Sudden hearing loss review uspto,why ears ring after loud music uk,what causes hearing loss in humans espa?ol,dr phillips cure for tinnitus objetivo - PDF Books

FACT: 15% of children between the ages of 6-19 have a measurable hearing loss in at least one ear. FACT: Exposure to a noisy subway, for just 15 minutes a day overtime, can cause permanent damage to hearing over time. Objetivo: Observar a evolucao da surdez subita em pacientes incluidos em diferentes grupos de tratamento, de acordo com o tempo de evolucao da doenca e com as contra-indicacoes para uso das medicacoes.
Objective: Determine the follow-up between pacients sudden sensorineural hearing loss treated in five different groups according to duration of disease and the drugs used for treatment. INTRODUCAOA surdez subita (SS) e definida como perda auditiva (PA) neuro-sensorial, igual ou maior que 30 decibel (dB), em 3 ou mais frequencias consecutivas, instalada num periodo de ate 3 dias (1). Prediction of hearing outcomes by distortion product otoacoustic emissions in patients with idiopathic sudden sensorineural hearing loss.
Mori T, Suzuki H, Hiraki N, Hashida K, Ohbuchi T, Katoh A, Udaka T.SourceDepartment of Otorhinolaryngology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Japan. Govindaraju R, Omar R, Rajagopalan R, Norlisah R, Kwan-Hoong N.SourceDepartment of Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia.
The higher field strength magnetic resonance imaging (MRI) such as 3 Tesla (T) and above generates noise that has potential detrimental effects on the hearing.
Topical insulin-like growth factor 1 treatment using gelatin hydrogels for glucocorticoid-resistant sudden sensorineural hearing loss: a prospective clinical trial. Regardless of whether you choose acupuncture for SHL, sudden hearing loss must be treated promptly.
Full-recovery patients at SHL-Net achieved full hearing recovery with an average of 12.7 treatments. Acupuncture is a 5000-year-old healing art that is considered by modern medicine to be a safe and natural practice with no side effects.
In acupuncture the body is seen as a grid of twelve dissecting energy channels which are called medians.
These medians are believed to be active channels of energy along which flow the life force of Chi. It is believed that un-wellness is caused by interruptions in the flow of this vital energy. The acupuncturist will then leave the needles in place for several minutes, while you relax comfortably.
Acupuncture is not a one-time treatment—most conditions require several treatments for effective results.
In addition, depending on the specific condition, a schedule of maintenance treatments may be recommended to cement the results. The sense of hearing is one of the most precious but many people don't realize the value until sounds start to get faint and muffled. Cochlear implants are surgically implanted electronic devices that help restore sound in individuals who are experiencing profound hearing loss or even total deafness.
The device is implanted under the skin behind the ears and features a microphone to pick up sounds, a speech processor that filters out external noise, and a transmitter that sends power via electromagnetic induction. The best candidates to receive cochlear implants are human beings who have competent speech, language, and communication skills.
Surgery for the cochlear implants can take up to five hours for the procedure to be complete. Stem cells serve as both a useful yet controversial tool to treat many ailments in human beings. Specific guidelines change greatly after a doctor's review but there are some basic steps of the cell procedure.
It should be noted that this treatment is currently only available in the USA, Canada, and the UK as part of medical research. All hope is not lost though as scientists have used human embryonic cells to restore hearing loss in gerbils. The BTE design features a case that fits behind the ear that contains all the electrical components of the unit as well as an earmold that fits in the drum.
