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

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 tre...

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Autores principales: Chang, Jinkyung, Yum, Gunhwee, Im, Ha-Young, Jung, Jong Yoon, Rah, Yoon Chan, Choi, June
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Audiological Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853891/
https://www.ncbi.nlm.nih.gov/pubmed/27144234
http://dx.doi.org/10.7874/jao.2016.20.1.47
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author Chang, Jinkyung
Yum, Gunhwee
Im, Ha-Young
Jung, Jong Yoon
Rah, Yoon Chan
Choi, June
author_facet Chang, Jinkyung
Yum, Gunhwee
Im, Ha-Young
Jung, Jong Yoon
Rah, Yoon Chan
Choi, June
author_sort Chang, Jinkyung
collection PubMed
description 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.
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spelling pubmed-48538912016-05-03 Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality Chang, Jinkyung Yum, Gunhwee Im, Ha-Young Jung, Jong Yoon Rah, Yoon Chan Choi, June J Audiol Otol Original Article 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. The Korean Audiological Society 2016-04 2016-04-21 /pmc/articles/PMC4853891/ /pubmed/27144234 http://dx.doi.org/10.7874/jao.2016.20.1.47 Text en Copyright © 2016 The Korean Audiological Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Chang, Jinkyung
Yum, Gunhwee
Im, Ha-Young
Jung, Jong Yoon
Rah, Yoon Chan
Choi, June
Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality
title Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality
title_full Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality
title_fullStr Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality
title_full_unstemmed Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality
title_short Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality
title_sort short-term outcomes of acute low-tone sensorineural hearing loss according to treatment modality
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853891/
https://www.ncbi.nlm.nih.gov/pubmed/27144234
http://dx.doi.org/10.7874/jao.2016.20.1.47
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