Display options
Cite
Chang J, Yum G, Im HY, et al. Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality. J Audiol Otol. 2016;20(1):47-52doi: 10.7874/jao.2016.20.1.47.
Chang, J., Yum, G., Im, H. Y., Jung, J. Y., Rah, Y. C., & Choi, J. (2016). Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality. Journal of audiology & otology, 20(1), 47-52. https://doi.org/10.7874/jao.2016.20.1.47
Chang, Jinkyung, et al. "Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality." Journal of audiology & otology vol. 20,1 (2016): 47-52. doi: https://doi.org/10.7874/jao.2016.20.1.47
Chang J, Yum G, Im HY, Jung JY, Rah YC, Choi J. Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality. J Audiol Otol. 2016 Apr;20(1):47-52. doi: 10.7874/jao.2016.20.1.47. Epub 2016 Apr 21. PMID: 27144234; PMCID: PMC4853891.
Copy Download .nbib Format: NLM
Share it on

J Audiol Otol. 2016 Apr;20(1):47-52. doi: 10.7874/jao.2016.20.1.47. Epub 2016 Apr 21.

Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality.

Journal of audiology & otology

Jinkyung Chang, Gunhwee Yum, Ha-Young Im, Jong Yoon Jung, Yoon Chan Rah, June Choi

Affiliations

  1. The Graduate School, Korea University College of Medicine, Seoul, Korea.
  2. Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Ansan, Korea.

PMID: 27144234 PMCID: PMC4853891 DOI: 10.7874/jao.2016.20.1.47

Abstract

BACKGROUND AND OBJECTIVES: We compared improvements in hearing thresholds in acute low-tone sensorineural hearing loss (ALHL) patients after two different treatments: steroid alone and steroid and diuretic combined. We analyzed how the duration between the onset of symptoms and the initiation of treatment affected hearing loss improvement and investigated the relation between presence of vertigo in ALHL patients and ALHL progression to Ménière's disease (MD).

SUBJECTS AND METHODS: We retrospectively analyzed the medical records of 47 ALHL patients aged 21 to 76 years. Patients received either orally administered steroid alone (n=12) or steroid and diuretic combined (n=35). We compared improvements in the two groups' hearing thresholds at three lower frequencies (125, 250, and 500 Hz) after participants had received one month of each respective treatment.

RESULTS: Our two treatments did not show any statistical difference in hearing loss improvement after one month. Forty percent of ALHL patients with vertigo developed MD, which was a significantly higher rate than the 12.5% of ALHL patients without vertigo who developed MD. The shorter duration between the onset of symptoms and the initiation of treatment significantly increased improvement in the sum of lower frequency hearing threshold after one month.

CONCLUSIONS: The current study suggests that steroid and diuretic administered together and steroid alone similarly improve the hearing threshold in ALHL patients after one month. We concluded that patients should initiate ALHL treatment as soon as they experience symptoms. ALHL patients should also be notified of their higher risk of developing MD.

Keywords: Acute low-tone sensorineural hearing loss; Combination; Diuretic; Steroid

References

  1. Ann Otol Rhinol Laryngol. 1979 Sep-Oct;88(5 Pt 1):585-9 - PubMed
  2. J Audiol Otol. 2015 Sep;19(2):74-8 - PubMed
  3. Eur Arch Otorhinolaryngol. 1993;250(7):418-22 - PubMed
  4. Arch Otolaryngol Head Neck Surg. 1994 May;120(5):532-5 - PubMed
  5. Ann Otol Rhinol Laryngol. 2002 Feb;111(2):160-4 - PubMed
  6. Acta Otolaryngol. 2003 Jan;123(1):26-31 - PubMed
  7. Otol Neurotol. 2005 Jan;26(1):74-81 - PubMed
  8. Acta Otolaryngol Suppl. 1993;504:79-81 - PubMed
  9. ORL J Otorhinolaryngol Relat Spec. 2006;68(3):170-6 - PubMed
  10. Ear Hear. 2013 Mar-Apr;34(2):229-35 - PubMed
  11. Acta Otolaryngol Suppl. 1993;504:51-4 - PubMed
  12. Acta Otolaryngol. 2010 May;130(5):559-64 - PubMed
  13. ORL J Otorhinolaryngol Relat Spec. 2010;72(6):295-9 - PubMed
  14. ORL J Otorhinolaryngol Relat Spec. 1995 May-Jun;57(3):135-40 - PubMed
  15. Ann Otol Rhinol Laryngol. 1997 Sep;106(9):746-50 - PubMed
  16. ORL J Otorhinolaryngol Relat Spec. 2002 Jan-Feb;64(1):6-10 - PubMed
  17. Otol Neurotol. 2013 Sep;34(7):1210-4 - PubMed

Publication Types