Idiopathic sudden sensorineural hearing loss symptoms yahoo,supplements to help reduce tinnitus pdf,chinese medicine ringing in ears,bad meinberg tinnitus klinik prien - PDF Books

The main objective of the meta-analysis was to investigate whether intratympanic steroid injections in combination with systemic steroids would provide an additional advantage over systemic steroid therapy (SST) alone in patients with idiopathic sudden sensorineural hearing loss (ISSNHL).
JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser. A doctor can determine whether a person has experienced SSHL by conducting a normal hearing test. Some patients recover completely without medical intervention, and this is called a spontaneous recovery. Though there are more than 100 possible causes of sudden deafness, it is rare for a specific cause to be precisely identified. If hearing does not completely recover, and the ear is aidable (has good word recognition) then a hearing aid can be considered if the patient feels impaired by their hearing loss. If a loss of at least 30 decibels in three connected frequencies is discovered, it is diagnosed as SSHL. A complete diagnostic audiometric evaluation is also performed to evaluate the type and severity of the loss. This involves injecting steroid through the ear drum and into the middle ear where it is absorbed through the round window and in to the cochlea.


If the ear has such poor word recognition that a hearing aid is not successfully worn (unaidable), then a bone anchored hearing aid insertion can be considered. The electronic database search was based on the database in OVID Medline, Embase and PubMed up to December 15, 2015 with the goal of identifying all available observational studies examining the effects of combination therapy and SST in ISSNHL patients.
The problem is unilateral ( affecting only one ear) in 9 out of 10 people who experience SSHL. Patients who lose hearing suddenly require an MRI scan with gadolinium injection as studies show that 4-10% of these patients will have an acoustic neuroma tumor (link).
Several treatments are used for SSHL, but researchers are not yet certain which is the best for any one cause. Animal research has shown this treatment can increase the concentration of steroids into the cochlea higher than can oral steroids alone. Observational studies that compared the pure tone average (PTA) improvement and recovery rate between combination therapy and SST group in ISSNHL patients were selected. The most common therapy for SSHL, especially in cases with an unknown cause, is treatment with steroids.
Finally we have identified eight eligible studies that focused on comparing the combination therapy and SST in ISSNHL from designated researches.


Others first notice it when they try to use the deafened ear, such as when they make a phone call. Steroids are used to treat many different disorders and usually work to reduce inflammation, decrease swelling, and help the body fight illness. In the PTA improvement group, seven studies have been analyzed to compare the pooled mean differences between two therapy modalities and subgroups based on initial hearing loss and treatment delay. In the recovery rate group, six studies were calculated for pooled risk ratios and subgroup analysis was also conducted. People with SSHL often experience dizziness, ear fullness, or a ringing in their ears (tinnitus. Through our meta-analysis, we have reached the conclusion that combination therapy exhibited better outcomes in PTA improvement than SST alone, especially in severe-profound initial hearing loss cases. Whether time of treatment delay would influence the PTA improvement and recovery rate requires further researches.




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27.02.2016 admin



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