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Author: admin | 10.02.2014 | Category: Tinnitus Hearing Loss

As mentioned above, Sudden Hearing Loss or sudden sensorineural hearing loss is a type of hearing loss where there is a hearing reduction of more than 30 Decibel, over a three contagious frequencies, which occurs over a time period of 72 hours or less. People of all ages can be affected to such a kind of hearing loss all of a sudden; however it is mostly seen in adults from the age groups 30 to 60 years of age.
Sudden hearing loss or the sudden deafness is also called as sudden sensorineural hearing loss (SSHL) which is caused by damage in the vestibulocochlear nerve, the inner ear or the central processing centers of brain. There are some rational approaches in the treatments available for sudden hearing loss which must be given a thought.
It is obvious that the first step of diagnosis of sudden hearing loss begins from documenting the recent reduction in hearing or the recent level of hearing loss, with the help of an audiogram.
Now let us look for some of the special tests particularly advised for checking the status of a sudden hearing loss for further treatments or precautions.
MRI Brain Testing: There can be certain conditions related to sudden hearing loss or the sudden sensorineural hearing loss, like the acoustic neuroma or the tumors, strokes etc. Audiometric Testing: There are some kind of audiometric testing for sudden hearing loss, which are done with the help of an audiometer. It is now obvious that when a condition of sudden hearing loss is diagnosed; then the prime most thing of consideration is to look after the possible treatments available for treating the sudden hearing loss condition in the patient. Treatments via Rheologic Agents: Reducing the viscocity of blood can help in an improved oxygen delivery and a proper flow of blood to the cochlea. Vasodialators For Treating Sudden Hearing Loss: Vasodialators are the agents which help in enhancing the blood flow to the cochlea. Anti-Inflammatory Treatments Via Steroids And Corticosteroids: Various studies and trials have found that steroids are useful in treating sudden hearing loss to some extent and that oral steroids as well as steroid injections can be given to the affected person while treating the condition.
Anti-Viral Treatments: There are some known anti-viral agents which are proposed in treating sudden hearing loss. Treatments via Triiodobenzoic Acid Derivatives: There are some agents which are thought to help in maintaining the endocochlear potential. Hyperbaric Oxygen Therapy For Sudden Hearing Loss: It is also regarded that improving the oxygen tension in the hyperbaric chamber, helps in treating the sudden hearing loss. Now, apart from all these diagnosis and treatment procedures; one must be very cautious on keeping self safe from any unwanted condition and prevent self from the sudden hearing loss in a better way.
One of the most confusing and contentious unsolved mysteries in otolaryngology, sudden deafness is a rapid loss of hearing. Most patients have reported onset of hearing loss within minutes to several hours and about one-third of patients will wake with the loss; others may find out the problem on trying to use the telephone, or describing a brief period of fluctuating hearing before the loss. Auditory nerve damage due to certain drugs such as Gentamycin, streptomycin, chloroquin, etc. Identical experiences like loud noise can cause hearing loss in one person and leave another relatively unaffected. A sulfur-containing fatty acid, an alpha-lipoic acid helps to generate the energy that keeps us alive and working. The study has shown that the groups given the magnesium supplement were not as likely to experience permanent hearing damage as those given a placebo.
Vitamin D deficiency has also been associated with otosclerosis (abnormal bone growth in the middle ear), presbycusis, unexplained and bilateral cochlear deafness, and sensorineural hearing loss. Always wear ear protection (disposable plugs or ear­phone-style headset) when using loud appliances for example power tools or lawn mowers; and when you know you will be exposed to sudden loud noises, such as when shooting a gun.
Underlying this discussion of specific statements reported in the guidelines is the overall question of what defines a guideline and what constitutes its main purpose. In addition to affecting clinical practice, she said she believes the guidelines will lead to a secondary goal, which is to drive clinical research.
Our business and corporate clients rely on us to steer them clear of legal mishaps and trouble. From more difficult projects like mergers and acquisitions, to starting a small business, he has provided me with the best from all angles.
Did you know hearing loss is the most common workplace injury, according to the Center for Disease Control?
Workers suffering from hearing loss may also receive training in lip reading or other techniques that improve communication.
