The Effects of Prognostic Factors in Idiopathic Sudden Hearing Loss
|
|
- Sharleen Curtis
- 6 years ago
- Views:
Transcription
1 THIEME Original Research 33 The Effects of Prognostic Factors in Idiopathic Sudden Hearing Loss Suphi Bulğurcu 1 Behçet Şahin 2 Gökhan Akgül 3 İlker Burak Arslan 3 İbrahim Çukurova 3 1 Department of Otorhinolaryngology, Başkale State Hospital, Başkale, Van, Van 65600, Turkey 2 Department of Otorhinolaryngology, Amasya Sabuncuoğlu Şerefeddin Training and Research Hospital, Amasya, Turkey 3 Department of Otorhinolaryngology, Tepecik Training and Research Hospital, İzmir, Turkey Address for correspondence Suphi Bulğurcu, MD, Department of Otorhinolaryngology, Başkale State Hospital, Başkale, Van, Van 65600, Turkey ( suphibulg@yahoo.com). Int Arch Otorhinolaryngol 2018;22: Abstract Introduction Sudden hearing loss is one of the otologic emergencies. The treatment of this disease is affected negatively by some prognostic factors. Objective In this study, the effects of early treatment initiation in patients with idiopathic sudden hearing loss and of prognostic factors in early treated patients were investigated. Methods Out of the 216 patients admitted between September 2007 and September 2015, 154 were identified as having idiopathic sudden hearing loss; they were followedup for a mean time of 7.4 months, and evaluated retrospectively. The effects of several parameters on the success of the treatment were statistically evaluated, such as the time the treatment was initiated, being of the female gender, the severity of the hearing loss, having descending type audiogram patterns, being older than 60 years old, and the co-presence of vertigo. Results Success rates were found to be significantly higher in idiopathic hearing loss patients that were admitted within the first week (p < 0.05) of the onset of the hearing loss. However, the outcomes were found to be similar when patients admitted within the first 3 days and 4 7 days after the occurrence of the hearing loss were compared (p > 0.05). Parameters such as female gender, severe hearing loss, descending type audiogram, being older than 60 years old, and co-presence of vertigo didn t reveal Keywords sudden hearing loss prognosis time statistically significant effects on the outcome (p >0.05). Conclusion The aforementioned prognostic factors, which are well-known in the literature, did not have significant effects when the idiopathic sudden hearing loss treatment was initiated within the first 7 days of the onset of the hearing loss. Introduction Sudden hearing loss is an otologic emergency with an annual incidence of 5 20 patients per 100,000 individuals. The diagnostic criterion for sudden hearing loss is having a hearing loss greater than 30 decibels (db) in 3 consecutive frequencies within 3 days of the onset of the symptom. Studies show that males and females are equally affected, and the average age of the onset is reported to be between years. It is also reported that 28 57% of the patients received November 9, 2016 accepted April 1, 2017 published online May 17, 2017 DOI /s ISSN Copyright 2018 by Thieme Revinter Publicações Ltda, Rio de Janeiro, Brazil
2 34 The Effects of Prognostic Factors in Idiopathic Sudden Hearing Loss Bulğurcu et al. has ear fullness, tinnitus, vertigo of varying severity, and balance disorders. 1 In the study by Kuhn et al, the underlying etiologies in 7 45% of the patients were identified. They categorized the causes as autoimmune, vascular, infectious, metabolic, neoplastic, neurologic, otologic, traumatic, toxic, and functional. The cases with no identifiable etiology were referred to as idiopathic sudden hearing loss (ISHL). The existing theories regarding the pathophysiology of ISHL include cochlear membrane rupture, vascular events, and viral infections. 2 There are no clear treatment recommendations for patients with sudden hearing loss of unidentified etiology in the literature. 3 On the other hand, several prognostic factors, including being of the female gender, late treatment initiation, the presence of descending type audiogram patterns, the co-presence of vertigo, severe hearing loss, and being older than 60 years old and younger than 15 years old were reported to have negative effects on the recovery process. Full recovery is defined as achieving at least a 25-dB improvement in pure tone average (average of 500, 1,000, 2,000 and 4,000 Hz), or a return to pre-loss values after treatment. When the improvement is between db, the cases are considered as partial recoveries. An improvement of less than 10 db is deemed no recovery. 4,5 In this study, the association between the time the treatment was initiated and the success of it, as well as the effects of the negative prognostic factors, such as being of the female gender, having severe hearing loss, the co-presence of vertigo, the presence of descending type audiogram patterns, and advanced age on the outcomes of the patients treated within the first week were investigated. Materials and Methods A total of 216 patients with sudden hearing loss and showing a loss of at least 30 db at three consecutive frequencies, admitted between September 2007 and September 2015, were evaluated retrospectively, after obtaining the approval of our local ethics committee. All patients were hospitalized and questioned for any infection symptoms for the past 10 days, trauma history, systemic diseases, neurologic and otologic conditions, and use of any ototoxic medications. All patients underwent contrast magnetic resonance imaging for any possible intracranial pathologies. Blood samples were collected and analyzed for autoimmune and hematologic conditions, as well as viral infections. Laboratory examinations included tests for: full blood count; erythrocyte sedimentation rate; prothrombin time; serum glucose, cholesterol, lipids, urea and creatinine concentrations; viral serological tests for Epstein-Barr, rubella, cytomegalovirus, human immunodeficiency, hepatitis B and C; fluorescent treponemal antibody (FTA) test for Treponema pallidum infection; serum thyroid hormones; and antigen-nonspecific serologic tests for autoimmune diseases (anti-nuclear antigen [ANA], anti-smooth muscle antibody [ASMA], anti-deoxyribonucleic acid antibody [anti-dna], and rheumatoid factor [RF]). The patients were followed-up for at least 6 months. No etiology could be identified in 154 of the patients (76 male, 78 female) with an average age of years (range: years), and they were eventually diagnosed as having ISHL. The right ear was affected in 89 patients, while 65 had left-sided hearing loss. All patients with ISHL were treated according to our department s standard protocol ( Table 1). The degree of hearing loss was classified as mild (26 40 db), moderate (41 55 db), moderately severe (56 70 db), severe (71 90 db) and profound (> 90 db), as proposed by Shaia and Sheehy. 6 Three treatment success categories were established according to the extent of the recovery. The groups were as follows: full recovery (that is, an improvement of at least a 25-dB in pure tone average, or a return to pre-loss values after treatment), partial recovery (that is, a pure tone average improvement between db) and no recovery (that is, an improvement of less than 10 db). The patients belonged to one of the four treatment initiation time groups. In the early treatment group, the treatment was initiated within 0 3 days (group 1) and 4 7 days (group 2) after the hearing loss occurred, while the late treatment group consisted of patients whose treatment was initiated between 8 14 days (group 3) and days (group 4) after the onset of the hearing loss. Severe hearing loss was defined as having a loss greater than 70 db. Four distinct audiogram type groups, namely sloping, ascending, flat, and total, according to Sheehy s classification, were established. 7 In the early treatment group, the effects on the success of the treatment of being female, having severe hearing loss, showing descending type audiogram patterns, and being older than 60 years old were evaluated. Table 1 Treatment protocol for patients with idiopathic sudden hearing loss Drug Duration of medication Dose interval Amount of dose Drug administration route Dexamethasone 5 days ml intratympanic Methylprednisolone 1 day mg intravenous Heparin sodium 10 days ml intravenous Pentoxifylline 10 days ml intravenous Pantoprazole 10 days mg peroral Trimetazidine 10 days mg peroral B vitamin complex 10 days mg peroral
3 The Effects of Prognostic Factors in Idiopathic Sudden Hearing Loss Bulğurcu et al. 35 Table 2 Recovery rate, audiogram types and coexistent vertigo presented according to the treatment initiation time Treatment initiation time (days)/n Mean age Gender (F/M) Recovery rate Complete/Partial/No Audiogram types S/A/F/T 0 3 (group 1) /30 13/18/30 50/2/5/ (group 2) /30 16/18/26 34/5/11/ (group 3) /11 2/7/15 6/1/8/ (group 4) /5 0/2/7 2/0/2/5 2 Abbreviations: F, female; M, male. Note: Audiogram types: Sloping (S), ascending (A), flat (F), and total (T). Coexistent vertigo Patients with bilateral sudden hearing loss, describing a loss that had begun more than 30 days prior to their consultations, and those younger than 15 years old were excluded from the study. A dataset was built using the International Business Machines Statistical Package for the Social Sciences (IBM SPSS, IBM Corp., Armonk, NY, US). Numerical and categorical data were analyzed using the Student s t- and the chi-square tests where appropriate. Values of p < 0.05 were considered statistically significant. Results A total of 78 females (mean age: years) and 76 males (mean age: years) diagnosed as having ISHL were included in the study. The average time of admission was 6.21 days. Recovery rate, audiogram types and coexistent vertigo were presented according to the treatment initiation time in Table 2. Moderate (41 55 db) and moderately severe (56 70 db) hearing losses are the most encountered audiogram types with ISHL ( Table 3). In 66 patients, the causes of the sensorineural hearing loss were identified as: viral infections (21 patients), systemic disease (14 patients), trauma (13 patients), vascular pathologies (6 patients), ototoxicity (3 patients), vestibulocochlear nerve compression (2 patients), autoimmune conditions (2 patients), and Meniere s disease (1 patient). Regarding the remaining 154 patients with ISHL, there was a statistically significant association between treatment initiation times and recovery degrees, when early and late treatment groups were compared (p ¼ 0.043). The degrees of recovery were similar between the patients treated at 0 3 days and 4 7 days(p > 0.05), and between the patients treated at 8 14 days and days (p > 0.05) ( Table 2). The effects of gender, having a loss greater than 70 db, being older than 60 years, having descending type audiogram patterns and presence of vertigo in early treated patients were summarized in Table 4. Discussion No etiology can be detected in 70% of patients with sudden hearing loss, and such cases are eventually identified as ISHL. 8 Some of these patients show spontaneous recovery. 9 Various treatment protocols are available in the literature, and steroids have been reported to be the most effective treatment method in general. 10,11 Chen et al found that intratympanic steroids were more effective than systemic steroids in the treatment of sudden hearing loss. 12 Ding et al reported that the first choice in the treatment of ISHL should be systemic steroids. 13 However, Arastou et al reported that the co-administration of systemic and intratympanic steroids was more effective in sudden hearing loss. 14 We prefer to administer systemic and intratympanic steroids together. On the other hand, different protocols reveal different recovery rates. In concordance with our findings, the most important issue in the treatment is reported to be the early initiation. 15 In the study by Lee et al, 289 sudden hearing loss cases were evaluated, and the recovery rates were found to be of 73.8% when the treatment was initiated within 3 days, and of 87.2% when it was initiated within 7 days of the onset of the hearing loss. 16 Uysal et al studied 96 ISHL patients and reported better recovery rates when the treatment began within the first week. 17 Similarly, Cho et al. found significantly higher recovery rates (88%) in patients who were treated within the first 3 days. 18 Contradicting results are also present in the literature. 19 In the Table 3 Relationship between recovery rates with treatment initiation time and degree of hearing loss Treatment initiation time (days)/n Mild C/P/N Moderate C/P/N Moderately severe C/P/N Severe C/P/N 0 3 (group 1) 2/0/0 1/4/6 2/4/7 5/6/8 3/4/9 4 7 (group 2) 2/2/1 3/4/6 3/1/6 6/7/5 2/4/ (group 3) 0/0/3 1/2/2 0/2/2 1/3/6 0/0/ (group 4) 0/0/0 0/1/1 0/1/2 0/0/3 0/0/1 Abbreviations: C, complete recovery; P, partial recovery; N, no recovery. Profound C/P/N
