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Author: admin | 04.05.2014 | Category: Tinnitus Causes And Treatments

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. Send Home Our method Usage examples Index Contact StatisticsWe do not evaluate or guarantee the accuracy of any content in this site.
Come in for a free hearing evaluation and receive a FREEcaption call phone (restrictions apply). Imagine waking up one morning to discover that you had spontaneously lost most of your hearing in one or both ears, with no warning or explanation. If you or a loved one experiences a sudden hearing loss, please call your doctor or visit an ER or urgent care center immediately!
Idiopathic sudden sensorineural hearing loss (ISSHL), or nerve-related deafness, is the sudden loss of hearing in one or both ears that rapidly occurs within 72 hours or less. The incidence of ISSHL has been reported to affect approximately 20 people out of every 100,000 people per year. The severity of ISSHL can be mild or severe, short or long-term – regardless of whether it’s in just one ear or both.
Tinnitus (ringing in the ears) is commonly associated with idiopathic sudden sensorineural hearing loss.
Developed over 350 years ago, but not readily adopted until the early 1930s when the military tested the use of oxygen as a therapy, hyperbaric chambers were originally used for the purpose of relieving scuba divers of carbon monoxide poisoning or decompression sickness.
Today, increased research has made it possible for hyperbaric oxygen therapy to be used in the treatment of a multitude of FDA and AMA approved illnesses, including idiopathic sudden sensorineural hearing loss.
This increase in oxygen has been medically proven to effectively speed up the healing process if done within the first three months of your hearing loss.
Patients young and old lie or sit in a hyperbaric chamber (we offer both monoplace and multiplace chambers) that have been specifically designed for therapy.
Since HBOT is a therapy, your anticipated treatment time will vary depending on just how severe your hearing loss is. When a patient calls with the complaint of sudden hearing loss, how is your staff trained to handle these patients? There are two primary types of sudden hearing loss: conductive hearing loss and sensorineural hearing loss (SNHL). Studies confirm that the sooner a patient is seen and therapy initiated for sudden SNHL, the better the recovery. If sudden SNHL is suspected, the patient should be referred for an immediate audiological evaluation, and it may be warranted to start them on medication at this initial appointment.


By having someone else voice their view on what you may be missing, we can help pinpoint where we can help the most. Due to each patient’s individual needs, we need to take time to truly understand their situation before making any recommendations. 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. Under these conditions, your lungs can gather up to three times more oxygen than would be possible breathing pure oxygen at normal air pressure. Many insurance carriers are approving this costly procedure without question for victims of sudden hearing loss. The truth is that most people never do anything with the products they buy, so most of the time, they dona€™t get ANY results.
Do they offer the next available appointment, or is the patient squeezed into your schedule? A patient that calls with the complaint of a sudden hearing loss should be considered medically urgent — a same-day emergency.
The general practitioner might confuse a sudden conductive hearing loss with a sudden SNHL since some of the complaints may be the same. If a patient is treated within the first seven days, the chance of recovery is 56%; if treated 30 or more days later, the chance of recovery drops to 27%. The current standard treatment for idiopathic sudden SNHL hearing loss is a course of oral corticosteroid (prednisone or methylprednisolone). Serial testing provides documentation of the progression or resolution of the hearing loss and response to treatment.
As the founder of Eastside Audiology, Chris strives to bring an intimate environment to pediatric and adult patients in the evaluation of hearing loss and the selection and fitting process for hearing aids.
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. Human blood carries this oxygen throughout the body, stimulating the release of substances called growth factors and stem cells, which promote healing.
This type of sudden loss is most often bilateral, and the patient may complain that their ears feel plugged.
Often these patients are treated as if they have fluid in the middle ear, and no diagnostic testing is done for weeks or even months, which then significantly reduces the chance of any recovery. Studies show that patients with profound hearing loss have significantly decreased recovery rates compared to all other groups (22% with complete recovery). She particularly enjoys working with patients who have difficult hearing loss and is known for providing creative, useful solutions to the hearing challenges they face every day.
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. In the past, sudden onset hearing loss (occurring within 72 hours) has had very limited treatment options.
The testimonials you see on this web site are some of our better results and are not typical. Idiopathic sudden SNHL has an estimated incidence of between 5 and 20 per 100,000 persons per year, with higher rates for those between 50 and 60 years old. Other studies have shown that patients with mid-frequency hearing loss, particularly when hearing at 4000 Hz is worse than 8000 Hz, have an excellent prognosis. 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.
At one time, it was theorized that a viral componenet was involved, however, treatment with antivirals has shown no benefit. They stuck to the dose as directed and maintained a healthy lifestyle and balanced diet alongside it. This will be used to determine whether the hearing loss is truly a sensorineural hearing loss or whether it is due to another cause such as wax build-up or otitis media.
Patients with profound hearing loss often do not regain any hearing function with steroid treatment. The hearing evaluation will also be used to determine the degree of impairment and monitor any change during the course of treatment.An otolaryngologist may also recommend further tests to determine the underlying cause of the hearing loss. The younger the patient, the greater likelihood of full recovery.If a sudden sensorineural hearing loss does not improve with medical treatment, the effects of the hearing loss can be managed with the use of hearing technology. Hearing technology and rehabilitation can be used to help alleviate some of these long-term issues.



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