Improvement in word recognition following treatment failure for sudden sensorineural hearing loss

Objectives: Patients with sudden sensorineural hearing loss (SSNHL) may have word recognition scores (WRS) that correlate with pure tone average (PTA). We hypothesize that there is a subset of patients with SSNHL who have improved WRS despite stable PTA. Methods: Retrospective case review at a terti...

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Main Authors: Taha A. Jan, Elliott D. Kozin, Vivek V. Kanumuri, Rosh K. Sethi, David H. Jung
Format: Article
Language:English
Published: Wiley 2016-09-01
Series:World Journal of Otorhinolaryngology-Head and Neck Surgery
Online Access:http://www.sciencedirect.com/science/article/pii/S2095881116300348
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author Taha A. Jan
Elliott D. Kozin
Vivek V. Kanumuri
Rosh K. Sethi
David H. Jung
author_facet Taha A. Jan
Elliott D. Kozin
Vivek V. Kanumuri
Rosh K. Sethi
David H. Jung
author_sort Taha A. Jan
collection DOAJ
description Objectives: Patients with sudden sensorineural hearing loss (SSNHL) may have word recognition scores (WRS) that correlate with pure tone average (PTA). We hypothesize that there is a subset of patients with SSNHL who have improved WRS despite stable PTA. Methods: Retrospective case review at a tertiary otolaryngology practice. Results: We identified 13 of 113 patients with SSNHL whose WRS increased despite overall stable pure tone averages. There was an observed average improvement in WRS by 23.8 points in this patient cohort at follow-up, with mean initial PTA in the affected ear at 48.7 dB. Conclusions: We identify a novel cohort of SSNHL patients that have failed treatment as measured by PTA, but who have increased WRS over time. These data have implications for patient counseling and lend insight into the pathophysiology of SSNHL. Keywords: Sensorineural hearing loss, Sudden sensorineural hearing loss, Word recognition score, Pure tone average
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spelling doaj.art-c0976bfa6c644752a06547e217bd373a2022-12-22T02:41:57ZengWileyWorld Journal of Otorhinolaryngology-Head and Neck Surgery2095-88112016-09-0123168174Improvement in word recognition following treatment failure for sudden sensorineural hearing lossTaha A. Jan0Elliott D. Kozin1Vivek V. Kanumuri2Rosh K. Sethi3David H. Jung4Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USADepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USADepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USADepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USACorresponding author. Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA. Fax: +1 617 573 3914.; Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USAObjectives: Patients with sudden sensorineural hearing loss (SSNHL) may have word recognition scores (WRS) that correlate with pure tone average (PTA). We hypothesize that there is a subset of patients with SSNHL who have improved WRS despite stable PTA. Methods: Retrospective case review at a tertiary otolaryngology practice. Results: We identified 13 of 113 patients with SSNHL whose WRS increased despite overall stable pure tone averages. There was an observed average improvement in WRS by 23.8 points in this patient cohort at follow-up, with mean initial PTA in the affected ear at 48.7 dB. Conclusions: We identify a novel cohort of SSNHL patients that have failed treatment as measured by PTA, but who have increased WRS over time. These data have implications for patient counseling and lend insight into the pathophysiology of SSNHL. Keywords: Sensorineural hearing loss, Sudden sensorineural hearing loss, Word recognition score, Pure tone averagehttp://www.sciencedirect.com/science/article/pii/S2095881116300348
spellingShingle Taha A. Jan
Elliott D. Kozin
Vivek V. Kanumuri
Rosh K. Sethi
David H. Jung
Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
World Journal of Otorhinolaryngology-Head and Neck Surgery
title Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_full Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_fullStr Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_full_unstemmed Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_short Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_sort improvement in word recognition following treatment failure for sudden sensorineural hearing loss
url http://www.sciencedirect.com/science/article/pii/S2095881116300348
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