A miniature version of the behind the ear hearing aid is becoming immensely popular as its technology advances. CIC hearing aids are the smallest on the market, which has both advantages but also disadvantages such as becoming lost or needing good manual dexterity to change or alter controls. Typically a child wouldn't wear an ITE hearing aid because the constant growth of their bodies would alter the fit of the mold. Following the same design as the in the ear devices are in the canal units, only with less visibility. In an RIC unit the receiver is moved from the case to the earmold, which enables not only a smaller case behind the ear but also a clearer sound being emanated. One of the main drawbacks of any hearing aid is the occlusion effect, or the feeling of the ears being plugged up. While the completely in canal hearing aids are very discreet, there is another product known as invisible in canal which are unrecognizable in most ears. In order to understand what type of hearing treatment works best for an individual, it's important to know that there are a various types of hearing loss and multiple causes of each. While illnesses or ear trauma can cause sudden deafness4, the cause of sudden sensorineural hearing loss is relatively unknown.
Sudden hearing loss can be a very frightening experience for patients, as it often comes without warning and with no preparation. One of the most common forms of hearing loss is Presbycusis, as it occurs from natural aging (also called "age related hearing loss"). Testing for central hearing impairments is difficult because the ear canal and drum seem perfectly healthy. Hearing is something that a person is either blessed with at birth, gradually lost, or never had. A: No, our product (The Hearing Loss Pill) is NOT a cure, it is an ongoing treatment to slowly improve the nerves in the ear and help the brain to better respond to sound.
A: The closest thing available to a cure for hearing loss would be a stem cell hearing loss treatment.
There have been recent reports of a growing amount of those from the United States, Australia, Canada and the UK visiting the clinics in these locations to get the treatment. Temporary threshold shifts following MRI examination have been reported for MRI with lower field strength. Sudden Sensorineural Hearing Loss (SSHL), or sudden deafness, is a rapid loss of hearing. We use only thinnest, single-use needles, and the insertion is very shallow—just under the skin. Total hearing loss can leave an individual feeling isolated from the world and left out from the jokes, music, and everyday sounds that make life. As with any health care procedure or ailment, advances in technology are vastly making a full rehabilitation a distinct possibility.
The internal components of the cochlear implants consists of a receiver and stimulator secured into the bone and 22 electrodes woven through cochlea that work to send signals between the nerves and brain. The individual receiving the implant has lived some of their life with hearing but has experienced severe sensorineural hearing loss in both ears.
Patients then stay in the hospital up to a two days and must allow up to a month for the area operated on to heal.
There are five areas tied in with the bill of the surgery including an evaluation, the surgery, purchasing hardware, hospitalization, and subsequent rehabilitation. The cells have been used in research on everything from reversing the signs of aging to helping to treat Parkinson's disease.
Stem cell used in the treatment for hearing loss are most often obtained from umbilical cords or bone marrow.
Patients seeking the stem cell procedure must travel to China, Mexico, the Middle East, or Thailand and typically pay between $18,000 to $30,000 on up in US dollars ?
There is even a notion that viable treatment could become available sooner rather later as the FDA has announced it' first clinical trial to research the effects of stem cells to restore hearing, culminating in late 20132. Early models were obstructive and definitely noticeable but the evolution of the design has consistently striven to make them more discreet and convenient to wear. There is a connecting wire that comes down the front of the ear so the device is somewhat noticeable.
The piece follows the same basic concept of the standard BTE aid but much smaller and more discreet. These particular devices are nearly invisible and relatively comfortable because they are custom fit.
The placement directly into the ear canal also creates some issues with wax buildup and the device must be cleaned and maintained on a fairly regular basis. These units are molded exactly to a person's inner ear and fill up the ear when placed inside.
One of the key components of ITE devices is that they can be fashioned with an FM transmitter.
Instead of taking up the entire inner ear, ITC hearing aids are custom molded for only the lower part of the ear canal.
These have the same basic concepts of the BTE, with a case that fits behind the ear and a connecting wire to an earmold in the drum.
The earpiece can even be custom molded to an individual's ear, which enables a more comfortable fit. An over the ear unit aims to resolve this with a unique style which leaves the canal as open as possible. The exact thing that makes over the ear devices popular is also the thing that leads to their downfall. People who absolutely want to hide the fact that they use a hearing aid find the IIC device their best option. Some hearing loss has been existent since birth while others occurred from an illness, unfit working conditions or poor attention to ear health. The loss of hearing is unexplained in the patient and usually occurs over a 72-hour period.
