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Impact of prognostic factors on recovery from sudden hearing loss

Published online by Cambridge University Press:  23 January 2007

A Ceylan ,
F Çelenk ,
Y K Kemaloğlu ,
Y A Bayazıt ,
N Göksu  and
S Özbi˙len
A Ceylan*
Affiliation:
Department of Otolaryngology, Gazi University School of Medicine, Ankara, Turkey
F Çelenk
Affiliation:
Department of Otolaryngology, Gazi University School of Medicine, Ankara, Turkey
Y K Kemaloğlu
Affiliation:
Department of Otolaryngology, Gazi University School of Medicine, Ankara, Turkey
Y A Bayazıt
Affiliation:
Department of Otolaryngology, Gazi University School of Medicine, Ankara, Turkey
N Göksu
Affiliation:
Department of Otolaryngology, Gazi University School of Medicine, Ankara, Turkey
S Özbi˙len
Affiliation:
Department of Otolaryngology, Gazi University School of Medicine, Ankara, Turkey
*
Address for correspondence: Fatih Çelenk, Department of Otolaryngology, Gazi University School of Medicine, Besevler, Cankaya, 06500, Ankara, Turkey. Fax: +90 312 215 0815 E-mail: [email protected]
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Abstract

Objective:

To define the impact of patient-related and audiovestibular parameters on the prognosis of sudden hearing loss.

Methods:

Eighty-three patients were included in this retrospective study. All were treated medically. We recorded the patients' demographic parameters, systemic diseases, time elapsed between onset of sudden hearing loss and initiation of treatment, tinnitus, vestibular symptoms, type of initial audiogram, pure tone averages and speech discrimination scores. For all patients, audiological measurements were performed on initial admission and at the completion of treatment on the 10th day.

Results:

There was no correlation between the hearing gain and recovery rate scores and patients' gender or age (p>0.05). However, a correlation was found between gender and relative hearing gain. Vertigo was not correlated with hearing gain and recovery rate scores (p<0.05). However, relative hearing gain correlated negatively with the presence of vertigo (−r=0.05, 81 degrees of freedom, p=0.043). Patients with <40 dB hearing loss on admission showed a better relative hearing gain (r=0.55, 81 degrees of freedom, p=0.03). Relative hearing gain correlated positively with better pre-treatment speech discrimination scores (r=0.82, 81 degrees of freedom, p=0.009) and negatively with poorer pre-treatment pure tone averages (−r=0.082, 81 degrees of freedom, p=0.009). There was no correlation between the scores for hearing gain, relative hearing gain and recovery rate and: systemic diseases (p>0.05); time elapsed between onset of sudden hearing loss and initiation of treatment (p>0.05); type of audiogram on initial admission (p>0.05), except for midfrequency type of audiogram; and tinnitus (p>0.05).

Conclusions:

The outcome of sudden hearing loss was unaffected by systemic disease, tinnitus or type of audiogram (except for midfrequency type). The following were poor prognostic factors in the outcome of sudden hearing loss: female gender, presence of vertigo, initiation of treatment more than seven days after onset of hearing loss, and >40 dB hearing loss on admission.

Keywords

Sudden Hearing LossSensorineural DeafnessPrognosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 11 , November 2007 , pp. 1035 - 1040
Copyright
Copyright © JLO (1984) Limited 2007

