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[Application of 3D-Flair MRI and vestibular function assessment in profound sudden sensorineural hearing loss patients].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi

January 2025

Department of Otology Medicine, Shandong Provincial ENT Hospital, Shandong University, Jinan250022, China.

To analyse the 3D-Flair MRI manifestations of the inner ear, vestibular function status, and their correlation with hearing treatment outcomes in patients with severe sudden sensorineural hearing loss (SSNHL), and to explore potential prognostic indicators for sudden deafness. The clinical data of adult patients with unilateral profound sudden sensorineural hearing loss were retrospectively analyzed in Otorhinolaryngology Department of Shandong Provincial ENT Hospital from March 2018 to August 2020. Patients were categorized based on the results of their inner ear 3D-Flair MRI into two groups: the normal MRI group and the abnormal MRI group.

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Sudden sensorineural hearing loss (SSNHL) presents as the abrupt onset of hearing loss. Approximately 88% of SSNHL has no identifiable etiology and is termed idiopathic sudden sensorineural hearing loss (ISSHL). Hearing specialists have investigated ISSHL since the 1970s.

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Background: Intra-aural tick infestations, though uncommon, pose a serious clinical challenge owing to the risk of acute labyrinthitis-an inflammatory condition of the inner ear. This inflammation can lead to severe complications such as sensorineural hearing loss, vertigo, and facial nerve palsy. Prompt recognition and management are crucial to prevent these adverse outcomes.

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Introduction: To date, no study has reported the various otologic conditions associated with COVID-19 using population-based design. The aim of this study was to investigate the incidence and risk of audio-vestibular disorders (benign paroxysmal positional vertigo, sudden sensorineural hearing loss, Meniere's disease, vestibular neuritis, and tinnitus) increase after COVID-19 infection.

Methods: This retrospective population-based study was conducted using National Health Insurance Service (NHIS)-COVID-19 cohort database of South Korea.

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Article Synopsis
  • Fu's subcutaneous needling (FSN) is a specialized acupuncture technique aimed at alleviating pain in subcutaneous tissues, particularly for patients with sudden sensorineural hearing loss (SSHL).
  • SSHL is an urgent medical condition characterized by rapid hearing loss, often accompanied by symptoms like tinnitus and vertigo, usually without identifiable causes.
  • Treatment with FSN showed positive outcomes, leading to significant improvements in the patient's hearing and reduction in tinnitus symptoms over a four-week period.
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