The particular hearing loss consists of standard audio comprehension except on sounds from 1,500 to 6,000 Hertz. Similar to high frequency hearing loss in which people can't hear frequencies above a certain decibel level, low frequency loss is the opposite where individuals can not distinguish sounds below a designated point.
Sudden hearing loss can result from explosions and other extremely loud sounds or from a disease or disorder.

There are over 100 causes of sudden deafness including immune diseases, neurological issues, abnormal tissue disease and of course violent trauma.
Depending on the severity of the deafness, normal hearing can return in a couple days or over a two week period.
It is a progressive form of hearing loss, often starting with muffled or faint sounds and evolving into what can become severe loss. The root cause isn't necessarily the ears, but the brain's ability to interpret the words and sounds it's hearing.
Also if an individual shows some signs of other various hearing loss, it may actually mask the correct diagnosis of central hearing impairment.
Not many people realize the importance of protecting all parts of the ear on a daily basis. With this treatment stem cells are implanted with hopes of them regrowing the defunct nerves. The only downside is that the approval time for new treatments such as this can take up to a decade or more. 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. Explains both sudden conductive hearing loss and various kinds of Sudden Sensorineural Hearing Loss (SSHL) Sudden deafness (sudden sensorineural hearing loss): diagnosis, causes and treatment Sudden Sensorineural Hearing Loss is a Medical Emergency. Metodo: Analise de pacientes atendidos no Ambulatorio de surdez subita submetidos a tratamento padronizado de janeiro de 1996 a janeiro de 2006, divididos em cinco grupos de tratamento para receber expansor plasmatico, dexametasona, aciclovir, acido nicotinico, cloridrato de papaverina e ou vitamina A. Method: Review of patients records included in a standardized protocol of treatment of the sudden sensorineural hearing loss outpatient unit between January 1996 and January 2006.
Em cerca de um terco dos casos podem ocorrer queixas associadas como zumbido, vertigem ou tontura e plenitude aural (2,3). For that reason, the pursuit of regaining full or at least partial hearing is one of the most steadfast treks that a person can endeavor in their life. The following methods are striving to ensure that every single human being can enjoy the crystal clear sounds of birds chirping in the morning or just an enjoy a relaxing melody emanating from their stereo. Those with only mild hearing loss should not yet seek a cochlear implant as they can see satisfactory results with other treatment methods (The Hearing Loss Pill or a hearing aid). The device is then 'turned on' with a sound processor and therapy begins to allow the brain to adjust to hearing new sounds. All total, patients can expect to spend between $50,000 and $125,000 US dollars, some or all of which may be covered by certain health insurance providers. Most recently, health care professionals are examining what effects stem cells could have on how to improve hearing loss, or maybe even finding a straight out cure. The cells are then induced via an intravenous method, via a spinal puncture, or through some other injection method.
Most of the pieces fit in or behind the wearer's ear and can be worn consistently or intermittently. The connecting wire is nearly invisible and the earmold is smaller which leads to a more comfortable feel and the elimination of the plugged up feeling. A small earmold is crafted to an individual's exact inner ear dimensions and fashioned with a microphone and speaker. Still the opportunity to have a low-key hearing aid that enables regular use of the telephone and doesn't pick up wind-resistance like other models is enough of a benefit for most users. The devices come in a number of different skin tones to help minimize the visibility and can rarely be noticed when looking at a person face to face. The user will in turn wear an FM receiver as a bracelet or around their neck and the device will collect the audio and send it to the ear piece. A person usually wouldn't be able to see somebody's ITC hearing aid unless looking directly into their ear.
