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Analysis of the relationship between changes in the auditory brainstem response and prognosis in patients with sudden hearing loss

Published online by Cambridge University Press:  03 December 2019

J Bang
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
H Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
H Choi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
D Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
Y Kim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
D-K Kim*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
*
Author for correspondence: Associate Professor Dong-Kee Kim, Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daeheung-dong, Jung-gu, Daejeon, Korea E-mail: [email protected] Fax: +82 42 221 9580

Abstract

Objective

To analyse how the auditory brainstem response changes in patients with sudden sensorineural hearing loss.

Method

Data were collected via retrospective medical chart review.

Results

Forty-three patients were included in this study. The mean latency of auditory brainstem response wave 1 was significantly longer for the affected side than for the unaffected side (p = 0.003). The mean latency of auditory brainstem response wave 1 was significantly shorter, and the mean amplitude of auditory brainstem response wave 1 was significantly larger, in the good response group compared to the poor response group. In forward conditional logistic regression analysis, auditory brainstem response wave 1 latency was an independent predictor of a good response (odds ratio = 34.37, 95 per cent confidence interval = 1.56–757.15, p = 0.025).

Conclusion

In patients with sudden sensorineural hearing loss, the latency of wave 1 of the auditory brainstem response was significantly increased and was related to prognosis.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2019

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Footnotes

Associate Professor D-K Kim takes responsibility for the integrity of the content of the paper

References

1Byl, FM Jr. Sudden hearing loss: eight years' experience and suggested prognostic table. Laryngoscope 1984;94:647–61CrossRefGoogle ScholarPubMed
2Mattox, DE, Lyles, CA.Idiopathic sudden sensorineural hearing loss. Am J Otol 1989;10:242–7Google ScholarPubMed
3Flint, PW, Cummings, CW.Cummings Otolaryngology: Head & Neck Surgery, 5th edn. Philadelphia: Mosby/Elsevier, 2010Google Scholar
4Park, H, Lee, Y, Park, M, Kim, J, Na, B, Shin, J.Short-term changes of hearing and distortion product otoacoustic emissions in sudden sensorineural hearing loss. Otol Neurotol 2010;31:862–6CrossRefGoogle ScholarPubMed
5Hoth, S.On a possible prognostic value of otoacoustic emissions: a study on patients with sudden hearing loss. Eur Arch Otorhinolaryngol 2005;262:217–24CrossRefGoogle Scholar
6Yoshida, T, Sone, M, Kitoh, R, Nishio, SY, Ogawa, K, Kanzaki, S et al. Idiopathic sudden sensorineural hearing loss and acute low-tone sensorineural hearing loss: a comparison of the results of a nationwide epidemiological survey in Japan. Acta Otolaryngol 2017;137:S3843CrossRefGoogle Scholar
7Davis, H.Principles of electric response audiometry. Ann Otol Rhinol Laryngol Suppl 1976;85:196Google ScholarPubMed
8Conlin, AE, Parnes, LS.Treatment of sudden sensorineural hearing loss: II. A meta-analysis. Arch Otolaryngol Head Neck Surg 2007;133:582–6CrossRefGoogle ScholarPubMed
9Mattox, DE, Simmons, FB.Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977;86:463–80CrossRefGoogle ScholarPubMed
10Stachler, RJ, Chandrasekhar, SS, Archer, SM, Rosenfeld, RM, Schwartz, SR, Barrs, DM et al. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012;146:S135CrossRefGoogle ScholarPubMed
11Fetterman, BL, Saunders, JE, Luxford, WM.Prognosis and treatment of sudden sensorineural hearing loss. Am J Otol 1996;17:529–36Google ScholarPubMed
12Haynes, DS, O'Malley, M, Cohen, S, Watford, K, Labadie, RF.Intratympanic dexamethasone for sudden sensorineural hearing loss after failure of systemic therapy. Laryngoscope 2007;117:315CrossRefGoogle ScholarPubMed
13Lin, HC, Chou, YC, Wang, CH, Hung, LW, Shih, CP, Kang, BH et al. Correlation between auditory brainstem response and hearing prognosis in idiopathic sudden sensorineural hearing loss patients. Auris Nasus Larynx 2017;44:678–84CrossRefGoogle ScholarPubMed
14Wang, CT, Huang, TW, Kuo, SW, Cheng, PW.Correlation between audiovestibular function tests and hearing outcomes in severe to profound sudden sensorineural hearing loss. Ear Hear 2009;30:110–14CrossRefGoogle ScholarPubMed
15Zarandy, MM, Ashtiani, MT, Bastaninejad, S, Satri, SD, Nasirmohtaram, S, Ebrahimi, NA.Prognosticating hearing outcome in patients with idiopathic sudden sensorineural hearing loss by means of otoacoustic emissions and auditory brainstem response. Ear Nose Throat J 2017;96:E15Google ScholarPubMed
16Vasama, JP, Linthicum, FH Jr.Idiopathic sudden sensorineural hearing loss: temporal bone histopathologic study. Ann Otol Rhinol Laryngol 2000;109:527–32CrossRefGoogle ScholarPubMed
17Merchant, SN, Adams, JC, Nadol, JB Jr.Pathology and pathophysiology of idiopathic sudden sensorineural hearing loss. Otol Neurotol 2005;26:151–60CrossRefGoogle ScholarPubMed