It’s imperative that you contact a personal injury lawyer if your job has cost you your hearing. Drunk felon, no seat belt, no driver’s license, no insurance, and he was speeding, but we win $800K for him. Sensorineural hearing loss is the most common type of hearing loss, occurring in 23% of population older than 65 years of age. Infections, such as meningitis, are a common cause of hearing loss in children where it occurs in approximately 20% of those with streptococcus pneumoniae meningitis (Heckenberg et al 2011). Noise induced hearing loss is a permanent hearing impairment resulting from prolonged exposure to high levels of noise. Children who are born prematurely or contract certain infections in utero are at a higher risk of hearing loss (Hille et al 2007, Roizen 2003). While very unusual, acoustic neuromas or metastatic cancer (particularly breast) can be a source of hearing loss. Sudden hearing loss (SHL) is defined as greater than 30 dB hearing reduction, over at least three contiguous frequencies, occurring over 72 hours or less. Sensory presbyacusis is caused by loss of sensory elements in the basal (high-frequency) end of the cochlea with preservation of neurons.
Cochlear conductive presbyacusis is caused by thickening of the basilar membrane caused by deposition of basophilic substance. Because presbycusis occurs in some individuals as they age but not in others, genetic or environmental factors must also play a role in its development (Liu & Yan 2007). In conductive hearing loss, the second most common form of hearing loss, sound is not transmitted into the inner ear.
Images marked as copyright Northwestern University were developed with the support of a National Institutes of Health (NIH) grant to Northwestern University Dept. The American Hearing Research Foundation is a non-profit foundation that funds research into hearing loss and balance disorders related to the inner ear and is also committed to educating the public about these health issues.
Permanent deafness is a condition in a person's life where he is restricted from hearing completely forever. The diagnosis procedures usually decide about the type of treatment to be undertaken by the patient.


It is first necessary to understand the level of loss a person has suffered or the hearing reduction percentage that has encountered a victim which further would require the treatment. These audiograms are actually the graphical presentation of the audible threshold for the standardized frequencies that are measured by an audiometer.
Pure tone and speech audiometry, tympanometry, otoacoustic emissions (OAE) etc are some of the known audiometric testing.
Accordingly there are special tests for the special cases that lead to sudden hearing loss. Any treatment begins with the thorough consultation and mutual understanding between the doctor and the patient. This reduction in blood viscocity can be done with the use of low molecular weight dextrans or anticoagulants like Heparin.
However, it is also found that oral steroid doses have a lot of side effects and the steroid injections are pretty costly. Acyclovir and Amantadine are two such names, but with limited use in the treatment procedure. Angiographic contrast agent like the Diatrizoate meglumine was found to have an effect on sudden hearing loss and is thus considered as the most commonly used derivative of triiodobenzoic acid.
Treatments via diurectics and certain minerals and vitamins can be effective but there are no proper evidences or explanation on the same.
It is needed to keep yourself away from the loud noise that can cause the noise-induced sudden hearing loss, keep self safe from any harsh physical trauma which can damage the inner ear and lead to sudden hearing loss, and also be very much sure about the drugs or medicines being taken for illness, have got no side effects like the hearing loss on temporary basis and keeping safe from ear infection & thus restricting the sudden hearing loss caused due to viral infections. From the affected individuals, about 10% of have known causes which include infections, circulatory or neurological disorders, trauma, immune disorders or drugs toxic to the ears. The most widely used treatment is high doses of steroids, and some people recover from SSHL, but not others.
Lipoic acid has broad range of antioxidant action and thus giving defense against free radicals.
A lower dosage of 20 to 50 mg daily is commonly recommended for use as a general antioxidant. Magnesium can be taken in a supplement that includes magnesium, calcium and vitamin D for the most benefit, read below. Deficiency of vitamin D is probably one of the reasons and supplementation should be considered in persons with hearing loss as noted by researchers. Keep the volume low enough that you can easily hear the telephone and other sounds over the music. This is particularly important if you have repeated ear infections and have been treated with antibiotics. Li said he supports the need for a unified approach to diagnosis and treatment and agrees overall with the guidelines, with several caveats.
Friedland said the current guidelines represent a good review of the literature and can be seen as a good guide for clinical decision making, but he doesn’t think they should be defined as a guideline.
It can happen to anyone in any industry, but it is most prevalent among manufacturing and industrial workers. National Library of Medicine, hearing loss at work is caused by prolonged exposure to vibration or sound.
