Prognostic Factors for Recovery from Sudden Sensorineural Hearing Loss: A Retrospective Study

강우석; 양찬주; 심명주; 송찬일; 강우석; 임현우; 안중호; 박홍주; 정종우

추천

검색

자료유형: 학술저널

저자정보: 강우석 (울산대학교) 양찬주 (울산대학교) 심명주 (한림병원) 송찬일 (제주대학교) 강우석 (울산대학교) 임현우 (울산대학교) 안중호 (울산대학교) 박홍주 (울산대학교) 정종우 (울산대학교)

저널정보: 대한청각학회 Journal of Audiology & Otology Journal of Audiology & Otology Vol.21 No.1

발행연도: 2017.1

수록면: 9 - 15 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives: This study aimed to investigate prognostic factors in patients with idiopathic sudden sensorineural hearing loss (ISSNHL). Subjects and Methods: From January 2007 to December 2011, a retrospective chart review identified 494 consecutive patients with ISSNHL. Demographic, audiometric, and clinical data were analyzed using a logistic regression test. Results: Hearing recovery from ISSNHL was significantly associated with factors such as age, duration from onset of symptoms to commencement of treatment, severity of the initial pure tone threshold, and the treatment method. Intratympanic (IT) steroid administration alone showed a comparable efficiency to oral steroid administration with or without IT steroid injection. In patients who received IT steroid injection, the duration from onset to treatment, severity of initial hearing loss, and sequential IT steroid injection following systemic steroid administration were statistically associated with hearing improvement. Conclusions: Age, severity of initial pure tone threshold, duration from onset to treatment, initial speech discrimination, and initial pure tone threshold are statistically significant prognostic factors related to hearing improvement in ISSNHL. IT steroid injection as an initial single treatment is comparable to systemic oral steroid administration.

참고문헌 (32)

참고문헌 신청

강우석 / 2011 / 돌발성 난청의 치료 원칙 / 대한이비인후과학회지 두경부외과학 54(10):675~682

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

Ahn JH / 2008 / Can intratympanic dexamethasone added to systemic steroids improve hearing outcome in patients with sudden deafness? / Laryngoscope 118:279~282

Byl FM Jr / 1984 / Sudden hearing loss: eight years’ experience and suggested prognostic table / Laryngoscope 94:647~661

Mattox DE / 1977 / Natural history of sudden sensorineural hearing loss / Ann Otol Rhinol Laryngol 86:463~480

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

Kang Woo Seok

소속기관 Department of Otorhinolaryngology-Head & Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea