Comparison of intratympanic dexamethasone therapy and hyperbaric oxygen therapy for the salvage treatment of refractory high-frequency sudden sensorineural hearing loss

2018 ◽  
Vol 39 (5) ◽  
pp. 531-535 ◽  
Author(s):  
Hongcun Sun ◽  
Xiaowen Qiu ◽  
Jiandao Hu ◽  
Zhaoxin Ma
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
High Frequency ◽  
Oxygen Therapy ◽  
Salvage Treatment ◽  
Sudden Sensorineural Hearing Loss ◽  
Dexamethasone Therapy ◽  
Intratympanic Dexamethasone

Is hyperbaric oxygen therapy a salvage treatment option for sudden sensorineural hearing loss?

2016 ◽  
Vol 130 (10) ◽  
pp. 943-947 ◽  
Author(s):  
Y Alimoglu ◽  
E Inci
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Corticosteroid Therapy ◽  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Pure Tone ◽  
Oxygen Therapy ◽  
Salvage Treatment ◽  
Sudden Sensorineural Hearing Loss ◽  
Pure Tone Average

AbstractObjective:To investigate of the efficacy of hyperbaric oxygen therapy as a salvage treatment after unsuccessful oral corticosteroid therapy.Methods:Case notes of patients who were followed up because of idiopathic sudden sensorineural hearing loss between 2005 and 2011 in a tertiary care centre were examined retrospectively. Audiograms from before and after hyperbaric oxygen therapy were examined in terms of mean gains in pure tone average and at 0.25, 0.5, 1, 2, 4 and 8 kHz. In addition, recovery according to Siegel's criteria was noted.Results:Mean gain in pure tone average was 10.55 ± 13.56 dB. Mean gains at 0.25, 0.5, 1, 2, 4 and 8 kHz were 16.66 ± 18.43 dB, 16.94 ± 19.93 dB, 12.63 ± 16.71 dB, 7.36 ± 15.28 dB, 5.27 ± 11.58 dB and 2.91 ± 12.44 dB, respectively. Three patients had complete recovery, 1 had partial recovery, 5 had slight recovery and 25 had no improvement.Conclusion:Hyperbaric oxygen utilised as a salvage therapy after failed corticosteroid therapy may be beneficial in some patients. Studies with more patients are needed.

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