Treatment includes the use of hearing aids, and using protection like earplugs to prevent further hearing loss and damage.
Occupational safety standards regulate noise levels and require employers to monitor sound decibels to reduce the risk of hearing damage. If you live in the greater San Diego area – a San Diego workplace injury attorney like Steven Elia can save you time and money in preparing and handling your workplace injury case. The outer ear includes the auricle, the external auditory canal, and the lateral surface of the tympanic membrane (TM). Postmeningitic hearing loss can be due to lesions of the cochlea, brainstem and higher auditory pathways, but usually is related to suppurative labyrinthitis (cochlear damage). One in 10 Americans has a hearing loss that affects his or her ability to understand normal speech. Much research has focused on the detection of genetic causes of hearing loss, and many of them can now be diagnosed at an early age (Blanchard et al 2012, Dror & Avraham 2009, Kochhar et al 2007, Kokotas et al 2007, Robin et al 2005, Xing et al 2007). Risk factors that correlate with hearing loss in premature infants include hypoxia, mechanical ventilation, hyperbilirubinemia, very low birth weight, and the use of ototoxic medications. It occurs most frequently in the 30- to 60-year age group and affects males and females equally.
These patients have symmetrical, high-frequency sensorineural hearing loss (as shown in Figure 3).
Medical conditions that are common in the elderly, such as diabetes and stroke, may also increase the risk of hearing loss with aging (Bainbridge et al 2010, Helzner et al 2005, Maia & Campos 2005, Schreiber et al 2010). Causes include a buildup of ear wax, a foreign body in the ear canal, otosclerosis, tympanosclerosis (as shown in Figure 4), external or middle ear infections (otitis externa or media), allergy with serous otitis media, trauma to the ossicular chain such as temporal bone fracture, tumors of the middle ear, erosion of the ossicular chain (cholesteatoma) and perforation of the tympanic membrane. There are certain important reasons that may cause permanent deafness, which may includes damage in the ear or damage in the nerve that serves for transmitting sound to the brain. There are problems which come in to live at certain circumstances which are pretty different from the usual ones. It is found that 60 % of the patients suffer from sudden loss of hearing due to the viral diseases like those caused by influenza type B virus, CMV or Mumps virus, about 1% of the sufferers are those who get in to Sudden Hearing Loss due to vascular disease.
Let us discuss on the diagnosis and some of the treatment procedures for sudden hearing loss or sudden sensorineural hearing loss. In order to know the condition, it is required to go for certain diagnosis and tests under expert professionals in a proper manner. It is very much true that checking the history of a victim for any infectious causes having its roots leading to sudden hearing loss can also help in a great way for diagnosing the condition of hearing loss. Electrolysis, comprehensive metabolic screen test, CT scan for temporal bone and Lyme test are some of the common tests done under special cases for knowing about the condition of hearing reduction. Now coming to the treatments available for SHL, there are no such preferred treatments noted. Some of the most common agents used for improving the cochlear blood flow, includes Papaverine, Histamine, Procaine, Niacin, Nicotinic acid, Carbogen etc. Two alternative names Famiclovir and Valacyclovir, have come in to the list of consideration for treatment for sudden hearing loss. One study done during 2004 by Narozony; has found that the hyperbaric oxygen therapy comprising of a 100% oxygen at a 250kPa pressure for about 60 minutes in a multi-place hyperbaric chamber along with the high doses of Glucocorticosteroids enhances the treatment results in conventional sudden sensorineural hearing loss.


It is also to be noted that be very much sure to immediately sought treatment for any of the causative diseases or conditions like the vascular or the neural etc. The root cause of sudden deafness lies in the vestibulocochlear nerve (Cranial nerve VIII), the inner ear, or central processing centers of the brain. Most people recover impulsively within a few weeks, but 15% experience progressively worsening symptoms. If the hearing loss is not severe, some doctors to not recommend any treatment but individuals who suffer from SSHL can be very fearful of the prospect of being permanently deaf in one ear, and this can set up a long treatment options that can be intimidating to the patient and the doctor. They generally work to decrease inflammation, decrease swelling, and help the body to fight illness.
The researchers suggest that diabetes may lead to hearing loss by damaging the nerves and blood vessels of the inner ear. Also, it has potential benefits for diabetic neuropathy, and it is proposed that it may help to prevent or repair nerve damage that causes hearing loss. You should be the only one able to hear your music if you are using a personal stereo unit with headphones.