4 36 The Effects of Prognostic Factors in Idiopathic Sudden Hearing Loss Bulğurcu et al. Table 4 Effects of gender, having a hearing loss greater than 70 db, being older than 60 years, having descending type audiogram patterns, and co-presence of vertigo in the early treated patients Full Recovery Partial Recovery No Recovery p p p Gender Female Male Hearing loss > 70 db db Age > 60 years old years old Audiogram type Sloping Others Vertigo Presence Absence present work, which was conducted with 154 ISHL patients, treatment success rates were significantly higher when the treatment was initiated within the first week. Some authors suggest that being of the female gender is a negative factor for the success of the treatment. However, several contradicting reports indicating no differences between genders are also present. 4,16,20,21 We also did not find any significant association between gender and treatment success. There is a strong negative correlation between age and prognosis. A great deal of studies report that prognosis is significantly better in patients younger than 60 years of age. 2,20 22 Although 75% of the patients that achieved full recovery were under the age of 60, no statistical significance could be obtained. On the other hand, several studies failed to show an association between age and prognosis. 23,24 Severe hearing loss is indicative of serious cochlear damage, and leads to poorer treatment success rates. Milder cases are reported to attain better treatment results. 16,21,22 However, in our study, 55% of the patients with full recovery and 58% of the patients with partial recovery had a loss greater than 70 db. This may partially be due to the fact that patients with severe hearing loss were admitted to the hospital earlier. The patients in our study presented four audiogram types, namely descending, ascending, flat and total loss. The descending type was present in 54% of our cases. Various prevalence data are available regarding the audiogram types in sudden hearing loss patients. 15 However, it is observed that the cases showing descending type audiograms have the poorest treatment success rates. Chang et al stated that a significant association could be made between the audiogram types and the treatment success rates. 21,25 But, in our study, we did not detect any association between audiogram types and treatment success. Inflammatory response in specific cochlear areas may extend beyond the barriers in the anterior labyrinthine region, and may reach the vestibule and semicircular channels, consequently triggering vestibular symptoms, in addition to sudden hearing loss. The co-presence of vertigo is shown to worsen the treatment outcomes in sudden hearing loss cases. 26,27 We also found lower success rates in patients with accompanying vertigo without statistical significance. Conclusion In the present study, we decided that, in ISHL patients, when the treatment was initiated within the first 7 days of the onset of the hearing loss, the recovery rate was increased. We also found that the effect of other prognostic factors was less significant in the cases of early treatment. Further studies about early treatment in ISHL might contributetoourstudy. Conflicts of Interest The authors have no conflicts of interest to disclose. Reference 1 Rauch SD. Intratympanic steroids for sensorineural hearing loss. Otolaryngol Clin North Am 2004;37(05): Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC. Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis. Trends Amplif 2011;15(03):91 105
5 The Effects of Prognostic Factors in Idiopathic Sudden Hearing Loss Bulğurcu et al Baloğlu O, Olgun G, Saraç S. İdiyopatik ani sensörinöral işitme kaybı tedavisi. Hacettepe Tıp Dergisi 2007;38: Xenellis J, Karapatsas I, Papadimitriou N, et al. Idiopathic sudden sensorineural hearing loss: prognostic factors. J Laryngol Otol 2006;120(09): Byl FM Jr. Sudden hearing loss: eight years experience and suggested prognostic table. Laryngoscope 1984;94(5 Pt 1): Shaia FT, Sheehy JL. Sudden sensori-neural hearing impairment: a report of 1,220 cases. Laryngoscope 1976;86(03): Sheehy JL. Vasodilator therapy in sensory-neural hearing loss. Laryngoscope 1960;70: Chau JK, Lin JR, Atashband S, Irvine RA, Westerberg BD. Systematic review of the evidence for the etiology of adult sudden sensorineural hearing loss. Laryngoscope 2010;120(05): Mattox DE, Simmons FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977;86(4 Pt 1): Tsai HT, Hsueh N, Huang CM, Lin HC. Intratympanic steroid injection as a first-line therapy in uremia patients with sudden sensorineural hearing loss. Acta Otolaryngol 2015;135(08): Eftekharian A, Amizadeh M. Pulse steroid therapy in idiopathic sudden sensorineural hearing loss: A randomized controlled clinical trial. Laryngoscope 2016;126(01): Chen P, Wang S, Zhang Y, Huang H, Zhang C, Xiao Z. [Intratympanic versus systemic steroid initial treatment for idiopathic sudden hearing loss: a Meta-analysis]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2015;29(22): Ding XY, Cui TT, Feng GD, Gao ZQ. [Intratympanic versus systemic steroid treatment for idiopathic sudden hearing loss: a metaanalysis]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2013; 48(05): Arastou S, Tajedini A, Borghei P. Combined intratympanic and systemic steroid therapy for poor-prognosis sudden sensorineural hearing loss. Iran J Otorhinolaryngol 2013;25(70): Lloyd SK. Sudden sensorineural hearing loss: early diagnosis improves outcome. Br J Gen Pract 2013;63(613):e592 e Lee HS, Lee YJ, Kang BS, Lee BD, Lee JS. A clinical analysis of sudden sensorineural hearing loss cases. Korean J Audiol 2014;18(02): Uysal İÖ, Müderris T, Polat K, Yüce S, Gültürk S. Is the time from the onset to the treatment a prognostic indicator for hearing recovery in idiopathic sudden sensorineural hearing loss? Kulak Burun Bogaz Ihtis Derg 2015;25(02): Cho CS, Choi YJ. Prognostic factors in sudden sensorineural hearing loss: a retrospective study using interaction effects. Rev Bras Otorrinolaringol (Engl Ed) 2013;79(04): Siegel LG. The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am 1975;8(02): Edizer DT, Çelebi Ö, Hamit B, Baki A, Yiğit Ö. Recovery of Idiopathic Sudden Sensorineural Hearing Loss. J Int Adv Otol 2015;11(02): Chang NC, Ho KY, Kuo WR. Audiometric patterns and prognosis in sudden sensorineural hearing loss in southern Taiwan. Otolaryngol Head Neck Surg 2005;133(06): Harada H, KatoT. Prognosis for sudden sensorineural hearing loss: a retrospective study using logistical regression analysis. Int Tinnitus J 2005;11(02): Zadeh MH, Storper IS, Spitzer JB. Diagnosis and treatment of sudden-onset sensorineural hearing loss: a study of 51 patients. Otolaryngol Head Neck Surg 2003;128(01): Mamak A, Yilmaz S, Cansiz H, Inci E, Güçlü E, Dereköylü L. A study of prognostic factors in sudden hearing loss. Ear Nose Throat J 2005;84(10): Cvorović L, Deric D, Probst R, Hegemann S. Prognostic model for predicting hearing recovery in idiopathic sudden sensorineural hearing loss. Otol Neurotol 2008;29(04): Bogaz EA, Maranhão AS, Inoue DP, Suzuki FA, Penido NdeO. Variables with prognostic value in the onset of idiopathic sudden sensorineural hearing loss. Rev Bras Otorrinolaringol (Engl Ed) 2015;81(05): Ceylan A, Celenk F, Kemaloğlu YK, Bayazit YA, Göksu N, Ozbilen S. Impact of prognostic factors on recovery from sudden hearing loss. J Laryngol Otol 2007;121(11):