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References

1Wilson, WR, Byl, FM, Laird, N. The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Arch Otolaryngol 1980;106:772–6CrossRefGoogle ScholarPubMed
2Byl, FM Jr.Sudden hearing loss: eight years experience and suggested prognostic table. Laryngoscope 1984;94:647–61CrossRefGoogle ScholarPubMed
3Ullrich, H, Kleinjung, T, Steffens, T, Jacob, P, Schmitz, G, Strutz, J. Improved treatment of sudden hearing loss by specific fibrinogen aphaeresis. J Clin Apher 2004;19:71–8CrossRefGoogle ScholarPubMed
4Mattox, DE, Simmons, FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977;86:463–80CrossRefGoogle ScholarPubMed
5Byl, FM. Seventy-six cases of presumed sudden hearing loss: prognosis and incidence. Laryngoscope 1977;87:817–25CrossRefGoogle ScholarPubMed
6Zadeh, MH, Storper, IS, Spitzer, JB. Diagnosis and treatment of sudden-onset sensorineural hearing loss: a study of 51 patients. Otolaryngol Head Neck Surg 2003;128: 92–8CrossRefGoogle ScholarPubMed
7Kanzaki, J, Inoue, Y, Ogawa, K, Fukuda, S, Fukushima, K, Gyo, K et al. Effect of single-drug treatment on idiopathic sudden sensorineural hearing loss. Auris Nasus Larynx 2003;30:123–7CrossRefGoogle ScholarPubMed
8Fetterman, BL, Saunders, JE, Luxford, WM. Prognosis and treatment of sudden hearing loss. Am J Otol 1996;17:529–36Google Scholar
9Linssen, O, Schultz-Coulon, HJ. Prognostic criteria in sudden deafness [in German]. HNO 1997;45:22–9Google ScholarPubMed
10Park, HM, Jung, SW, Rhee, CK. Vestibular diagnosis as prognostic indicator in sudden hearing loss with vertigo. Acta Otolaryngol Suppl 2001;545:80–3CrossRefGoogle ScholarPubMed
11Lalaki, P, Markou, K, Tsalighopoulos, MG, Daniilidis, I. Transiently evoked otoacoustic emissions as a prognostic indicator in idiopathic sudden hearing loss. Scand Audiol Suppl 2001;52:141–5CrossRefGoogle Scholar
12Ikeda, K, Kusukari, J, Kobayashi, T, Inamura, N, Shibuya, M, Takeyama, M et al. Pathophysiology and prognosis of sudden deafness with special reference to N1 latency. ORL J Otorhinolaryngol Relat Spec 1987;49:234–41CrossRefGoogle ScholarPubMed
13Saeki, N, Kitahara, M. Assessment of the prognosis in sudden deafness. Acta Otolaryngol Suppl (Stockh) 1994;510:56–61CrossRefGoogle ScholarPubMed
14Probst, R, Tschopp, K, Ludin, E, Kellerhals, B, Podvinec, M, Pfaltz, CR. A randomized, double blind, placebo-controlled study of dextran/pentoxifylline medication in acute acoustic trauma and sudden hearing loss. Acta Otolaryngol (Stockh) 1992;112:435–43CrossRefGoogle ScholarPubMed
15Yamamoto, M, Kanzaki, J, Ogawa, K, Inoue, Y, Ikeda, S. Hearing recovery and vestibular symptoms in patients with sudden deafness and profound hearing loss. Acta Otolaryngol Suppl (Stockh) 1994;514:41–4CrossRefGoogle ScholarPubMed
16Megighian, D, Bolzan, M, Barion, U, Nicolai, P. Epidemiological considerations in sudden hearing loss: a study of 183 cases. Arch Otorhinolaryngol 1986;243:250–3CrossRefGoogle ScholarPubMed
17Byl, FM. Seventy-six cases of presumed sudden hearing loss: prognosis and incidence. Laryngoscope 1977;87:817–25CrossRefGoogle ScholarPubMed
18Haug, O, Draper, WL, Hang, SA. Stellate ganglion blocks for idiopathic sensorineural hearing loss. Arch Otolaryngol 1976;102:5–8CrossRefGoogle ScholarPubMed
19Nishida, H, Kumagami, H, Dohi, K. Prognostic criteria of sudden deafness as deduced by electrocochleography. Arch Otolaryngol 1976;102:601–7CrossRefGoogle ScholarPubMed
20Laird, N, Wilson, WR. Predicting recovery from idiopathic sudden hearing loss. Am J Otolaryngol 1983;4:161–5CrossRefGoogle ScholarPubMed
21Friedrich, G, Wolf, G. Relevant prognostic factors in hearing loss [in German]. HNO 1984;32:74–80Google ScholarPubMed
22Chang, NC, Ho, KY, Kuo, WR. Audiometric patterns and prognosis in sudden sensorineural hearing loss in southern Taiwan. Otolaryngol Head Neck Surg. 2005;133:916–22CrossRefGoogle ScholarPubMed
23Hirano, K, Ikeda, K, Kawase, T, Oshima, T, Kekehata, S, Takahashi, S et al. Prognosis of sudden deafness with special reference to risk factors of microvascular pathology. Auris Nasus Larynx 1999;26:111–15CrossRefGoogle ScholarPubMed
24Kiris, M, Cankaya, H, Icli, M, Kutluhan, A. Retrospective analysis of our cases with sudden hearing loss. J Otolaryngol 2003;32:384–7CrossRefGoogle ScholarPubMed
25Shaia, FT, Sheehy, JL. Sudden sensorineural hearing impairment: A report of 1220 cases. Laryngoscope 1976;86:389–98CrossRefGoogle Scholar
