Clin Exp Otorhinolaryngol.  2012 Apr;5(Suppl 1):S99-S102.

Hyperbaric Oxygen Therapy for Sudden Sensorineural Hearing Loss after Failure from Oral and Intratympanic Corticosteroid

Affiliations
  • 1Department of Ophthalmology and Otorhinolaryngology, Burapha University Faculty of Medicine, Chon Buri, Thailand. drthanarath@gmail.com
  • 2Division of Preventive Medicine, Abhakornkiattiwong Hospital, Sattahip Naval Base, Chon Buri, Thailand.
  • 3Department of Otolaryngology, Chulalongkorn University, Bangkok, Thailand.

Abstract

Systemic and intratympanic steroids are most widely used for treating idiopathic sudden sensorineural hearing loss. Other treatments include vasodilator, immunosuppressant and antiviral medication. However, only 61% of patients achieve full recovery, and controversies about the standard treatment still exist. In this case report, we present a patient with idiopathic sudden sensorineural hearing loss who failed to respond to systemic and intratympanic steroid treatments but subsequently recovered after undergoing hyperbaric oxygen therapy.

Keyword

Hyperbaric oxygen therapy; Sudden sensorineural hearing loss; Corticosteroid

MeSH Terms

Hearing Loss, Sensorineural
Humans
Hyperbaric Oxygenation
Steroids
Steroids

Figure

  • Fig. 1 Treatment table hyperbaric oxygen therapy (HBOT) 45/90 minutes. Total elapsed time: 95 minutes.

  • Fig. 2 Hyperbaric chamber.

  • Fig. 3 Inside view of the hyperbaric chamber.

  • Fig. 4 Audiogram (A) before treatment (B) after oral corticosteroid (C) after intratympanic corticosteroid adminstration (D) after hyperbaric oxygen therapy.

  • Fig. 5 Hearing level (dB) by time course (week) showing the duration of each treatment. HBOT, hyperbaric oxygen therapy.


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