One of the downsides of the RIC unit is that it's only recommended for people with minor to moderate hearing loss. The devices feature a small case that sits behind the ear with a clear tube running into the ear canal. For instance since the ear canal is open, low-frequency sounds escape the eardrum which can lead to feedback and blurred audio coming into the ear. The ear mold is custom fit to a user's exact ear canal dimensions, only much deeper than the other canal devices, making it 100% invisible. Sound waves pass from the outer ear, through the middle ear (ossicles), to the eardrum (tympanic membrane) and when there's a problem with conduction, sounds may become muffled. Because the hearing gradually starts coming back, most sufferers don't even seek medical treatment. Ironically some parts of speech such as the letters s,h, and f are conveyed in high frequencies, which makes them hard to understand when used in speech.
People with low frequency hearing loss suffer from the same misunderstood speech and muffled sounds that those with high-frequency loss do. Most people can report a full return to healthy hearing while about 15% of people notice their hearing loss will gradually decline. It should be noted that harmful external factors over a person's life including working in a loud factory or attending rock concerts aren't associated with Presbycusis, which only factors in normal aging.
Even when sudden noise induced hearing is restored, there will likely be long term effects that result from the exposure.
While central hearing loss is continually being examined, it remains somewhat of a mystery. This indicates that there is damage to both the inner ear and outer ear, outer ear and middle ear, or middle ear and inner ear. Whether it be diseases or the loud sounds of daily living, good hearing is constantly being threatened.
There are some reliable reports of this working and being available in specialty clinics in Asia. Sudden Sensorineural Hearing Loss (SSHL, Sudden Deafness) Sudden Sensorineural Hearing Loss (SSHL), or sudden deafness, is a rapid loss of hearing. A audiometria foi realizada antes (inicial) e apos o inicio da terapia (30, 90, 120 e 180 dias). Inclusion criteria were sudden sensorineural hearing loss occurring within 72 hours and 30 dB or more at three serial frequencies. The treatment involves a hospital stay of over two weeks and involves the injection of six stem cell packets. The units basically collect and amplify sound into the ear and work best with patients with minimal hearing loss. With electrical routing there is a speaker in the ear drum compared to acoustically where a loudspeaker behind the ear transmits sounds to the ear drum. BTE devices as a whole account for almost 50% of the hearing aid sales in the United States, with the mini BTE cornering a quarter of the market all by itself. The device is then placed completely into the ear canal and is almost completely discreet with a faceplate of various skin tones to avoid some of the stigma that can come with wearing a hearing aid. The unit is recommended for people with mild to moderate hearing loss but also those with a long enough ear canal to hold the device. That being said when looking at a profile view of the aid wearer the device is fairly noticeable. Since ITE hearing aids are custom made for each user, they're typically more expensive than behind the ear devices.
The reason that not everybody uses an in the canal device compared to one completely in the ear is because the smaller units aren't prescribed for extensive severe hearing loss, only moderately severe.
In a BTE aid, the receiver is placed in the case that sits behind the ear, which obviously requires a bigger and thus more noticeable piece. The design is still popular with general hearing aid users with mild to moderate loss and the starting price of as low as $40 over the counter is very attractive. Simultaneously less power is needed because of the proximity to the ear drum and those with light to moderate loss experience improved hearing clarity.
This is actually a fairly common type of hearing loss, sometimes caused by earwax, an infection, or pressure changes when flying. Of the patients that do see emergency personnel, only about 15% of the cases can be pinpointed to a specific cause.
This is where many individuals with high frequency loss report hearing a person but not understanding them. Low frequency hearing loss is hard to distinguish because the symptoms are minimal, meaning the value of low frequency words isn't as meaningful. Seeing a physician will give the best treatment option for sudden deafness which often typically includes a steroid injection. High intensity sound, especially over a long period of time, will cause damage to every part of the ear, inner, middle, and outer.
Central hearing loss could be explained as a sort of learning disability, as people lose the ability to filter competing sounds.
Once a person is aware that they suffer from inconsistencies in their central nervous system, they can help create an environment that is beneficial and less chaotic. The common symptoms are sounds that appear faint and muffled and conversations are difficult to understand.
