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J Otol. 2019 Jun;14(2):67-72. doi: 10.1016/j.joto.2019.04.003. Epub 2019 May 16.

Sudden sensorineural hearing loss (SSHL) following a local anesthetic dental procedure.

Journal of otology

Yi Wang, Jun-Kai Cao, Hui-Xin Yang, Jin Feng, Qi-You Zhou, Fei Ji

Affiliations

  1. Department of Stomotology, General Hospital of the PLA, Beijing, 100853, China.
  2. Department of Otolaryngology, General Hospital of the PLA, Beijing, 100853, China.
  3. Key Laboratory of Hearing Impairment Science (Chinese PLA Medical School), Ministry of Education, Beijing, 100853, China.
  4. Beijing Key Laboratory of Hearing Impairment Prevention and Treatment, Laboratory of Military Acoustic Trauma Protection, Beijing, 100853, China.

PMID: 31223304 PMCID: PMC6570642 DOI: 10.1016/j.joto.2019.04.003

Abstract

Acute sensorineural hearing loss is an uncommon phenomenon in dentistry. We describe the case of a 79-year-old male who presented with acute sensorineural hearing loss occurring 2 days after a tooth extraction procedure under local anesthesia. Possible mechanisms are discussed. He was treated with vasodilators (Ginaton and Alprostadil Injection) and Mecobalamin injection with benefit. High dose oral steroids (1 mg/kg) and low molecular weight dextran were used.

Keywords: Acute hearing loss; Dental procedure; Sudden sensorineural hearing loss

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