Hearing Outcomes and Prognostic Factors in Idiopathic Sudden Sensorineural Hearing Loss Patients with Combined Intratympanic and Systemic Steroid Therapy

백민관; 조창현; 방유진; 오나래; 백민자; 이주형

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자료유형: 학술저널

저자정보: 백민관 조창현 방유진 오나래 백민자 이주형

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제5호

발행연도: 2018.1

수록면: 242 - 246 (5page)

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연구주제

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연구배경

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연구방법

🏆

연구결과

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Background and ObjectivesZZHearing outcomes and prognostic factors of idiopathic suddensensorineural hearing loss (SSNHL) were investigated in patients who underwent combinedintratympanic and systemic steroid therapy. Subjects and MethodZZThis study was performed by retrospective chart review. Clinicaloutcomes and prognostic factors were evaluated in 147 patients who received intratympanicsteroid plus systemic steroid therapy. ResultsZZComplete hearing recovery was achieved in 36.7% (n=54) of the patients, partialrecovery in 12.9% (n=19), slight recovery in 12.3% (n=18), and total recovery in 61.9% (n=91). Age was identified as an independent, negative prognostic factor for hearing recovery. The recoveryrates of the down sloping and profound types were poorer than those of the up slopingtype as determined by audiography. ConclusionZZThe results of this study suggest that the combined treatment of intratympanicand systemic steroids for idiopathic SSNHL results in high hearing recovery rates, and that thedown-sloping and profound types of audiogram patterns and age are negative prognostic factors.

참고문헌 (16)

참고문헌 신청

Wilson WR / 1980 / The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study / Arch Otolaryngol 106(12):772~776

Conlin AE / 2007 / Treatment of sudden sensorineural hearing loss: I. A systematic review / Arch Otolaryngol Head Neck Surg 133(6):573~581

Nagaoka J / 2010 / Idiopathic sudden sensorineural hearing loss: evolution in the presence of hypertension, diabetes mellitus and dyslipidemias / Braz J Otorhinolaryngol 76(3):363~369

Seggas I / 2011 / Intratympanic steroid therapy for sudden hearing loss: a review of the literature / Otol Neurotol 32(1):29~35

Cho CH / 2005 / Analysis of prognostic factors in patients with sudden sensorineural hearing loss / J Clinical Otolaryngol 16(4):89~95

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