Luckily, there are a few methods that individuals can take to both protect their gift of hearing and get it back when it starts to fail. Unfortunately though it will cost over $30,000 (cash only), and is still considered in the somewhat experimental stage. The testimonials you see on this web site are some of our better results and are not typical.
Pacients were included in five treatment groups and had received Dextran®, dexamethasone, acyclovir, nicotinic acid, papaverine chloridrate and or vitamin A. Dentre os fatores associados temos os disturbios metabolicos que sao mais frequentes entre cocleo-vestibulopatas do que na populacao geral (7). Still the mini BTE technology is still developing and with that comes the main downside of the product which is the cost ? Still, CIC devices are the most popular custom hearing aids with a reasonable bottom line price of $200-$300. The units are typically recommended for individuals experiencing moderate to severe hearing loss. Another downside is that feedback is more likely because of the closer proximity between the microphone and speaker in the tinier units. Some uncommon causes include new bone growing on old bone in the ear, a tumor, or a foreign object lodged into the eardrum (the first two requiring surgery to improve).

Because the loss is typically in only one ear, most patients consider it an anomaly instead of an indicator of something serious. Typical causes of low frequency loss include a mutation of the Wolfram Syndrome gene5 occurring at birth, Mondini dysplasia and Meniere's disease. What frustrates health care professionals is that noise induced hearing loss is nearly 100% preventable. For instance a person with healthy hearing will be able to 'zone in' to a television in a noisy room while someone with central hearing problems will hear all sounds at the same time.
There may be a small dedicated TV room or children may need a quiet and relaxed study area to maintain their grades. They stuck to the dose as directed and maintained a healthy lifestyle and balanced diet alongside it. Resultados: A amostra compreende 139 pacientes com idade media de 45,4 anos, 52,5% do sexo feminino e 47,5% masculino, em 92,8% a surdez subita era unilateral e em 7,2% bilateral. Adults who are experiencing slightly above mild hearing loss can also benefit from a behind the ear hearing aid. Many people with SSHL take a wait and see approach and about 80% of the cases are able to regain full hearing without medical treatment. The latest reports are especially discerning considering young people, in which the cases of high-frequency loss have increased dramatically. Ear plugs and other safety devices can be worn in the work place and radios can simply be turned down to below 85 decibels with no permanent damage.
We can add that The Hearing Loss Pill can be a GREAT central hearing loss treatment due to the nerve enhancing properties found in it. Genetics, a consistent exposure to loud sounds, normal aging, disease, drug use7, birth defects and more all lead to issues that affect different parts of the ear.
Explains both sudden conductive hearing loss and various kinds of Sudden Sensorineural Hearing Loss (SSHL).
Outcome was determined by subtracting baseline PTA (first day of the medical assessment) from final PTA (after 180 days). The BTE hearing aids are available without a prescription and can range from $50 for a basic design up to $1600 for a fully customized fit.
That being said, ITC devices offer the most discreetness for those with moderately severe loss and the starting price of $300 - $400 for a custom device is very reasonable.
The remainder of SSHL sufferers will need a steroid injection or even the use of a hearing aid to regain complete health. The increased popularity of iPods in teenagers has them inadvertently damaging their long-term hearing health.
Advanced multichannel devices are needed and the risk of overamplification could cause extensive damage from loud sounds. There are a number of things that factor into Presbycusis including heredity, dietary habits, smoking, hypertension, and the ingestion of ototoxic drugs such as aspirin. Most treatments of NIHL, with the exception of The Hearing Loss Pill, are geared to coping with the loss instead of reversing the effects.
The Hearing Loss Pill works to optimize the nerves of the ear AND the brain to help the body understand what the sounds are. Since there are so many factors that contribute to mixed hearing loss, the treatments also vary on a per-case basis as well.
