Korean J Otorhinolaryngol-Head Neck Surg.  2019 Dec;62(12):681-685. 10.3342/kjorl-hns.2018.00444.

Comparison of the Results between the First Steroid Treatment Group and the Retreatment Group with Idiopathic Sudden Sensorineural Hearing Loss

• Ko JB
• Kim CH
• Jo KH
• Lee HH
• Kwon JH

• KMID: 2469952
• DOI: http://doi.org/10.3342/kjorl-hns.2018.00444

Abstract

BACKGROUND AND OBJECTIVES
Sudden sensoryneural hearing loss (SSNHL) is an otological emergency disease of a non-specific cause. If there is no improvement or if the degree of hearing loss is severe, patients are often referred to other medical institution. Many papers have reported regarding the treatment results of SSNHL, however, most of them failed to mention the fact that patients were referred from other clinics after steroid treatment. This paper would like to compare the treatment results between patient groups who had been referred following steroid treatment and those who received steroid treatment for the first time.
SUBJECTS AND METHOD
We retrospectively analyzed 127 patients from January 2015 to August 2017. Patients who received steroid treatment for the first time were classified as group 1; those who had received steroid treatment at another hospital and those who were re-treated were classified as group 2. The treatment results of each group were evaluated.
RESULTS
According to the results of this study, the recovery rates for group 1 and 2 were 66.7% and 31.4%, respectively.
CONCLUSION
Most of the previous studies on the treatment results of sudden hearing loss were performed in tertiary medical institutions. It is likely that the treatment results of patients who recovered after treatment in the primary and secondary medical institutions were missed, which means that the results of steroid therapy may be better than those reported previously.

Keyword

Recovery of function; Steroid; Sudden sensorineural hearing loss

MeSH Terms

Emergencies
Hearing Loss
Hearing Loss, Sensorineural*
Hearing Loss, Sudden
Humans
Methods
Recovery of Function
Retreatment*
Retrospective Studies