Sudden Sensorineural Hearing Loss; Prognostic Factors
Original Article Iranian Journal of Otorhinolaryngology, Vol.27(5), Serial No.82, Sep 2015 Abstract Sudden Sensorineural Hearing Loss; Prognostic Factors Dass Arjun 1, * Goel Neha 1, Singhal Surinder K
Hearing Outcome of Low-tone Compared to High-tone Sudden Sensorineural Hearing Loss
THIEME Original Research Hearing Outcome of Low-tone Compared to High-tone Sudden Sensorineural Hearing Loss George Psillas 1 Aikaterini Rizou 1 Dimitrios Rachovitsas 1 Gabriel Tsiropoulos 1 Jiannis Constantinidis
Non commercial use only
Audiology Research 2017; volume 7:168 A retrospective study of the clinical characteristics and post-treatment hearing outcome in idiopathic sudden sensorineural hearing loss Purushothaman Ganesan, 1 Purushothaman
Intratympanic steroid injection as a salvage treatment for sudden sensorineural hearing loss
The Journal of Laryngology & Otology, 1 of 6. JLO (1984) Limited, 2014 doi:10.1017/s0022215114002710 MAIN ARTICLE Intratympanic steroid injection as a salvage treatment for sudden sensorineural hearing
Prognostic indicators of management of sudden sensorineural hearing loss in an Asian hospital
45 Original Article Singapore Med 1 2007, 48 (1) : Prognostic indicators of management of sudden sensorineural hearing loss in an Asian hospital Tiong TS ABSTRACT Introduction: This retrospective review
Comparison of Different Treatment Methods for Idiopathic Sudden Sensorineural Hearing Loss
226 Turkish Archives of Otorhinolaryngology Türk Otorinolarengoloji Arşivi Comparison of Different Treatment Methods for Idiopathic Sudden Sensorineural Hearing Loss Original Investigation Tolgahan Toroslu
Meniere s disease and Sudden Sensorineural Hearing Loss
Meniere s disease and Sudden Sensorineural Hearing Loss Tsutomu Nakashima 1,2 1 Ichinomiya Medical Treatment & Habilitation Center, Ichinomiya, Japan 2 Department of Otorhinolaryngology, Nagoya University,
Spartan Medical Research Journal
Spartan Medical Research Journal Research at Michigan State University College of Osteopathic Medicine Volume 3 Number 2 Fall, 2018 Pages 113-122 Title: Correlation of Clinical Factors and Audiometric
Intratympanic Steroid Treatment as a Primary Therapy in Idiopathic Sudden Sensorineural Hearing Loss
Int. Adv. Otol. 2009; 5:(3) 334-339 ORIGINAL ARTICLE Intratympanic Steroid Treatment as a Primary Therapy in Idiopathic Sudden Sensorineural Hearing Loss Ljiljana Cvorovic, Mile Strbac, Milan B. Jovanovic,
ORIGINAL ARTICLE. Comparison of hearing recovery criteria in sudden sensorineural hearing loss
Braz J Otorhinolaryngol. 2012;78(3):42-8. ORIGINAL ARTICLE BJORL Comparison of hearing recovery criteria in sudden sensorineural hearing loss Daniel Paganini Inoue 1, Eduardo Amaro Bogaz 2, Flávia Barros
Prognostic Indicators In Idiopathic Sudden Sensorineural Hearing Loss In A Malaysian Hospital
ISPUB.COM The Internet Journal of Otorhinolaryngology Volume 5 Number 2 Prognostic Indicators In Idiopathic Sudden Sensorineural Hearing Loss In A Malaysian Hospital T Sing Citation T Sing. Prognostic
59 MEDICAL WING Air Education and Training Command
59 MEDICAL WING Air Education and Training Command Wilford Hall Medical Center Lackland AFB, Texas Case Report SSNHL: Effects of Expedient Intervention and Management Capt Erin Artz Dr. Ben Sierra E-mail:
Clinical Characteristics and Short-term Outcomes of Acute Low Frequency Sensorineural Hearing Loss With Vertigo
Original Article Clinical and Experimental Otorhinolaryngology Vol. 11, No. 2: 96-101, June 2018 https://doi.org/10.21053/ceo.2017.00948 pissn 1976-8710 eissn 2005-0720 Clinical Characteristics and Short-term
Clinical Characteristics of Labyrinthine Concussion
online ML Comm ORIGINAL ARTICLE Korean J Audiol 2013;17:13-17 pissn 2092-9862 / eissn 2093-3797 http://dx.doi.org/10.7874/kja.2013.17.1.13 Clinical Characteristics of Labyrinthine Concussion Mi Suk Choi,
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,500 108,000 1.7 M Open access books available International authors and editors Downloads Our
Complete recovery following hyperbaric oxygen therapy in idiopathic sudden sensorineural hearing loss: a report of two cases
Complete recovery following hyperbaric oxygen therapy in idiopathic sudden sensorineural hearing loss: a report of two cases Swati Agrawal 1, Nishi Sharma 2 1 Senior Resident, 2 Professor, Department of
Comparison - Effectiveness of oral steroid versus intratympanic Dexamethasone for sudden onset sensorineural hearing loss.
Volume : 5; Issue1; pp 7-13 Comparison - Effectiveness of oral steroid versus intratympanic Dexamethasone for sudden onset sensorineural hearing loss. Rupasinghe R.A.S.T. National Hospital of Sri Lanka.
Intratympanic Steroid Therapy in Moderate Sudden Hearing Loss: A Randomized, Triple-Blind, Placebo-Controlled Trial
The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. Intratympanic Steroid Therapy in Moderate Sudden Hearing Loss: A Randomized, Triple-Blind, Placebo-Controlled
UNILATERAL SUDDEN SENSORINEURAL HEARING LOSS AFTER GENERAL ANESTHESIA
UNILATERAL SUDDEN SENSORINEURAL HEARING LOSS AFTER GENERAL ANESTHESIA Hakan Emirkadi, MD Department of Anesthesiology Golcuk Military Hospital Kocaeli / TURKEY Background-Sudden Sensorineural Hearing Loss
EFFICACY AND SAFETY OF INTRATYMPANIC STEROID TREATMENT FOR IDIOPATHIC SUDDEN SENSORINEURAL HEARING LOSS
Original research article International Journal of Medical Science and Education pissn- 2348 4438 eissn-2349-3208 EFFICACY AND SAFETY OF INTRATYMPANIC STEROID TREATMENT FOR IDIOPATHIC SUDDEN SENSORINEURAL
Young Ho Kim Kyung Tae Park Byung Yoon Choi Min Hyun Park Jun Ho Lee Seung-Ha Oh Sun O. Chang
Eur Arch Otorhinolaryngol (2012) 269:2173 2178 DOI 10.1007/s00405-011-1874-6 OTOLOGY Early combination treatment with intratympanic steroid injection in severe to profound sudden sensorineural hearing
Sudden sensorineural hearing loss (SSNHL) is 1 of
Original Research Otology and Neurotology Sudden Sensorineural Hearing Loss in the Department of Defense Charlotte K. Hughes, MD, MPH 1, Jakob Fischer, MD 2, Carlos R. Esquivel, MD 1,3, and Adrienne M.
