Idiopathic sudden sensorineural hearing loss: results drawn from the Swedish national database
2007 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, Vol. 127, no 11, 1168-1175 p.Article in journal (Refereed) Published
A national database was developed in Linköping by the authors to gather data from patients with Sudden Sensorineural Hearing Loss (SSNHL). A form was used for data collection covering background, current disease, examinations and treatment. Audiograms at the onset of SSNHL and after three months are analyzed. The aim of the study was to investigate the treatment policy of SSNHL in Sweden, the effect of treatments on outcome, and which variables are of value in predicting the outcome.
Out of the first 300 patients reported to the database 208 patients were considered to have idiopathic SSNHL. 50% were treated with corticosteroids, 44% did not receive any treatment. The treated patients had the same outcome as the non-treated patients. The time interval from onset of SSNHL to start of treatment was of importance for the outcome irrespective of type of audiogram or results from laboratory tests. Higher age and heredity for hearing loss gave significant lower chance for improvement.
The first results from 300 patients in the national database demonstrate that corticosteroids or “no treatment at all” are the treatment options in use today. No significant difference in outcome was seen between treated and non-treated patients. Since spontaneous recovery might be the cause, a placebo-controlled randomized study is required before a positive effect of corticosteroids can be asserted.
Place, publisher, year, edition, pages
2007. Vol. 127, no 11, 1168-1175 p.
Sudden Hearing Loss, Hearing Loss, Idiopathic, Corticosteroid treatment
IdentifiersURN: urn:nbn:se:liu:diva-19020DOI: 10.1080/00016480701242477OAI: oai:DiVA.org:liu-19020DiVA: diva2:222363