26Roman, S, Aladio, P, Paris, J, Nicollas, R, Triglia, JM. Prognostic factors of sudden hearing loss in children. Int J Pediatr Otorhinolaryngol 2001;61:17–21CrossRefGoogle ScholarPubMed
27Kanzaki, J, Taiji, H, Ogawa, K. Evaluation of hearing recovery and efficacy of steroid treatment in sudden deafness. Acta Otolaryngol Suppl (Stockh) 1988;456:31–6CrossRefGoogle ScholarPubMed
28Moskowitz, D, Lee, KJ, Smith, HW. Steroid use in idiopathic sudden sensorineural hearing loss. Laryngoscope 1984;94:664–6CrossRefGoogle ScholarPubMed
29Grandis, JR, Hirsch, BE, Wagener, MM. Treatment of idiopathic sudden sensorineural hearing loss. Am J Otol 1993;14:183–5Google ScholarPubMed
30Cinamon, U, Bendet, E, Kronenberg, J. Steroids, carbogen or placebo for sudden hearing loss: a prospective double-blind study. Eur Arch Otorhinolaryngol 2001;258:477–80CrossRefGoogle ScholarPubMed
31Mamak, A, Yilmaz, S, Cansiz, H, Inci, E, Guclu, E, Derekoylu, L. A study of prognostic factors in sudden hearing loss. Ear Nose Throat J 2005;84:641–4CrossRefGoogle ScholarPubMed
32Ohinata, Y, Makimoto, K, Kawakami, M, Haginomori, S, Araki, M, Takahashi, H. Blood viscosity and plasma viscosity in patients with sudden deafness. Acta Otolaryngol 1994;114:601–7CrossRefGoogle ScholarPubMed
33Pruszewicz, A, Kruk-Zagajewska, A, Szyfter, W, Smolinska, K. Lipid levels in patients with sudden deafness of unknown aetiology. Audiology 1983;22:63–72CrossRefGoogle ScholarPubMed
34Weng, SF, Chen, YS, Hsu, CJ, Tseng, FY. Clinical features of sudden sensorineural hearing loss in diabetic patients. Laryngoscope 2005;115:1676–80CrossRefGoogle ScholarPubMed
35Ulrich, D, Aurbach, G, Drobik, C. A prospective study of hyperlipidemia as a pathogenic factor in sudden hearing loss. Eur Arch Otorhinolaryngol 1992;249:273–6CrossRefGoogle Scholar
36Murai, K, Tsuiki, T, Kusano, H, Shishido, K. Clinical study of audiograms in the initial stage and fixed stage of sudden deafness. Acta Otolaryngol Suppl (Stockh) 1994;514:17–20CrossRefGoogle ScholarPubMed
37Sano, H, Okamoto, M, Shitara, T, Hirayama, M. What kind of patients are suitable for evaluating the therapeutic effect of sudden deafness? Am J Otol 1998;19:579–83Google ScholarPubMed
38Schweinfurth, JM, Parnes, SM, Very, M. Current concepts in the diagnosis and treatment of sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol 1996;253:117–21CrossRefGoogle ScholarPubMed
39Hughes, GB, Freedman, MA, Haberkamp, TJ, Guay, ME. Sudden sensorineural hearing loss. Otolaryngol Clin North Am 1996;29:393–405CrossRefGoogle ScholarPubMed
40Huy, PT, Sauvaget, E. Idiopathic sudden sensorineural hearing loss is not an otologic emergency. Otol Neurotol 2005;26:896–902CrossRefGoogle Scholar
41Hallberg, OE. Sudden deafness of obscure origin. Laryngoscope 1956;66:1237–67CrossRefGoogle ScholarPubMed
42Wilkins, SA, Mattox, DE, Lyles, A. Evaluation of a shotgun regimen for sudden hearing loss. Otolaryngol Head Neck Surg 1987;97:474–80CrossRefGoogle ScholarPubMed
43Mattox, DE, Lyles, CA. Idiopathic sudden sensorineural hearing loss. Am J Otol 1989;10:242–7Google ScholarPubMed
44Shiraishi, T, Kubo, T, Okumura, S, Naramura, H, Nishimura, M, Okusa, M et al. Hearing recovery in sudden deafness patients using a modified defibrinogenation therapy. Acta Otolaryngol Suppl (Stockh) 1993;501:46–50CrossRefGoogle ScholarPubMed
45Noury, KA, Katsarkas, A. Sudden unilateral sensorineural hearing loss: a syndrome or a symptom. J Otolaryngol 1989;18:274–8Google ScholarPubMed
46Danino, J, Joachims, HZ, Eliachar, I, Podoshin, L, Ben-David, Y, Fradis, M. Tinnitus as a prognostic factor in sudden deafness. Am J Otolaryngol 1984;5:394–6CrossRefGoogle ScholarPubMed
47Schuknecht, HF, Donovan, ED. The pathology of idiopathic sudden sensorineural hearing loss. Arch Otorhinolaryngol 1986;243:1–15CrossRefGoogle ScholarPubMed
48Cole, RR, Jahrsdoerfer, RA. Sudden hearing loss: an update. Am J Otol 1988;9:211–15Google ScholarPubMed
49Russolo, M, Poli, P. Acute idiopathic auditory failure: prognosis. A review of 65 cases. Audiology 1980;19:422–33CrossRefGoogle ScholarPubMed
50Sheehy, JL. Vasodilator therapy in sensorineural hearing loss. Laryngoscope 1960;70:885–914CrossRefGoogle Scholar
51Kallinen, J, Laippala, P, Laurikainen, E, Grenman, R. Sudden deafness: a comparison of anticoagulant therapy and carbogen inhalation therapy. Ann Otol Rhinol Laryngol 1997;106:22–6CrossRefGoogle ScholarPubMed