Management of Idiopathic Sudden Sensorineural Hearing Loss: Experience in Newly Developing Qatar
International Tinnitus Journal, Vol. 10, No.2, 165-169 (2004) Management of Idiopathic Sudden Sensorineural Hearing Loss: Experience in Newly Developing Qatar Ahmed Harith Salahaldin,l Abdulbari Bener,2
Delayed Endolymphatic Hydrops: Episodic Vertigo of Delayed Onset after Profound Inner Ear Hearing Loss
Delayed Endolymphatic Hydrops: Episodic Vertigo of Delayed Onset after Profound Inner Ear Hearing Loss Tamio Kamei 1, MD, PhD and Kenji Watanabe 2, MD 1 Professor emeritus at Gunma University, Japan 2
Intratympanic Injections of a Pharmacologic Agent for the Treatment of Meniere s Disease or Sudden Hearing Loss. Original Policy Date
MP 2.01.47 Intratympanic Injections of a Pharmacologic Agent for the Treatment of Meniere s Disease or Sudden Hearing Loss Medical Policy Section Medicine Issue 12:2013 Original Policy Date 12:2013 Last
Hearing Function After Intratympanic Application of Gadolinium- Based Contrast Agent: A Long-term Evaluation
The Laryngoscope VC 2015 The American Laryngological, Rhinological and Otological Society, Inc. Hearing Function After Intratympanic Application of Gadolinium- Based Contrast Agent: A Long-term Evaluation
Effect of Intratympanic Dexamethasone on Controlling Tinnitus and Hearing loss in Meniere s Disease
Original Article Iranian Journal of Otorhinolaryngology, Vol.26(3), Serial No.76, Jul 2014 Effect of Intratympanic Dexamethasone on Controlling Tinnitus and Hearing loss in Meniere s Disease Abstract Faramarz
Sudden sensorineural hearing loss (SSNHL) is defined
Transtympanic steroids for treatment of sudden hearing loss GERARD J. GIANOLI, MD, FACS, and JOHN C. LI, MD, FACS, Baton Rouge, Louisiana, and Jupiter, Florida OBJECTIVES: To determine whether transtympanic
Development and Administration of Chronic. Otitis Media Questionnaire-12 (COMQ-12) and Chronic Otitis Media Outcome Test-
108 Original Research THIEME Development and Administration of Chronic Suppurative Otitis Media Questionnaire-12 (COMQ-12) and Chronic Otitis Media Outcome Test-15 (COMOT-15) in Kannada Prashanth Prabhu
Introduction. Dr. Matilda Chroni, MD, PHD. Open Journal of Otolaryngology Volume 1, Issue 1, 2018, PP 29-34
Open Journal of Otolaryngology Volume 1, Issue 1, 2018, PP 29-34 Sudden Sensorineural Hearing Loss. Comparison of Treatment Results with Intratymanic Dexamethasone Dr. Matilda Chroni, MD, PHD ENT Consultant,
The Relationship Between Endolymphatic Hydrops in the Vestibule and Low-Frequency Air-Bone Gaps
The Laryngoscope VC 2017 The American Laryngological, Rhinological and Otological Society, Inc. The Relationship Between Endolymphatic Hydrops in the Vestibule and Low-Frequency Air-Bone Gaps Satofumi
Therapeutic Effects of Carbogen Inhalation and Lipo-Prostaglandin E1 in Sudden Hearing Loss
Original Article http://dx.doi.org/10.3349/ymj.2012.53.5.999 pissn: 0513-5796, eissn: 1976-2437 Yonsei Med J 53(5):999-1004, 2012 Therapeutic Effects of Carbogen Inhalation and Lipo-Prostaglandin E1 in
Hearing loss following temporal bone fractures- a study on classification of fractures and the prognosis
International Journal of Otorhinolaryngology and Head and Neck Surgery Maradi N et al. Int J Otorhinolaryngol Head Neck Surg. 2017 Apr;3(2):390-394 http://www.ijorl.com pissn 2454-5929 eissn 2454-5937
Drug delivery to the inner ear
Intratympanic Drug Delivery Society of Otorhinolaryngology and Head-Neck Nurses Advantages of intratympanic delivery Higher concentration of drug at site of action Avoid systemic effects May be able to
Ms Melissa Babbage. Senior Audiologist Clinic Manager Dilworth Hearing
Ms Melissa Babbage Senior Audiologist Clinic Manager Dilworth Hearing 14:00-14:55 WS #30: Sudden Sensorineural Hearing Loss and Management of Single Sided Deafness 15:05-16:00 WS #40: Sudden Sensorineural
Sudden sensorineural hearing loss (SSNHL) was
Main Article Intratympanic Methylprednisolone Injection as First Line Therapy for Idiopathic Sudden Sensorineural Hearing Loss Mukul Patar, 1 Rupanjita Sangma 1 ABSTRACT Introduction Steroid therapy is
Study of brainstem evoked response audiometry in sensorineural hearing deafness- A hospital based study
Original Research Article Study of brainstem evoked response audiometry in sensorineural hearing deafness- A hospital based study Swapnil Gosavi 1,*, James Thomas 2, G.D. Mahajan 3 1 Lecturer, MGM Medical
Prognostic impact of standard laboratory values on outcome in patients with sudden sensorineural hearing loss
Wittig et al. BMC Ear, Nose and Throat Disorders 2014, 14:6 RESEARCH ARTICLE Open Access Prognostic impact of standard laboratory values on outcome in patients with sudden sensorineural hearing loss Julia
Monitoring of Caloric Response and Outcome in Patients With Benign Paroxysmal Positional Vertigo
Otology & Neurotology 28:798Y800 Ó 2007, Otology & Neurotology, Inc. Monitoring of Caloric Response and Outcome in Patients With Benign Paroxysmal Positional Vertigo *Maria I. Molina, *Jose A. López-Escámez,
Audiology Japan 61, , 2018 QOL. CROS Contralateral Routing Of Signals. 90dB. Baha Bone anchored hearing aid FDA Baha
Audiology Japan 61, 270276, 2018 QOL CROSContralateral Routing Of Signals CECommunauté Européennemark 90dB CROSContralateral Routing Of Signals BahaBoneanchored hearing aid FDA Baha 271 EU CE Communauté
Autoimmune Inner Ear Disease- A Clinical Viewpoint
Iranian Journal of Otorhinolaryngology Vol. 22, No.61, Autumn -2010, Review Article Autoimmune Inner Ear Disease- A Clinical Viewpoint Amirala Khalessi 1, Pedram Borghei 2, *Mohammad Hassan Khalessi 3
Association of multiple sclerosis and sudden sensorineural hearing loss
