Sudden sensorineural hearing loss results of intratympanic steroids as salvage treatment

Because of the urgency for treatment, the employee’s primary physician was contacted and an appointment was set for that afternoon. He saw an otolaryngologist (ENT) the next day. The employee was given a 10-day course of prednisone and asked to avoid noise. In instances when he could not avoid noise on/off job, he was asked to wear hearing protection with a good seal. In discussing the case with the ENT physician, we discussed the dilemma of starting steroids when many times hearing will recover spontaneously. He explained that once he has ruled out any known causes, he discusses with the patient the possible steroid side effects and the chances of spontaneous recovery.

The most common treatment for sudden deafness, especially in cases where the cause is unknown, is corticosteroids. Steroids are used to treat many different disorders and usually work by reducing inflammation, decreasing swelling, and helping the body fight illness. Steroids are usually prescribed in pill form. In recent years, direct injection of steroids behind the eardrum into the middle ear (from here the steroids travel into the inner ear), called intratympanic corticosteroid therapy, has grown in popularity. In 2011, a clinical trial supported by the NIDCD showed that intratympanic steroids were no less effective than oral steroids , but were less comfortable overall for patients. They remain an option for people who can’t take oral steroids.

Arches Natural Products, Inc. is a leader in tinnitus relief supplements; offering natural herbal and vitamin alternatives to the traditionally ineffective treatments prescribed for persistent ringing in the ears. Arches Tinnitus Formula contains Ginkgo and Zinc, both of which have been shown to be effective for tinnitus in numerous clinical studies. Serving the tinnitus community for over 17 years, Arches Tinnitus Formula has provided relief for thousands of people across the globe and continues to be recommended by the top Ear, Nose and Throat (ENT) doctors. Founded by Barry Keate (who has lived with tinnitus for more than 40 years), Arches Tinnitus Formulas was developed with the welfare of individuals with tinnitus in mind and it is reflected in every product we create.

SSNHL may be a risk factor for stroke. In a study of patients in Taiwan hospitalized for treatment of a first episode of SSNHL, the risk of stroke over a five-year follow-up period was increased compared with patients of similar age and demographics hospitalized for appendicitis (hazard ratio [HR] , 95% CI -) [ 9 ]. However, in a review of the literature, the committee developing 2012 guidelines for the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) found that the relationship between SSNHL and risk of stroke did not meet their threshold for significance [ 3 ]. SSHNL has also been associated with an increased risk for myocardial infarction later in life [ 10 ].

     

  • sensorineural hearing loss
    • includes lesions that affect the inner ear ( cochlea) and the neural pathways(auditory nerve) to the auditory cortex
    • affects both children and adults
      • adults are mostly affected
      • in children it is classified as
        • a cquired (nonhereditary) congenital hearing loss
        • hereditary congenital hearing loss
          • majority are autosomal recessive
    • associated with many congenital syndromes (1)
Reference :

Sudden sensorineural hearing loss results of intratympanic steroids as salvage treatment

sudden sensorineural hearing loss results of intratympanic steroids as salvage treatment

SSNHL may be a risk factor for stroke. In a study of patients in Taiwan hospitalized for treatment of a first episode of SSNHL, the risk of stroke over a five-year follow-up period was increased compared with patients of similar age and demographics hospitalized for appendicitis (hazard ratio [HR] , 95% CI -) [ 9 ]. However, in a review of the literature, the committee developing 2012 guidelines for the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) found that the relationship between SSNHL and risk of stroke did not meet their threshold for significance [ 3 ]. SSHNL has also been associated with an increased risk for myocardial infarction later in life [ 10 ].

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