Nao pode ser detectada diferenca significante na resposta audiometrica entre os grupos de tratamento. Results: Complete data were collected for 139 subjects, mean age were 45,4 years, 52,5% were female and 47,5% were male, 92,8% had unilateral sudden sensorineural hearing loss and 7,2% had bilateral one. The deep placement in the ear canal means the device typically won't jostle around or need to be adjusted.
Other factors that contribute to losing high frequency hearing are heredity, aging, and diseases. Presbycusis is not medically or surgically treatable, although hearing aids can help restore some of the lost hearing.
Hearing aids and cochlear implants are the most widely used ways to regain some semblance of previous hearing but they are only focusing on making the noise louder instead of actually trying to treat the cause. Certain medications can alleviate the problems while a more severe diagnosis might call for a corrective surgery. Definitions of sudden hearing loss have been based on severity, time course, audiometric criteria, and frequency spectrum of the loss. Observamos correlacao linear inversa significante entre o tempo decorrido do inicio da doenca e o primeiro atendimento e a evolucao ou resposta audiometrica.
Another convenience is that the unit doesn't need to be replaced daily and can be worn for months at a time.
Hearing aids and cochlear implants can help improve hearing by taking high frequency sounds and lowering them.
Mixed hearing loss is also one of the perfect candidates for experimental techniques and research such as a bone conduction implant, and for the standard use of The Hearing Loss Pill.
Conclusoes: O expansor plasmatico nao melhorou a eficacia da associacao entre o corticoide e o aciclovir no tratamento da surdez subita.
Nevertheless, no significant difference could be noted in audiometric assessment between treatment groups. Foram incluidos neste grupo aqueles que possuiam contra-indicacao clinica ao uso do expansor plasmatico (hipertensao arterial sistemica, cardiopatia, disturbio da coagulacao e insuficiencia renal).
Typically Lyric devices are sold as a yearly subscription that can cost up to $2,000 per ear. We observed a significant linear correlation between time from sudden sensorineural hearing loss onset to initial visit and audiometric recovery.
This includes replacement of the devices every couple months and users report that the improved quality of life is priceless. Conclusion: Dextran® did not provide more benefit than steroid and acyclovir in the treatment of SSHL. As soon as treatment begins better will be the outcome prognosis for sudden sensorineural hearing loss. Sudden hearing loss or sudden sensorineural hearing loss, SSNHL, is defined as a loss greater than 30 dB in three contiguous frequencies, occurring over a period of less than three. Nestes casos, a audiometria tonal limiar foi realizada em dias alternados,sendo programada a suspensao da medicacao e alta hospitalar na ausencia de melhora dos limiares auditivos apos tres dias. Intratympanic dexamethasone with hyaluronic acid in the treatment of idiopathic sudden sensorineural hearing loss after failure of. Nos casos de melhora audiometrica, o esquema terapeutico foi mantido por ate 10 dias.Para documentacao da variacao audiometrica foi utilizado o PTA, pure tone average ou limiar tonal puro. Sudden hearing loss (SHL) is a medical emergency for which definitive diagnosis and treatment is still.
O PTA para frequencias graves foi determinado pela media dos limiares tonais das frequencias de 250, 500 e 1000 Hertz (Hz) e o PTA para frequencias agudas a partir da media das frequencias de 2000, 4000 e 8000 Hz. A evolucao ou resposta audiometrica dos pacientes entre os diversos grupos de tratamento foi determinada subtraindo-se o PTA inicial (primeiro dia de avaliacao medica) do final (apos 180 dias).Para analise estatistica dos resultados, foram utilizados o teste t de Student e a analise de variancia (ANOVA). O nivel de significancia considerado foi de p RESULTADOSEm 129 (92,8%) pacientes a surdez subita (SS) era unilateral e em apenas 10 (7,2%) era bilateral. Quanto a etnia 77 (55,4%) eram brancos, 35 (25,2%) eram negros e 4 (2,9%) eram da raca amarela. Assim, para as frequencias graves observamos um coeficiente de correlacao de Spearman r = - 0,45 (p Grafico 1. Correlacao entre o tempo de inicio do tratamento e a evolucao nas frequencias graves.Grafico 2.