Original Article Association of multiple sclerosis and sudden sensorineural hearing loss S Atula, ST Sinkkonen, R Saat, T Sairanen and T Atula Abstract Background: Multiple sclerosis (MS) may affect other
Sasan Dabiri, MD, Assistant Professor
Sasan Dabiri, MD, Assistant Professor Department of Otorhinolaryngology Head & Neck Surgery Amir A lam hospital Tehran University of Medical Sciences October 2015 Outlines Anatomy of Vestibular System
T he etiology of sudden deafness can remain
Rev Bras Otorrinolaringol. V.71, n.4, 422-6, jul./aug. 2005 ARTIGO ORIGINAL ORIGINAL ARTICLE Magnetic resonance imaging in sudden deafness Hugo Valter Lisboa Ramos 1, Flávia Alencar Barros 2, Hélio Yamashita
What to Do? My Patient Presents with Sudden Hearing Loss: Sam J Daniel, MD
My Patient Presents with Sudden Hearing Loss: What to Do? Sam J Daniel, MD Director Pediatric Otolaryngology Montreal Children s Hospital, McGill University Disclosures There are no conflicts of interest
Clinical Indicators Useful in Predicting Response to the Medical Management of Meniere s Disease
The Laryngoscope Lippincott Williams & Wilkins, Inc., Philadelphia 2000 The American Laryngological, Rhinological and Otological Society, Inc. Clinical Indicators Useful in Predicting Response to the Medical
University of Groningen. Definition Menière Groningen Mateijsen, Dionisius Jozef Maria
University of Groningen Definition Menière Groningen Mateijsen, Dionisius Jozef Maria IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please
Association Between Audiometric Profile and Intraoperative Findings in Patients with Chronic Suppurative Otitis Media
Iranian Journal of Otorhinolaryngology NO.2, Vol. 23, Serial No.63, Spring-2011 Original Article Association Between Audiometric Profile and Intraoperative Findings in Patients with Chronic Suppurative
Unilateral Hearing Loss Following Carbon Monoxide Poisoning
Article ID: WMC005250 ISSN 2046-1690 Unilateral Hearing Loss Following Carbon Monoxide Poisoning Peer review status: No Corresponding Author: Dr. Nuno D Costa, Nuno Ribeiro-Costa, Hospital Pedro Hispano,
Clinical Significance of Vestibular Evoked Myogenic Potentials in Benign Paroxysmal Positional Vertigo
Otology & Neurotology 29:1162Y1166 Ó 2008, Otology & Neurotology, Inc. Clinical Significance of Vestibular Evoked Myogenic Potentials in Benign Paroxysmal Positional Vertigo *Won Sun Yang, Sung Huhn Kim,
Original Article. Hearing results after myringoplasty. Kathmandu University Medical Journal (2006), Vol. 4, No. 4, Issue 16,
Kathmandu University Medical Journal (2006), Vol. 4, No. 4, Issue 16, 455-459 Hearing results after myringoplasty Original Article Shrestha S 1, Sinha K 2 1 Lecturer, Kathmandu Medical ollege Teaching
Incidence. Diabetes ~30 million. HL ~35 million
Diabetes and Audiological Monitoring of Oral and Injectable Medications Robert M. DiSogra, AuD, FAAA Audiology Consultant Millstone, NJ www.drbobdisogra.com Disclosure I There are no non-financial relationships
Study on Hearing Status of Elderly Patients attending a Specialized ENT Hospital (SAHIC)
Bangladesh J Otorhinolaryngol 2015; 21(2): 80-84 Original Article Study on Hearing Status of Elderly Patients attending a Specialized ENT Hospital (SAHIC) Mohammad Wakilur Rahman 1, Ali Imam Ahasan 2,
Benign Paroxysmal Positional Vertigo Prevalence in Meniere s Disease: Is Meniere s Disease a Predisposing Factor?
Caspian Journal of Neurological Sciences http://cjns.gums.ac.ir Benign Paroxysmal Positional Vertigo Prevalence in Meniere s Disease: Is Meniere s Disease a Predisposing Factor? Motasaddi-Zarandi Masoud
Brazilian Journal of OTORHINOLARYNGOLOGY. Glucocorticoid influence on prognosis of idiopathic sudden sensorineural hearing loss
Braz J Otorhinolaryngol. 2014;80(3):213-219 Brazilian Journal of OTORHINOLARYNGOLOGY www.bjorl.org ORIGINAL ARTICLE Glucocorticoid influence on prognosis of idiopathic sudden sensorineural hearing loss
P0 Antigen Detection in Sudden Hearing Loss and Ménière s Disease: A New Diagnostic Marker?
Acta Otolaryngol 2004; 124: 1145/1148 P0 Antigen Detection in Sudden Hearing Loss and Ménière s Disease: A New Diagnostic Marker? DESIDERIO PASSALI 1, VALERIO DAMIANI 1, RENZO MORA 2, FRANCESCO MARIA PASSALI
The Role of Immunologic and Viral Factors in the Etiology of Idiopathic Sudden Deafness
ORIGINAL ARTICLE The Role of Immunologic and Viral Factors in the Etiology of Idiopathic Sudden Deafness Sinan Atmaca, M.D., Mustafa Saatci, M.D. From the Department of Otorhinolaryngology of Ondokuz May
Original Article Functional magnetic resonance imaging evidence in patients with sudden sensorineural hearing loss
Int J Clin Exp Med 2017;10(4):6613-6621 www.ijcem.com /ISSN:1940-5901/IJCEM0048122 Original Article Functional magnetic resonance imaging evidence in patients with sudden sensorineural hearing loss Hongmiao
High-Frequency Sensorineural Hearing Loss in Children
The Laryngoscope VC 2015 The American Laryngological, Rhinological and Otological Society, Inc. High-Frequency Sensorineural Hearing Loss in Children Kaalan Johnson, MD; Meredith Tabangin, MPH; Jareen
Guidance for Primary Care: Direct Referral of Adults with Hearing Difficulty to Audiology Services
Guidance for Primary Care: Direct Referral of Adults with Hearing Difficulty to Audiology Services Produced by: Service Quality Committee of the British Academy of Audiology Key Authors: Hanna Jeffery
Afr. J. Biomed. Res. 13 (May 2010; Research article Acute Phase Reactants in Immune-Related Inner Ear Disease
www.ajbrui.net Afr. J. Biomed. Res. 13 (May 2010;113-117 Research article Acute Phase Reactants in Immune-Related Inner Ear Disease 1 Lasisi A. O and 2 Arinola O. G Departments of 1 Otorhinolaryngology,
So Young Moon, M.D., Kwang-Dong Choi, M.D., Seong-Ho Park, M.D., Ji Soo Kim, M.D.
