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Hyperbaric oxygen therapy for sudden sensorineural hearing loss in divers

Published online by Cambridge University Press:  17 October 2016

A W Van Der Wal ,
P J A M Van Ooij  and
J A De Ru
A W Van Der Wal*
Affiliation:
Diving Medical Center, Royal Netherlands Navy, Den Helder, The Netherlands
P J A M Van Ooij
Affiliation:
Diving Medical Center, Royal Netherlands Navy, Den Helder, The Netherlands
J A De Ru
Affiliation:
Department of Otorhinolaryngology, Central Military Hospital, Utrecht, The Netherlands
*
Address for correspondence: Dr A W van der Wal, Diving Medical Center, Royal Netherlands Navy, Postbus 10000, 1780 CA Den Helder, The Netherlands E-mail: [email protected]
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Abstract

Objective:

Sudden sensorineural hearing loss in divers may be caused by either inner-ear barotrauma or inner-ear decompression sickness. There is no consensus on the best treatment option. This study aimed to evaluate the therapeutic value of hyperbaric oxygen therapy for sudden sensorineural hearing loss in divers.

Method:

A literature review and three cases of divers with sudden sensorineural hearing loss treated with hyperbaric oxygen therapy are presented.

Results:

Hyperbaric oxygen therapy resulted in hearing improvement in 80 per cent of patients: 39 per cent had hearing improvement and 41 per cent had full recovery.

Conclusion:

Hyperbaric oxygen therapy improved hearing in divers with sudden sensorineural hearing loss.

