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Sudden hearing loss affects 5-20 individuals per 100,000, which equates to about 4,000 new cases each year in the U.S.
ISSHL is the newest indication approved by the Undersea and Hyperbaric Medical Society's Hyperbaric Oxygen Therapy Committee (approved on October 8, 2011). A review of the literature reveals more than 100 publications evaluating the use of HBOT for the treatment of ISSHL, including eight randomized controlled trials (RCTs). HBOT is also indicated for use as an adjunctive therapy in the treatment of a number of conditions. Click here to view my blog containing a comprehensive list of all of the approved indications for HBOT. About the AuthorLindsay (Prussman) Andronaco is board certified in wound care by the Wound Ostomy Continence Nursing Certification Board.
Lindsay is board certified in wound care by the Wound Ostomy Continence Nursing Certification Board.
The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, Kestrel Health Information, Inc., its affiliates, or subsidiary companies. Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website ("Content") are for informational purposes only. Meniere’s disease is a chronic disorder of the inner ear involving sensorineural hearing loss, severe vertigo and tinnitus. Meniere’s disease appears to involve overproduction or decreased absorption of endolymph, with resultant degeneration of vestibular and cochlear hair cells. Recurrent attacks result in progressive sensorineural hearing loss (especially low tones), usually unilateral in nature.

Goal of treatment may include recommendations for changes in lifestyle and habits or surgical treatment. Psychological evaluation may be indicated if patient is anxious, uncertain, fearful or depressed. Tranquilizers and antihistamines such as meclizine (Antivert) to control vertigo and to suppress the vestibular system; antiemetics for nausea and vomiting. Impaired adjustment related to disability requiring change in lifestyle because of unpredictability of vertigo.
Risk for fluid volume imbalance and deficit related to increased fluid output, altered intake, and medications.
Anxiety related to threat of, or change in, health status and disabling effects of vertigo.
Ineffective coping related to personal vulnerability and unmet expectations stemming from vertigo.
Discuss medications that may be prescribed to prevent attacks or self-administration of appropriate medications during an attack, which may include anticholinergics, vasodilation, antihsitamines, and possibly, diuretics or nicotinic acid. A labyrinthectomy is the most radical procedure and involves resection of the vestibular nerve or total removal of the labyrinth performed by the transcanal route, which results in deafness in that eat. Idiopathic Sudden Sensorineural Hearing Loss, or ISSHL, is spontaneous hearing loss in one or both ears with no apparent or known cause.
ISSHL appears to be characterized by hypoxia in the perilymph and therefore the scala tympani and the organ of Corti. HBOT is also the only reviewed ISSHL treatment found by the Cochrane Review to be effective.

This is a significant gain that can markedly improve a patient's quality of life, both clinically and functionally. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The treatment is designed to eliminate vertigo or to stop the progression of or stabilizes the disease.
The rationale for the use of hyperbaric oxygen therapy (HBOT) and corticosteroids to treat ISSHL is based on the high metabolism and poor vascularity of the cochlea. The best and most consistent results are obtained when HBOT is initiated within two weeks of symptom onset and combined with corticosteroid treatment.
Although starting HBOT within two weeks is preferred, The American Academy of Otolaryngology - Head and Neck Surgery guidelines recommend that HBOT be considered as a treatment up to three months from symptoms onset. The cochlea and the structures within it, particularly the stria vascularis and the organ of Corti, require a high oxygen supply. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage.
Corticosteroids improve ISSHL by decreasing inflammation and edema, while HBOT increases tissue oxygenation and improves outcomes.

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19.03.2014 admin

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