Sudden severe sensorineural hearing loss,noise canceling headphone reviews 2015 forester,ear piercing types gay - PDF Review

Author: admin, 21.11.2013. Category: Treatment For Tinnitus

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Sudden Sensorineural Hearing Loss (SSNHL) is a medical emergency defined as an individual experiencing at least 30 dB (decibels) of sensorineural hearing loss occurring over a time period of three days or less. Sudden sensorineural hearing losses are most commonly associated with head trauma (such as a car accident), acoustic trauma (such as being too close to a gun or firecrackers when they explode), viral infections, tumors, decreased circulation to the inner ear, membrane breaks, medication for erectile dysfunction or ototoxic drug exposure.
Sudden sensorineural hearing loss affects approximately 5-20 people per 100,000 population per year.
Sudden sensorineural hearing loss is a complicated condition which must be fully evaluated by an otolaryngologist before a treatment plan can be established. Sudden sensorineural hearing losses requires immediate comprehensive medical examination and specialty care from an Otologist, who is an otolaryngologist (ENT) who has undergone two additional years of training and specializes in issues related hearing only.
Click here to make an appointment with the California Ear Institute to consult with one of our board certified Otologists regarding your condition. Medical Website Design - Websites for Doctors of Otology, Audiology, Ears & Hearing by Vital Element, Inc. Despite the fact that steroids are considered and prescribed as the most used treatment for sudden hearing loss, there is little of scientific evidence to suggest their use or that of any other therapies for this condition, as per a systematic review and meta-analysis both published in the June issue of Archives of Otolaryngology, Head & Neck Surgery. All randomized clinical trials that were published between 1966 and 2006 and evaluated treatments for sudden hearing loss were searched by Anne Elizabeth Conlin, B.A. It was concluded that systemic steroids cannot be considered the gold standard of treatment for treating sudden sensorineural hearing loss, given the severe limitations of the landmark study supporting their use. According to a systematic review and meta-analysis both published in an issue of Archives of Otolaryngology, Head & Neck Surgery, steroids cannot be considered to be useful for treating patients with sudden hearing loss even though they are presently recommended for such patients. Sudden sensorineural hearing loss is a hearing impairment complication that is characterized by hearing loss up to a minimum of 30 decibels over a minimum of three test frequencies in three days.
It was noted that systemic steroids cannot be considered to be the gold treatment standard for treating patients with sudden sensorineural hearing loss because of the severe complications of the landmark study supporting their use.
According to a systematic review and meta-analysis both published in an issue of Archives of Otolaryngology, Head & Neck Surgery, there is very little evidence to suggest that steroids are effective for treating sudden hearing loss.
Sudden sensorineural hearing loss is a severe hearing impairment condition in which there is a loss of hearing of about 30 decibels over a minimum of three test frequencies in three days.
It was highlighted during the study that systematic steroids cannot be considered as the gold treatment standard for treating sudden sensorineural hearing loss because of the severe complications of the landmark study supporting their use. Though steroids are one of the most widely used treatment options for treating sudden hearing loss, there is little evidence for suggesting the use as per a systematic review and meta-analysis both published in an issue of Archives of Otolaryngology, Head & Neck Surgery.


Sudden sensorineural hearing loss is a severe hearing impairment condition that involves a loss of hearing at least 30 decibels of hearing over a minimum of three test frequencies in three days. It was remarked that systemic steroids cannot be believed to be the gold treatment standard when it comes to sudden sensorineural hearing loss due to the severe complications of the landmark study supporting their use.
Even though steroids are recommended by doctors for treating sudden hearing loss, there is very little evidence suggesting that the administration of steroids is effective, according to a systematic review and meta-analysis both published in the June issue of Archives of Otolaryngology, Head & Neck Surgery. Sudden hearing loss or sudden sensorineural hearing loss is an acute hearing impairment involving loss of a minimum of 30 decibels of hearing over at least 3 test frequencies occurring in three days, according to background information in the article.
It was remarked that treating sudden hearing loss can prove to be difficult as the cause of occurrence remains unknown in most of the reported cases. Patients with profound sudden sensorineural hearing loss (SSNHL) have a poor prognosis regardless of the type of treatment they receive.
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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). The objective of this study is to investigate the clinical characteristics of successive bilateral sudden sensorineural hearing loss (SSNHL) with an interval of more than 1 year to aid the evaluation and management of successive bilateral SSNHL (BSSNHL). References1.Eisenman D, Arts HA (2000) Effectiveness of treatment for sudden sensorineural hearing loss.
19.Xu O, Wang JM, Liu YX, Zhang YB, Lu H (2013) Analysis of therapeutic effect of corticosteroid post auricle injection on sudden deafness after ear. Hearing loss caused by an ear infection, sinus infection, or wax build up is conductive in nature and is generally temporary. With appropriate medical treatment and therapy, individuals with SSHL can make a partial or even full recovery. However, there is evidence that a proportion of patients with profound hearing loss may exhibit variable degrees of recovery, and this has yet to be specifically investigated. 14 successive BSSNHL patients and 118 unilateral SSNHL patients with severe and profound hearing loss were reviewed retrospectively. The numbers below represent the softest intensity that sound delivered in decibels is perceived by an individual tested with pure tone air conduction testing. Here, we report a comparison of levels of hearing improvement in patients stratified according to their level of hearing threshold before treatment. 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.


Information about successive BSSNHL was collected included demographics, the intervals between the attacks of bilateral ears, the past medical history, inducing factors, accompanying symptoms, pure-tone tests, blood tests, b-ultrasound examinations of vertebral artery and carotid artery, and medical interventions.
Observational studies that compared the pure tone average (PTA) improvement and recovery rate between combination therapy and SST group in ISSNHL patients were selected. And the comparison of improvement rate was made between successive BSSNHL and unilateral SSNHL. We compared improvements in hearing threshold at different frequencies and recovery rates between the three groups.
Finally we have identified eight eligible studies that focused on comparing the combination therapy and SST in ISSNHL from designated researches. No significant differences were observed in hearing threshold improvements at different frequencies in the three groups after treatment. 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.
However, in the group with an initial hearing threshold of ?100 dB, significantly less complete and partial recoveries occurred compared to those in the 80–89 or 90–99 dB groups. In the recovery rate group, six studies were calculated for pooled risk ratios and subgroup analysis was also conducted.
Our results suggest that initial hearing threshold in excess of 100 dB alters the likelihood of satisfactory recovery in patients with severe to profound SSNHL. 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. Successive BSSNHL is rare, the hearing impairment is severe, and the outcome of treatment is poorer.
It may have a completely different profile compared with the simultaneous BSSNHL and unilateral SSNHL.



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