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Predictors of hearing recovery in patients with severe sudden sensorineural hearing loss.

Abstract

BACKGROUND

Sudden sensorineural hearing loss (SSHL) is a disease, which severely affects the patient's social and relational life. The underlying pathomechanisms have not been finally clarified yet and outcome is not predictable.

METHODS

We conducted a retrospective study in order to identify parameters that influence hearing recovery. The data base contains results of basic otoneurological tests and clinical parameters of 198 patients with idiopathic SSHL of at least 60 dB in at least four frequencies, diagnosed and treated at the University Hospital of Münster, Germany, between 1999 and 2015. Hearing recovery was measured by pure tone audiometry.

RESULTS

Multivariate linear and logistic regression analyses indicate that the chance as well as the magnitude of hearing recovery is higher for patients with normal caloric testing than for patients with pathological caloric testing. However, for the subgroup of patients who attained a hearing recovery, the caloric testing result was not found to influence the magnitude. Instead, the magnitude was noticeably lower for patients within this subgroup who had a previous hearing loss. Furthermore, we found indications that the magnitude is higher for men than for women and that receiving a high-dose steroid therapy is associated with a higher chance and magnitude of a hearing recovery.

CONCLUSIONS

We conclude that SSHL associated with disorders of the vestibular system or previous hearing loss represent special sub-entities of SSHL that may be caused by unique pathophysiological mechanisms and are associated with worse outcome. Furthermore, our data support the importance of elevated dosage of steroids in SSHL therapy.

Authors+Show Affiliations

Department of Otorhinolaryngology, Head and Neck Surgery, University of Münster, Kardinal-von-Galen-Ring 10, Münster, 48149, Germany. daniel.weiss@ukmuenster.de.Department of Otorhinolaryngology, Head and Neck Surgery, University of Münster, Kardinal-von-Galen-Ring 10, Münster, 48149, Germany.Practice for Otorhinolaryngology, Head and Neck Surgery, Meckenemstrasse 26, Bocholt, 46395, Germany.Department of Otorhinolaryngology, Head and Neck Surgery, University of Münster, Kardinal-von-Galen-Ring 10, Münster, 48149, Germany.Institute of Biostatistics and Clinical Research, University of Münster, Schmeddingstrasse 56, Münster, 48149, Germany.Department of Otorhinolaryngology, Head and Neck Surgery, University of Münster, Kardinal-von-Galen-Ring 10, Münster, 48149, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28376930

Citation

Weiss, Daniel, et al. "Predictors of Hearing Recovery in Patients With Severe Sudden Sensorineural Hearing Loss." Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, vol. 46, no. 1, 2017, p. 27.
Weiss D, Böcker AJ, Koopmann M, et al. Predictors of hearing recovery in patients with severe sudden sensorineural hearing loss. J Otolaryngol Head Neck Surg. 2017;46(1):27.
Weiss, D., Böcker, A. J., Koopmann, M., Savvas, E., Borowski, M., & Rudack, C. (2017). Predictors of hearing recovery in patients with severe sudden sensorineural hearing loss. Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, 46(1), p. 27. doi:10.1186/s40463-017-0207-1.
Weiss D, et al. Predictors of Hearing Recovery in Patients With Severe Sudden Sensorineural Hearing Loss. J Otolaryngol Head Neck Surg. 2017 Apr 4;46(1):27. PubMed PMID: 28376930.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of hearing recovery in patients with severe sudden sensorineural hearing loss. AU - Weiss,Daniel, AU - Böcker,Armin Julius, AU - Koopmann,Mario, AU - Savvas,Eleftherios, AU - Borowski,Matthias, AU - Rudack,Claudia, Y1 - 2017/04/04/ PY - 2016/12/20/received PY - 2017/03/27/accepted PY - 2017/4/6/entrez PY - 2017/4/6/pubmed PY - 2018/1/10/medline KW - Prognosis KW - Risk factors KW - Sensorineural hearing loss SP - 27 EP - 27 JF - Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale JO - J Otolaryngol Head Neck Surg VL - 46 IS - 1 N2 - BACKGROUND: Sudden sensorineural hearing loss (SSHL) is a disease, which severely affects the patient's social and relational life. The underlying pathomechanisms have not been finally clarified yet and outcome is not predictable. METHODS: We conducted a retrospective study in order to identify parameters that influence hearing recovery. The data base contains results of basic otoneurological tests and clinical parameters of 198 patients with idiopathic SSHL of at least 60 dB in at least four frequencies, diagnosed and treated at the University Hospital of Münster, Germany, between 1999 and 2015. Hearing recovery was measured by pure tone audiometry. RESULTS: Multivariate linear and logistic regression analyses indicate that the chance as well as the magnitude of hearing recovery is higher for patients with normal caloric testing than for patients with pathological caloric testing. However, for the subgroup of patients who attained a hearing recovery, the caloric testing result was not found to influence the magnitude. Instead, the magnitude was noticeably lower for patients within this subgroup who had a previous hearing loss. Furthermore, we found indications that the magnitude is higher for men than for women and that receiving a high-dose steroid therapy is associated with a higher chance and magnitude of a hearing recovery. CONCLUSIONS: We conclude that SSHL associated with disorders of the vestibular system or previous hearing loss represent special sub-entities of SSHL that may be caused by unique pathophysiological mechanisms and are associated with worse outcome. Furthermore, our data support the importance of elevated dosage of steroids in SSHL therapy. SN - 1916-0216 UR - https://www.unboundmedicine.com/medline/citation/28376930/Predictors_of_hearing_recovery_in_patients_with_severe_sudden_sensorineural_hearing_loss_ L2 - https://journalotohns.biomedcentral.com/articles/10.1186/s40463-017-0207-1 DB - PRIME DP - Unbound Medicine ER -