Sudden hearing loss causes treatment reviews,can high blood pressure make my ears ring design,buzzing in ears and head pressure low,supplements tinnitus relief products - PDF Review

Author: admin, 12.11.2013
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. One of the most confusing and contentious unsolved mysteries in otolaryngology, sudden deafness is a rapid loss of hearing. Most patients have reported onset of hearing loss within minutes to several hours and about one-third of patients will wake with the loss; others may find out the problem on trying to use the telephone, or describing a brief period of fluctuating hearing before the loss. Auditory nerve damage due to certain drugs such as Gentamycin, streptomycin, chloroquin, etc. Identical experiences like loud noise can cause hearing loss in one person and leave another relatively unaffected.
A sulfur-containing fatty acid, an alpha-lipoic acid helps to generate the energy that keeps us alive and working. The study has shown that the groups given the magnesium supplement were not as likely to experience permanent hearing damage as those given a placebo.
Vitamin D deficiency has also been associated with otosclerosis (abnormal bone growth in the middle ear), presbycusis, unexplained and bilateral cochlear deafness, and sensorineural hearing loss. Always wear ear protection (disposable plugs or ear­phone-style headset) when using loud appliances for example power tools or lawn mowers; and when you know you will be exposed to sudden loud noises, such as when shooting a gun. Stay up to date with the latest news on treatments for sudden hearing loss and tinnitus by visiting frequently. Having my story out there will hopefully help others fight the battle against sudden hearing loss, or at least help them learn to cope. Losing your hearing is very common in people these days, so I think it`s important to have information like this one! Sudden hearing loss, also known as sudden sensorineural hearing loss, is a medical emergency that is extremely frightening for the person experiencing it. There have been ongoing debates as to whether Intra-Tympanic Steroid Injections would be the most effective medical intervention in treating Sudden Hearing Loss or if the widely practiced evidence-based medical management of oral steroids would be a safer choice. When seeking the different options for tinnitus treatment, there are a couple of options that one can consider. Sudden hearing loss is associated with vertigo in between 20 to 60% of patients (Rambold et al, 2005). There is presently no convincing evidence that any oral or intravenous treatment for idiopathic SHL is better than placebo.
According to Zhang et al (2015), in China, in a study of about 250 people, SHL is commonly seen in middle aged people.
In our medical practice in Chicago, of the 54 SHL patients in our database, the median age was 60.
Some authors maintain that vascular disease is the most likely cause (Rambold et al, 2005). Also supporting the idea that vascular causes are important, is the observation that SHL following surgery outside the inner ear, is most commonly associated with cardiopulmonary bypass surgery (Page and Peters, 2015). It is better to have a minor hearing loss, no vertigo, and rapid treatment (within 1 week).
If you have experienced a SHL, you might be able to follow your hearing loss using a cell-phone hearing app.
Occasionally, unfortunate persons experience hearing loss on the opposite ear, a year or more later. Bottom line: At this writing (2016) almost everything looks either ineffective or slightly effective. We presently suggest that most people start on oral steroids quickly (preferably same day), check and follow their hearing with a cell-phone hearing app, and if the hearing loss is severe, consider the more aggressive steroid regimens outlined below.
Ng et al (2014) performed a metaanalysis of intratympanic steroids and reviewed 187 randomized trials, but found only 5 that met their inclusion criteria.
A slightly better recent double-blinded study of only 60 patients split into 3 groups (Battaglia et al, 2008) indicated that patients treated with a combination of intratympanic dexamethasone and high dose steroids are more likely to recover hearing than those treated with high dose steroids alone.
Dallan et al (2011) reported that intratympanic steroids had identical results to a mixture of oral steroids, pentoxifylinne, low molecular weight heparin and vitamin E.
Kim et al (2015) compared use of both IT and oral steroids to patients with either one alone -- this was an unblinded retrospective study -- thus the level of evidence is low.
Steroid injections through the ear drum are more costly (in the USA) than the alternatives of no-treatment or oral steroid treatment.
Steroid injections through the ear drum are prone to produce long lasting perforations of the ear drum. SHL is a very disturbing experience and there have been many unusual protocols and drugs advocated. There are several protocols involving increasing blood flow or oxygenation: We think that the oxygen part of these treatments is a placebo. These studies are implausible -- , is is difficult to see why this treatment should work and we would not suggest anyone go forward with this until it confirmed with a placebo-controlled and adequately powered study. Haberkamp and Tanyeri (1999) noted that while numerous treatments have been studied aiming to improve blood flow, such as carbogen inhalation or stellate ganglion block, all remain controversial or simply lack convincing evidence of efficacy. Recently, Kim et al (2011) compared steroids +carbogen+lipoprostaglandin E1 to several other variants including steroids alone, but not including placebo, They found a small advantage for the combination group.
At the University of Freiburg, exploration of the middle ear and patching is recommended for patients with SHL. Similar results are reported in another German Otolaryngology Dept, in Cologne (Kampfner et al, 2013). Lipo-prostaglandin E1 in combination with steroid therapy is effective for treatment of sudden sensorineural hearing loss in Korean patients with Type 2 diabetes. Coelho DH, Thacker LR, Hsu DW.Variability in the Management of Idiopathic Sudden Sensorineural Hearing Loss. Ng JH1, Ho RC, Cheong CS, Ng A, Yuen HW, Ngo RY.Intratympanic steroids as a salvage treatment for sudden sensorineural hearing loss? Kampfner D, Anagiotos A, Luers JC, Hüttenbrink KB, Preuss SF Analysis of 101 patients with severe to profound sudden unilateral hearing loss treated with explorative tympanotomy and sealing of the round window membrane. Khan AS, Sheikh Z, Khan S, Dwivedi R, Benjamin E.Viagra deafness-Sensorineural hearing loss and phosphodiesterase-5 inhibitors.
Linthicum FH Jr, Doherty J, Berliner KI.Idiopathic Sudden Sensorineural Hearing Loss: Vascular or Viral?
Niu X and many others.The relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss. Samuelsson AK, Hyden D, Roberg M, Skogh T.Evaluation of Anti-hsp70 Antibody Screening in Sudden Deafness.
Wang Y1, Zhang L1, Zhang J1, Zhang X1, Zhang W1, Chen X1, Tang S2.The clinical analysis of bilateral successive sudden sensorineural hearing loss. Zhang X, Xu X, Ma W, Zhang Q, Tong B, Yu H, Xu M, Ren T, Rosenhall U, Anniko M, Duan M.Acta Otolaryngol.