Correlacao entre o tempo de inicio do tratamento e a evolucao nas frequencias agudas.DISCUSSAOA literatura mostra que a idade media dos pacientes com surdez subita (SS) varia de 43 a 53 anos, que a distribuicao por sexo e equivalente e que o acometimento em mais 95% dos casos e unilateral, semelhante ao que observamos neste levantamento (2, 4, 13, 15, 16).
O unico levantamento epidemiologico de SS publicado ate o momento foi feito no Japao em tres anos distintos, em diferentes decadas e mostra que o tempo entre o inicio da SS e o primeiro atendimento variou de 11,6 ± 12,1 dias em 1974, 9,1 ± 9,8 dias em 1987 a 8,1 ± 9,1 dias em 1993 (15). Nao podemos comparar diretamente nossa casuistica com a de NAKASHIMA et al (15), pelo tipo de desenho e por serem populacoes diferentes, porem observamos retardo ate o primeiro atendimento o que pode ser atribuido em parte a descaso dos pacientes em relacao ao sintoma ou a dificuldade de acesso ao medico.Partindo de grupos homogeneos quanto as medias iniciais do PTA e considerando-se todos os casos atendidos, houve reducao significante na media do PTA.
Esta media de melhora (PTA inicial - final) foi de 21,6dB para frequencias graves e de 16,7dB para as agudas.
Apesar de nao haver grupo controle para comparacao, a literatura mostra que a melhora espontanea (sem tratamento) ocorre em 32% dos casos de SS e e em media de 15dB de PTA (3, 8), portanto menor do que a observada neste estudo. A recuperacao audiometrica estimada com o tratamento e de aproximadamente 25dB de PTA (3), semelhante a que observamos para frequencias graves.Quanto a evolucao dos pacientes (PTA inicial - PTA final) nos cinco grupos de tratamento, a diferenca observada nao se mostrou significante, tanto para frequencias graves como para agudas. Embora nao tenhamos observado significancia estatistica, a melhora do PTA foi menor nos pacientes dos grupos IV e V, que iniciaram o tratamento apos 15 dias do inicio da SS. Os grupos I, II e III iniciaram o tratamento nos primeiros 15 dias de SS, porem o melhor PTA foi observado no grupo II, o unico a nao receber expansor plasmatico por contra-indicacao clinica.
Embora algumas doencas de base sejam capazes de interferir na microcirculacao da orelha interna dificultando a melhora clinica da SS, as comorbidades apresentadas pelos pacientes do grupo II, aparentemente nao significaram fatores de pior prognostico.
Em nosso levantamento, o expansor plasmatico nao contribuiu para potencializar os efeitos do corticosteroide e do aciclovir no tratamento da SS, uma vez que o grupo que melhor respondeu a terapia nao o utilizou.Observamos uma correlacao linear inversa significante entre o tempo decorrido ate o inicio do tratamento e a resposta audiometrica apresentada pelo paciente, tanto para frequencias graves quanto para agudas. Oral steroid treatment of sudden sensorineural hearing loss: a ten year retrospective analysis. Sudden complete or partial loss of function of the octavus system in apparently normal persons. Antiviral treatment of idiopathic sudden sensorineural hearing loss: a prospective, randomized, double-blind clinical trial. Treatment of idiopathic sudden sensorineural hearing loss with antiviral therapy: a prospective, randomized, double-blind clinical trial. Prognosis for sudden sensorineural hearing loss: a retrospective study using logistical regression analysis. Clinicoepidemiologic features of sudden deafness diagnosed and treated at university hospitals in Japan. Assistente Doutor do Setor de Otoneurologia do Departamento de Otorrinolaringologia da FMUSP.2.

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