A Clinical Analysis of Sudden Sensorineural Hearing Loss Cases

이현수; 이유재; 강보성; 이병돈; 이지성

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자료유형: 학술저널

저자정보: 이현수 이유재 강보성 이병돈 이지성

저널정보: 대한청각학회 Journal of Audiology & Otology Journal of Audiology & Otology Vol.18 No.2

발행연도: 2014.1

수록면: 69 - 75 (7page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives: High-dose systemic steroid therapy is the mainstay treatment for sudden sensorineural hearing loss (SSNHL). Recovery rates from SSNHL range are about 47-63% and are influenced by various prognostic factors. To evaluate the prognostic value of specific clinical parameters, we reviewed 289 cases by clinical and statistical analysis. Subjects and Methods: This study included 289 patients with SSNHL who visited the Department of Otolaryngology at Soonchunhyang University Hospital from January 2005 to December 2012. The cases were reviewed retrospectively based on clinical charts. Hearing improvement was evaluated in relation to pure-tone audiogram results, duration between SSNHL onset and time of initial treatment, seasonal incidence, dizziness, patient age, degree of hearing loss, patterns of initial pure-tone audiogram and presence of underlying disease. Results: Hearing improvement was observed in 196 of 289 (67.8%) patients; such improvement began within 7 days in most patients, followed by rapid hearing recovery. Cases that failed to show improvement within 14 days were unlikely to achieve hearing recovery. The more severe the hearing loss during the early stage, the lower the hearing recovery rates. Patients aged less than 60 years appear to have better prognosis of hearing improvement compared to those who are over 60 years. Conclusions: Important prognostic factors for recovery in patients with SSNHL include the time of initiating treatment after symptom onset, the degree of early-stage hearing loss, and the age of the affected patient.

#Prognostic factor #Sudden sensorineural hearing loss

참고문헌 (19)

참고문헌 신청

Byl FM Jr. / 1984 / Sudden hearing loss: eight years’ experience and suggested prognostic table / Laryngoscope 94(5 Pt 1):647~661

Haberkamp TJ. / 1999 / Management of idiopathic sudden sensorineural hearing loss / Am J Otol 20:587~592

Shaia FT. / 1976 / Sudden sensori-neural hearing impairment : a report of 1, 220 cases / Laryngoscope 86:389~398

Kye Hoon Park / 2012 / Combination Therapy with Systemic Steroids, an Antiviral Agent, Anticoagulants, and Stellate Ganglion Block for Treatment of Sudden Sensorineural Hearing Loss / Journal of Audiology & Otology 16(2):71~74

Choung YH. / 2003 / The Comparison of Hearing Recovery of Sudden Deafness Treated with Different Protocols / Korean J Audiol 7:24~31