Contemporary Review of Idiopathic Sudden Sensorineural Hearing Loss: Management and Prognosis.

J Audiol Otol

Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Korea.

Published: January 2024

AI Article Synopsis

  • Sudden sensorineural hearing loss (SSNHL) is a quick loss of hearing that requires immediate medical attention, with causes often linked to viral infections, autoimmune disorders, and vascular issues, although many cases have unknown origins.
  • Systemic steroids are typically the first-line treatment as they help reduce inflammation in the inner ear, but there's ongoing debate about the effectiveness of other treatment options.
  • It's important to predict hearing recovery for patients, considering factors like delayed treatment and the presence of vertigo or other health issues, which can indicate a poorer chance of recovery; the review aims to provide guidelines for healthcare professionals in treating SSNHL.

Article Abstract

Sudden sensorineural hearing loss (SSNHL) is a rapid decline in auditory function that needs urgent medical management. Although etiologic factors, including viral infections, autoimmune diseases, and vascular issues, contribute to the understanding of SSNHL, the condition remains unclear in most cases. Systemic steroids are often used as the first-line treatment because they reduce inner ear inflammation; however, there remains numerous discussions about the effectiveness of alternative treatments. To predict hearing recovery is crucial in patients' counseling with factors, including delayed treatment, vertigo, and other health conditions, which indicate poor prognosis. Herein, we review contemporary research on the treatment approaches and outcome predictions of SSNHL to establish important guidelines for physicians in evaluating and treating patients with SSNHL.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10808390PMC
http://dx.doi.org/10.7874/jao.2024.00024DOI Listing

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