Keywords

Hearing Loss, SuddenHearing Loss, SensorineuralHyperbaric Oxygenation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 11 , November 2016 , pp. 1039 - 1047
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Rauch, SD. Clinical practice. Idiopathic sudden sensorineural hearing loss. N Engl J Med 2008;359:833–40CrossRefGoogle ScholarPubMed
2 Bennett, M, Kertesz, T, Yeung, P. Hyperbaric oxygen therapy for idiopathic sudden sensorineural hearing loss and tinnitus: a systematic review of randomized controlled trials. J Laryngol Otol 2005;119:791–8CrossRefGoogle ScholarPubMed
3 Stachler, RJ, Chandrasekhar, SS, Archer, SM, Rosenfeld, RM, Schwartz, SR, Barrs, DM. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012;146:S1–35 CrossRefGoogle ScholarPubMed
4 Byl, FM. Seventy-six cases of presumed sudden hearing loss occurring in 1973: prognosis and incidence. Laryngoscope 1977;87:817–25CrossRefGoogle ScholarPubMed
5 Muzzi, E, Zennaro, B, Visentin, R, Soldano, F, Sacilotto, C. Hyperbaric oxygen therapy as salvage treatment for sudden sensorineural hearing loss: review of rationale and preliminary report. J Laryngol Otol 2009;124:e2 Google ScholarPubMed
6 Farmer, JC. Inner ear injuries in diving – differential diagnosis of inner ear decompression sickness and inner ear barotrauma. In: Bachrach, AJ, Matzen, MM, eds. Underwater Physiology VII: Proceedings of the Seventh Symposium on Underwater Physiology. Bethesda: Undersea Medical Society, 1981;805–10Google Scholar
7 Klingmann, C. Inner ear decompression sickness in compressed-air diving. Undersea Hyperb Med 2012;39:589–94Google ScholarPubMed
8 Goodhill, V. Sudden deafness and round window rupture. Laryngoscope 1971;81:1462–74CrossRefGoogle ScholarPubMed
9 Elliott, EJ, Smart, DR. The assessment and management of inner ear barotrauma in divers and recommendations for returning to diving. Diving Hyperb Med 2014;44:208–22Google ScholarPubMed
10 Boyle, R. A Defence of the Doctrine Touching the Spring and Weight of the Air. London: Thomas Robinson, 1662 Google Scholar
11 Shupak, A, Doweck, I, Greenberg, E, Gordon, CR, Spitzer, O, Melamed, Y. Diving-related inner ear injuries. Laryngoscope 1991;101:173–9CrossRefGoogle ScholarPubMed
12 Brubakk, AO, Neuman, TS. Physiology and Medicine of Diving, 5th edn. Edinburgh: Saunders, 2003 Google Scholar
13 Sheridan, MF, Hetherington, HH, Hull, JJ. Inner ear barotrauma from scuba diving. Ear Nose Throat J 1999;78:181–4, 186, 187, 191, 194, 195CrossRefGoogle ScholarPubMed
14 Parell, GJ, Becker, GD. Conservative management of inner ear barotrauma resulting from scuba diving. Otolaryngol Head Neck Surg 1985;93:393–7CrossRefGoogle ScholarPubMed
15 Shupak, A. Recurrent diving-related inner ear barotrauma. Otol Neurotol 2006;27:1193–6CrossRefGoogle ScholarPubMed
16 Edmonds, C, Bennett, M, Lippmann, J, Mitchell, SJ. Diving and Subaquatic Medicine, 5th edn. Boca Raton: CRC Press, 2016 Google Scholar
17 Mitchell, SJ, Doolette, DJ. Selective vulnerability of the inner ear to decompression sickness in divers with right-to-left shunt: the role of tissue gas supersaturation. J Appl Physiol 2009;106:298–301 CrossRefGoogle ScholarPubMed
18 Ignatescu, M, Bryson, P, Klingmann, C. Susceptibility of the inner ear structure to shunt-related decompression sickness. Aviat Space Environ Med 2012;83:1145–51CrossRefGoogle ScholarPubMed
19 Mitchell, SJ, Doolette, DJ. Pathophysiology of inner ear decompression sickness: potential role of the persistent foramen ovale. Diving Hyperb Med 2015;45:105–10Google ScholarPubMed
20 Talmi, YP, Finkelstein, Y, Zohar, Y. Decompression sickness induced hearing loss. Scand Audiol 1991;20:25–8CrossRefGoogle ScholarPubMed
21 Henry, W. Experiments on the quantity of gases absorbed by water, at different temperatures, and under different pressures. Philos Trans R Soc Lond 1803;93:29–42, 274–76Google Scholar
22 Gempp, E, Louge, P. Inner ear decompression sickness in scuba divers: a review of 115 cases. Eur Arch Otorhinolaryngol 2013;270:1831–7CrossRefGoogle Scholar
23 Klingmann, C, Praetorius, M, Baumann, I, Plinkert, PK. Barotrauma and decompression illness of the inner ear: 46 cases during treatment and follow-up. Otol Neurotol 2007;28:447–54CrossRefGoogle ScholarPubMed
24 Edmonds, C. Diving and inner ear damage. SPUMS J 2004;34:2–4 Google Scholar
25 Agarwal, L, Pothier, DD. Vasodilators and vasoactive substances for idiopathic sudden sensorineural hearing loss. Cochrane Database Syst Rev 2009;(4):CD003422CrossRefGoogle ScholarPubMed
26 Wei, BPC, Statopoulos, D, O'Leary, S. Steroids for idiopathic sudden sensorineural hearing loss. The Cochrane Database of Systemic Reviews 2013;(7):CD003998CrossRefGoogle ScholarPubMed
27 Awad, Z, Huins, C, Pothier, DD. Antivirals for idiopathic sudden sensorineural hearing loss. Cochrane Database Syst Rev 2012;(8):CD006987CrossRefGoogle ScholarPubMed
28 Aslan, I, Oysu, C, Veyseller, B, Baserer, N. Does the addition of hyperbaric oxygen therapy to the conventional treatment modalities influence the outcome of sudden deafness? Otolaryngol Head Neck Surg 2002;126:121–6CrossRefGoogle Scholar
29 Brink, GJ. Disease of the inner ear as diving accident [in Dutch]. Nederl Milit Geneesk T 1974;27:197–202 Google Scholar
30 Edmonds, C, Freeman, P, Tonkin, J. Fistula of the round window in diving. Trans Am Acad Ophthalmol Otolaryngol 1974;78:444–7Google Scholar
31 Farmer, JC, Thomas, WG, Youngblood, DG, Bennett, PB. Inner ear decompression sickness. Laryngoscope 1976;86:1315–27CrossRefGoogle ScholarPubMed
32 Nachum, Z, Shupak, A, Spitzer, O, Sharoni, Z, Doweck, I, Gordon, CR. Inner ear decompression sickness in sport compressed-air diving. Laryngoscope 2001;111:851–6CrossRefGoogle ScholarPubMed
33 Klingmann, C, Benton, PJ, Ringleb, PA, Knauth, M. Embolic inner ear decompression illness: correlation with a right-to-left shunt. Laryngoscope 2003;113:1356–61CrossRefGoogle ScholarPubMed
34 Leverment, J, Wolfers, D, Kertesz, T. Isolated inner ear decompression illness following a nitrogen/oxygen dive: the difficulty in differentiating inner ear decompression illness and inner ear barotrauma. SPUMS J 2003;33:2–5 Google Scholar
35 Shupak, A, Gil, A, Nachum, Z, Miller, S, Gordon, CR, Tal, D. Inner ear decompression sickness and inner ear barotrauma in recreational divers: a long-term follow-up. Laryngoscope 2003;113:2141–7CrossRefGoogle ScholarPubMed
36 Wong, R, Walker, M. Diagnostic dilemmas in inner ear decompression sickness. SPUMS J 2004;34:5–10 Google Scholar
37 Smerz, RW. A descriptive epidemiological analysis of isolated inner ear decompression illness in recreational divers in Hawaii. Diving Hyperb Med 2007;37:2–9 Google Scholar
38 Mattox, DE, Simmons, FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977;86:463–80CrossRefGoogle ScholarPubMed
39 Bennett, MH, Kertesz, T, Perleth, M, Yeung, P, Lehm, JP. Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus. Cochrane Database Syst Rev 2012;(10):CD004739CrossRefGoogle ScholarPubMed
40 Çekin, E, Cincik, H, Ulubil, SA, Gungor, A. Effectiveness of hyperbaric oxygen therapy in management of sudden hearing loss. J Laryngol Otol 2009;123:609–12CrossRefGoogle ScholarPubMed
41 Satar, B, Hidir, Y, Yetiser, S. Effectiveness of hyperbaric oxygen therapy in idiopathic sudden hearing loss. J Laryngol Otol 2006;120:665–9CrossRefGoogle ScholarPubMed
42 Kestler, M, Strutz, J, Heiden, C. Hyperbaric oxygenation in early treatment of sudden deafness. HNO 2001;49:719–23CrossRefGoogle ScholarPubMed
43 Weaver, L, ed. Hyperbaric Oxygen Therapy Indications, 13th edn. The Undersea and Hyperbaric Medical Society. North Palm Beach: Best Publishing Company, 2014 Google Scholar
44 Fattori, B, Berrettine, S, Casani, A, Nacci, A, De Vito, A, De Iaco, G. Sudden hypoacusis treated with hyperbaric oxygen therapy. Ear Nose Throat J 2001;80:655–60CrossRefGoogle ScholarPubMed
45 Freeman, P, Edmonds, C. Inner ear barotrauma. Arch Otolaryngol 1972;95:556–63CrossRefGoogle ScholarPubMed