So Young Moon, M.D., Kwang-Dong Choi, M.D., Seong-Ho Park, M.D., Ji Soo Kim, M.D. Background: Benign positional vertigo (BPV) is characterized by episodic vertigo and nystagmus provoked by head motion.
Intratympanic therapy of inner ear disease
Intratympanic therapy of inner ear disease Jack J. Wazen, M.D.FACS. VP & Director of Research Silverstein Institute Ear Research Foundation Sudden Sensorineural Definition Hearing Loss Sudden SNHL is defined
Intratympanic Gentamicin for Intractable Ménière s Disease A Review and Analysis of Audiovestibular Impact
190 Update Article THIEME Intratympanic Gentamicin for Intractable Ménière s Disease A Review and Analysis of Audiovestibular Impact Sertaç Yetişer 1 1 Department of Otorhinolaryngology, Anadolu Saglik
Hyperbaric Oxygen for Idiopathic Sudden Sensorineural Hearing Loss
Hyperbaric Oxygen for Idiopathic Sudden Sensorineural Hearing Loss Leonardo Profenna, MD, MPH Medical Director of Wound Care and Hyperbaric Medicine Connally Memorial Medical Center Introduction - ISSHL
Comparison of Sensorineural Hearing Loss Degree between Controlled and Uncontrolled Type 2 Diabetes Mellitus Patients
Original Article rint ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2018/298 Comparison of Sensorineural Hearing Loss Degree between and Type 2 Diabetes Mellitus atients Ratih Anindita 1, Adlin
Cochlear Implant Impedance Fluctuation in Ménière s Disease: A Case Study
Otology & Neurotology xx:xx xx ß 2016, Otology & Neurotology, Inc. Cochlear Implant Impedance Fluctuation in Ménière s Disease: A Case Study Celene McNeill and Kate Eykamp Healthy Hearing and Balance Care,
15 Marzo 2014 Aspetti radiologici dei disordini vestibolari: approccio multidisciplinare
15 Marzo 2014 Aspetti radiologici dei disordini vestibolari: approccio multidisciplinare MR Imaging of inner ear endo-perilymphatic spaces at 3T after intratympanic contrast agent administration in Definite
All Indiana Health Coverage Programs Physicians, Audiologists, and Hearing Aid Dealers
P R O V I D E R B U L L E T I N B T 2 0 0 1 0 5 F E B R U A R Y 9, 2 0 0 1 To: Subject: All Indiana Health Coverage Programs Physicians, Audiologists, and Hearing Aid Dealers Overview Programmable hearing
Epidemiology of Intratemporal Complications of Otitis Media
178 Original Research THIEME Epidemiology of Intratemporal Complications of Otitis Media André Maranhão 1 José Andrade 1 Valéria Godofredo 1 Rafaela Matos 1 Norma Penido 1 1 Department of Otolaryngology,
Very far-advanced otosclerosis: stapedotomy or cochlear implantation
Acta Oto-Laryngologica, 2007; 127: 574 578 ORIGINAL ARTICLE Very far-advanced otosclerosis: stapedotomy or cochlear implantation MARIE-NOËLLE CALMELS 1, CORINTHO VIANA 1,2, GEORGES WANNA 1, MATHIEU MARX
Modeling Sensorineural Hearing Loss READ ONLINE
Modeling Sensorineural Hearing Loss READ ONLINE If you are looking for the book Modeling Sensorineural Hearing Loss in pdf form, then you have come on to the loyal website. We furnish full edition of this
Hearing Impairment in Pre-eclampsia
ISSN: 2250-0359 Research Article Volume 6 Issue 3: 135 2016 Hearing Impairment in Pre-eclampsia Mohammed A Gomaa 1 *, Mohhammed M Elbadery 2, Hisham M Samy 2, Rash A Abdel Moniem 1 and Hala A Ali 3 1 Departments
Auditory Neuropathy/Dyssynchrony: A Retrospective Analysis of 15 Cases
THIEME Original Research 151 Auditory Neuropathy/Dyssynchrony: A Retrospective Analysis of 15 Cases Murat Unal 1 Yusuf Vayisoglu 1 1 Department of Otorhinolaryngology, Mersin University, Mersin, Turkey
Brainstem Auditory Evoked Potentials and Electrocochleographic Findings in Patients with Idiopathic Sudden Sensorineural Hearing Loss
ORIGINAL ARTICLE Brainstem Auditory Evoked Potentials and Electrocochleographic Findings in Patients with Idiopathic Sudden Sensorineural Hearing Loss Syed Shahid Habib, Ashraf Husain, Syed Aftab Omar
Clinically applicable objective diagnosis of Ménière's disease by MR: How "to do" it
Clinically applicable objective diagnosis of Ménière's disease by MR: How "to do" it Poster No.: C-0488 Congress: ECR 2013 Type: Authors: Keywords: DOI: Educational Exhibit S. Naganawa, M. Yamazaki, H.
