict criteria and provided uniform treatment. Th...
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MDPI AG
2022-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/10/2792 |
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| author | Gina Na Ki-Won Kim Keun-Woo Jung Jimin Yun Taek-Yoon Cheong Jeon-Mi Lee |
| author_facet | Gina Na Ki-Won Kim Keun-Woo Jung Jimin Yun Taek-Yoon Cheong Jeon-Mi Lee |
| author_sort | Gina Na |
| collection | DOAJ |
| description | Sudden hearing loss is an easily encountered disease in clinics, but its prognosis has not been completely elucidated. In the present study, we investigated the long-term prognosis of sudden hearing loss with 130 patients who were diagnosed based on strict criteria and provided uniform treatment. The patients with incomplete recovery were reevaluated after 2 months without receiving additional treatment. Hearing levels at different time points were compared. Moreover, the associated factors affecting the degree of hearing improvement over time were evaluated using stepwise multiple linear regression. After treatment, 73 out of the 130 (56.1%) patients attained incomplete recovery and were reevaluated after 2 months. Seventeen out of the seventy-three (23.3%) patients showed a grade promotion, fifty-four (74%) were constant, and two (2.7%) were aggravated. The mean interaural hearing differences (IHDs) showed significant improvement. Old age, poor initial IHD, and poor recovery grade were significantly associated with a profitable delayed hearing gain. Poorer hearing level at the time of onset might be a sign for slower recovery rather than a poorer prognostic factor. The treatment outcome of idiopathic sudden sensorineural hearing loss (ISSNHL) should be evaluated at least 2 months after treatment completion, and counseling is required due to the need for long-term follow-up in patients with ISSNHL. |
| first_indexed | 2024-03-10T03:40:40Z |
| format | Article |
| id | doaj.art-9b9d7fac7063486c9a84e85aa661cf64 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T03:40:40Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-9b9d7fac7063486c9a84e85aa661cf642023-11-23T11:34:55ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-011110279210.3390/jcm11102792Delayed Recovery in Idiopathic Sudden Sensorineural Hearing LossGina Na0Ki-Won Kim1Keun-Woo Jung2Jimin Yun3Taek-Yoon Cheong4Jeon-Mi Lee5Department of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, KoreaDepartment of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, KoreaDepartment of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, KoreaDepartment of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, KoreaDepartment of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, KoreaDepartment of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang 10380, KoreaSudden hearing loss is an easily encountered disease in clinics, but its prognosis has not been completely elucidated. In the present study, we investigated the long-term prognosis of sudden hearing loss with 130 patients who were diagnosed based on strict criteria and provided uniform treatment. The patients with incomplete recovery were reevaluated after 2 months without receiving additional treatment. Hearing levels at different time points were compared. Moreover, the associated factors affecting the degree of hearing improvement over time were evaluated using stepwise multiple linear regression. After treatment, 73 out of the 130 (56.1%) patients attained incomplete recovery and were reevaluated after 2 months. Seventeen out of the seventy-three (23.3%) patients showed a grade promotion, fifty-four (74%) were constant, and two (2.7%) were aggravated. The mean interaural hearing differences (IHDs) showed significant improvement. Old age, poor initial IHD, and poor recovery grade were significantly associated with a profitable delayed hearing gain. Poorer hearing level at the time of onset might be a sign for slower recovery rather than a poorer prognostic factor. The treatment outcome of idiopathic sudden sensorineural hearing loss (ISSNHL) should be evaluated at least 2 months after treatment completion, and counseling is required due to the need for long-term follow-up in patients with ISSNHL.https://www.mdpi.com/2077-0383/11/10/2792sudden sensorineural hearing lossdelayed recoverysteroid therapy |
| spellingShingle | Gina Na Ki-Won Kim Keun-Woo Jung Jimin Yun Taek-Yoon Cheong Jeon-Mi Lee Delayed Recovery in Idiopathic Sudden Sensorineural Hearing Loss Journal of Clinical Medicine sudden sensorineural hearing loss delayed recovery steroid therapy |
| title | Delayed Recovery in Idiopathic Sudden Sensorineural Hearing Loss |
| title_full | Delayed Recovery in Idiopathic Sudden Sensorineural Hearing Loss |
| title_fullStr | Delayed Recovery in Idiopathic Sudden Sensorineural Hearing Loss |
| title_full_unstemmed | Delayed Recovery in Idiopathic Sudden Sensorineural Hearing Loss |
| title_short | Delayed Recovery in Idiopathic Sudden Sensorineural Hearing Loss |
| title_sort | delayed recovery in idiopathic sudden sensorineural hearing loss |
| topic | sudden sensorineural hearing loss delayed recovery steroid therapy |
| url | https://www.mdpi.com/2077-0383/11/10/2792 |
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