She said, for example, that it’s important to make patients aware of some of the issues surrounding oral steroids and hyperbaric oxygen, because patient preference plays a big role in both treatment options. Among these is the use of some caution in adhering to the recommendation to minimize tests.
In fact, among those industries, hearing loss accounts for one in every nine recordable workplace injuries. Some occupations at risk for hearing loss include airline maintenance, farming, construction, sheet metal and assembly line work. For example, if sound levels reach 100 decibels, the National Institute of Health recommends no more than 15 minutes of unprotected prolonged exposure.
Elia has extensive litigation experience having appeared at more than 1,000 civil hearings including jury and bench trials, over 500 depositions, and hundreds of mediations. The middle ear includes the medial surface of the TM, the ossicular chain, the eustachian tube, and the tympanic segment of the facial nerve. These conditions are relatively common in premature infants, and the majority do not go on to develop hearing deficits. Hearing loss in adults surviving pneumococcal meningitis is associated with otitis and pneumococcal serotype. Race and sex differences in age-related hearing loss: the Health, Aging and Body Composition Study. However there are also conditions in man when all of a sudden there is a 30 decibel reduction in hearing over three contagious frequencies that occurs over 72 hours or even less and when the outside sounds gets unreachable to the ear, or may be a kind of ringing ear or tinnitus is felt inside the ear. There are some unusual circumstance that get a kind of instant or sudden deafness, a kind of ringing ear symptom or tinnitus, which may be mild, moderate or may be severe based on the level of hearing reduction.
Studies involving sudden hearing loss have also found that 20% to 60% of the sudden hearing loss resulted from Vertigo. However, there are some possible treatments available for such conditions which are based on rational approaches.
Studies have found that carbogen when combined with drugs, works better than the therapeutic drugs for the treatment of sudden hearing loss. SSHL is defined as an idiopathic hearing loss of sensorineural origin, greater than 30 dB in three connected frequencies that usually occurs in less than three days and in only one ear. Standard management of sudden deafness consists of removal of the known cause, antibiotics, steroids and inhalation of a mixture of carbon-dioxide and oxygen. Steroid treatment helps to some SSHL patients who also have conditions that affect the immune system, the body’s defense against disease. In the body, just one deficiency can have trickle down affect and makes it very hard to isolate the exact cause of sudden hearing loss, and many other disease process.
Although he agrees that offering MRI scans seems wasteful, given the fact that over 90 percent of scans are negative, he generally offers it and discusses it as an option because of medical-legal issues. It puts a physician in a position of justification if they deviate from the guidelines,” he said.
The inner ear includes the auditory-vestibular nerve, the cochlea and the vestibular system (semicircular canals).
The National Institute of Health reports that about 15 percent of Americans aged 20 to 69 have high frequency hearing loss related to occupational or leisure activities.
If the loss is minor, then avoidance of noise and ototoxic medications may be an appropriate treatment.
Sometimes patient might suffer from a kind of hearing loss all of sudden in the morning instantly and some meet with the loss of hearing gradually over some days time.
Some of the common causes of sudden hearing loss include the loud noises, physical trauma, certain drugs or medicines, some neurological issues, vascular diseases and some viral diseases or infection. There can be side effects of the treatments available for the sudden hearing loss, but again it is solely up to the patient's agreement while undergoing any treatment procedure for SHL.
These anti-viral agents actually inhibit the Viral DNA polymerase and thus restrict the viral DNA from replicating. By taking less processed sugar in diet, you can low your blood sugar and thus reverse some of the debilitating effects. The policy also pays lost wages as well as long-term disability costs if hearing loss is permanent. He specializes in personal injury, business law and civil litigation in and around San Diego.
Trauma is more likely to affect hearing in patients who suffer a temporal bone fracture or are older in age (Bergemalm, 2003). Because of occupational risk of noise induced hearing loss, there are government standards regulating allowable noise exposure.
As it is a medical emergency, a person who experiences SSHL should visit a doctor immediately.
People working before the mid 1960s may have been exposed to higher levels of noise where there were no laws mandating use of devices to protect hearing. Occasionally, persons with acquired deafness can be treated surgically with a surgically implanted device, a cochlear implant.



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