MRI Inner Ear Imaging and Tone Burst Electrocochleography in the Diagnosis of
Otology & Neurotology 36:1109Y1114 Ó 2015, Otology & Neurotology, Inc. MRI Inner Ear Imaging and Tone Burst Electrocochleography in the Diagnosis of Ménière s Disease * Jeremy Hornibrook, *Edward Flook,
Draft Guidelines for the Direct Referral of Adults with Hearing Difficulty to Audiology Services (2016)
Draft Guidelines for the Direct Referral of Adults with Hearing Difficulty to Audiology Services (2016) Produced by: Service Quality Committee of the British Academy of Audiology Key Authors: Date of publication:
The relationship between onset of single sided deafness and educational achievement
BEHBUT CEVANŞİR KULAK BURUN BOĞAZ HASTALIKLARI VE BAŞ BOYUN CERRAHİSİ DERNEĞİ Tr-ENT 2018;28(1):4-8 Original Article 4 The relationship between onset of single sided deafness and educational achievement
Long-Term Follow-Up of Tinnitus in Patients with Otosclerosis After Stapes Surgery
International Tinnitus Journal, Vol. 10, No.2, 197-201 (2004) Long-Term Follow-Up of Tinnitus in Patients with Otosclerosis After Stapes Surgery Pollyanna G. Sobrinho, Carlos A. Oliveira, and Alessandra
Association of the 4 g/5 g polymorphism of plasminogen activator inhibitor-1 gene with sudden sensorineural hearing loss. A case control study
Cho et al. BMC Ear, Nose and Throat Disorders 2012, 12:5 RESEARCH ARTICLE Open Access Association of the 4 g/5 g polymorphism of plasminogen activator inhibitor-1 gene with sudden sensorineural hearing
Mobile tablet audiometry in fluctuating autoimmune ear disease
Kohlert and Bromwich Journal of Otolaryngology - Head and Neck Surgery (2017) 46:18 DOI 10.1186/s40463-017-0195-1 ORIGINAL RESEARCH ARTICLE Mobile tablet audiometry in fluctuating autoimmune ear disease
A Case of Acute Bilateral Retrocochlear Hearing Loss as an Initial Symptom of Unilateral Thalamic Hemorrhage
online ML Comm CASE REPORT Korean J Audiol 214;18(2):-84 pissn 292-9862 / eissn 293-3797 http://dx.doi.org/1.7874/kja.214.18.2. A Case of Acute Bilateral Retrocochlear Hearing Loss as an Initial Symptom
Vestibular-Evoked Myogenic Potentials as a Test of Otolith Function
Original Paper Med Principles Pract 2002;11:136 140 Received: April 10, 2001 Accepted: March 17, 2002 Vestibular-Evoked Myogenic Potentials as a Test of Otolith Function Khalid Al-Sebeih a Anthony Zeitouni
Evaluation of the Relationship Between the Air Bone Gap and Prolonged ABR Latencies in Mixed-Type Hearing Loss
J Int Adv Otol 2017; 13(1): 88-92 DOI: 10.5152/iao.2016.1731 Original Article Evaluation of the Relationship Between the Air Bone Gap and Prolonged ABR Latencies in Mixed-Type Hearing Loss Ömer Faruk Birkent,
Response Over Time of Vertigo Spells to Intratympanic Dexamethasone Treatment in Meniere s Disease Patients
J Int Adv Otol 2016; 12(1): 95-100 DOI: 10.5152/iao.2016.2177 Original Article Response Over Time of Vertigo Spells to Intratympanic Dexamethasone Treatment in Meniere s Disease Patients Nabil Atrache
A case of normal pressure hydrocephalus with peripheral vestibular disorder-like findings.
A case of normal pressure hydrocephalus with peripheral vestibular disorder-like findings. Yuzuru Sainoo 1)2), Hidetaka Kumagami 3), Haruo Takahashi 1) 1) Goto Chuoh Hospital, Otorhinolaryngology 2) Department
Tympanogenic Labyrinthitis (Cochlear Deafness) due to chronic suppurative otitis media (CSOM)
Tympanogenic Labyrinthitis (Cochlear Deafness) due to chronic suppurative otitis media (CSOM) * Dr. Raad A AlObaydi (FICS MBChB) Background: It has been accepted that in patients with CSOM, conductive
Intratympanic Gentamicin Therapy for Vertigo in Nonserviceable Ears
Intratympanic Gentamicin Therapy for Vertigo in Nonserviceable Ears Paul W. Bauer, MD, C. Bruce MacDonald, MD, and L. Clarke Cox, PhD Purpose: Intratympanic ototoxic agents have become a widely accepted
ORIGINAL ARTICLE. Study Using Click and Galvanic Vestibular Evoked Myogenic Potentials
OIGINA ATICE Extent of esions in Idiopathic Sudden Hearing oss With Vertigo Study Using Click and Galvanic Vestibular Evoked Myogenic Potentials Shinichi Iwasaki, MD; Yoshinari Takai, MD; Hidenori Ozeki,
Title. Author(s) Takahashi, Haruo. Issue Date Right.
NAOSITE: Nagasaki University's Ac Title Author(s) Citation A case with posterior fossa epiderm symptoms caused by insufficiency of usefulness of free DICOM image view Takasaki, Kenji; Kumagami, Hidetaka
Assessing the Deaf & the Dizzy. Phil Bird Senior Lecturer University of Otago, Christchurch Consultant Otolaryngologist CPH & Private
Assessing the Deaf & the Dizzy Phil Bird Senior Lecturer University of Otago, Christchurch Consultant Otolaryngologist CPH & Private Overview Severe & profoundly deaf children & adults Neonatal screening
ORIGINAL ARTICLE. Intraindividual Comparison of the Bone-Anchored Hearing Aid and Air-Conduction Hearing Aids
ORIGINAL ARTICLE Intraindividual Comparison of the Bone-Anchored Hearing Aid and Air-Conduction Hearing Aids Emmanuel A. M. Mylanus, MD, PhD; Kitty C. T. M. van der Pouw, MD; Ad F. M. Snik, PhD; Cor W.
Draft Guidelines for the Onward Referral of Adults with Hearing Loss Directly Referred to Audiology Services (2016)
Draft Guidelines for the Onward Referral of Adults with Hearing Loss Directly Referred to Audiology Services (2016) Produced by: Service Quality Committee of the British Academy of Audiology Key Authors:
MÉNIÈRE S DISEASE (MD)
Progression of Symptoms of Dizziness in Ménière s Disease Mari Havia, MD; Erna Kentala, MD, PhD ORIGINAL ARTICLE Objective: To evaluate the progression of symptoms of dizziness in Ménière s disease (MD)
Recent Advances in Understanding Audiovestibular Loss of a Vascular Cause
Journal of Stroke 2017;19(1):61-66 Review Recent Advances in Understanding Audiovestibular Loss of a Vascular Cause Hyun-Ah Kim, a,b Hyung Lee a,b a Department of Neurology, Keimyung University School
Keywords: hearing loss, idiopathic sudden sensorineural hearing loss, primary care, psychosocial implications, sudden sensorineural hearing loss
Early identification of idiopathic sensorineural Abstract: This article discusses the physiology of normal hearing, the pathophysiology and differential diagnoses of sudden sensorineural hearing loss,
Outcome of Cochlear Implantation at Different Ages from 0 to 6 Years
Otology & Neurotology 23:885 890 2002, Otology & Neurotology, Inc. Outcome of Cochlear Implantation at Different s from 0 to 6 Years Paul J. Govaerts, Carina De Beukelaer, Kristin Daemers, Geert De Ceulaer,
High Fibrinogen in Peripheral Blood Correlates with Poorer Hearing Recovery in Idiopathic Sudden Sensorineural Hearing Loss
High Fibrinogen in Peripheral Blood Correlates with Poorer Hearing Recovery in Idiopathic Sudden Sensorineural Hearing Loss Sho Kanzaki 1 *, Masafumi Sakagami 2, Hiroshi Hosoi 3, Shingo Murakami 4, Kaoru
Nationwide epidemiological survey of idiopathic sudden sensorineural hearing loss in Japan
Acta Oto-Laryngologica ISSN: 0001-6489 (Print) 1651-2251 (Online) Journal homepage: https://www.tandfonline.com/loi/ioto20 Nationwide epidemiological survey of idiopathic sudden sensorineural hearing loss