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. From the affected individuals, about 10% of have known causes which include infections, circulatory or neurological disorders, trauma, immune disorders or drugs toxic to the ears.
The most widely used treatment is high doses of steroids, and some people recover from SSHL, but not others.
Lipoic acid has broad range of antioxidant action and thus giving defense against free radicals. A lower dosage of 20 to 50 mg daily is commonly recommended for use as a general antioxidant.
Magnesium can be taken in a supplement that includes magnesium, calcium and vitamin D for the most benefit, read below. Deficiency of vitamin D is probably one of the reasons and supplementation should be considered in persons with hearing loss as noted by researchers. Keep the volume low enough that you can easily hear the telephone and other sounds over the music. This is particularly important if you have repeated ear infections and have been treated with antibiotics. It is ideal for people who need a device that is not visible and one that can facilitate their hearing. It is very rare that hearing loss occurs in both ears within 72 hours, so generally the timing definition of SHL alone leaves this situation out.
The wide spread probably depends on what you define as vertigo -- a little bit of dizziness, or a profound sensation of rotation.
Thus people who already have ear damage -- are more likely to have more hearing loss documented going forward.
Migraine is very common (15% of the population), far more so than SHL, and even occasional SHL due to migraine could be very significant. This is surprising as pregnancy is a risk factor for another cranial nerve syndrome -- Bell's palsy.
MRI testing is not always ordered -- in fact, only about half the time (Coelho et al, 2011).
Two meta-analysis studies of steroid treatment (Conlin and Parnes, 2007; Labus et al, 2010) suggested there was no benefit. Hearing outcome is not altered differentially by IV steroids administered in the first day vs.
This doesn't happen very often, and there is an obvious fallacy in that if hearing tends to improve anyway, improvements cannot necessarily be attributed to steroids. This involved 10, 90-minute sessions of breathing pure oxygen at 2.2 atmospheric pressure in a chamber. Very few placebo controlled studies have performed of treatment of SHL and for this reason, there is presently a limited ability to determine what is the optimal treatment of SHL.
Rather, there are a few unusual institutions that perform surgery in spite of the general opinion that surgery is not indicated. First, it is difficult to follow the logic described by the authors that led them to designated fistula or no-fistula.
Even if there is an additional effect of adding prostaglandin, this is a very narrow population and it seems doubtful that this experience generalizes to others. Uramoto, et al, in a paper entitled Vitamin E and vitamin C in the treatment of idiopathic sudden sensorineural hearing loss. This study from China suggests that intravenous administration of a mushroom extract improves hearing in SHL.
Practically, the US drug industry has priced these drugs in the nose-bleed range, and it seems unlikely that this information will do anyone much good until these drugs become generic and cheap. Combinatin therapy (intratympanic dexamethosone + high-dose predisone taper) for the treatment of idiopathic sudden sensorineural hearing loss. Prognostic model for predicting hearing recoery in idiopathic sudden sensorineural hearing lossl. Experimental otoacoustic emission and auditory brainstem response changes by stellate ganglion blockage in rat.
Intratympanic dexamethasone for sudden sensorineural hearing loss after failure of systemic therapy. Potential Benefits of Combination Therapy as Primary Treatment for Sudden Sensorineural Hearing Loss. Results of exploratory tympanotomy following sudden unilateral deafness and its effects on hearing restoration. Association between the V Leiden G1691A mutation and sudden sensorineural hearing loss in Italian population: a meta-analysis.
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.
The root cause of sudden deafness lies in the vestibulocochlear nerve (Cranial nerve VIII), the inner ear, or central processing centers of the brain. Most people recover impulsively within a few weeks, but 15% experience progressively worsening symptoms.
If the hearing loss is not severe, some doctors to not recommend any treatment but individuals who suffer from SSHL can be very fearful of the prospect of being permanently deaf in one ear, and this can set up a long treatment options that can be intimidating to the patient and the doctor. They generally work to decrease inflammation, decrease swelling, and help the body to fight illness.
The researchers suggest that diabetes may lead to hearing loss by damaging the nerves and blood vessels of the inner ear. Also, it has potential benefits for diabetic neuropathy, and it is proposed that it may help to prevent or repair nerve damage that causes hearing loss.


You should be the only one able to hear your music if you are using a personal stereo unit with headphones. However, sometimes it is difficult to know -- such as someone with a preexisting unilateral hearing loss, who loses hearing in the other ear. And probably people who care enough about their hearing to get it tested in the past, are more likely to keep caring about it when they have a change. An additional study of 11 more temporal bones in 2013 (Linthicum et al), was suggestive of a viral etiology.
The author's opinion is that migraine is a much more common cause of SHL than is generally appreciated in the otolaryngologic community. However, perhaps it relates to the fact that pregnancy is often reduces Migraine substantially. These apps might also be useful for following ones response to treatment (or no treatment as it may be).
In our opinion, MRI is not always necessary as one must consider availability, severity of the situation, and followup. They suggested that the hearing impairment in this select group is more severe and outcome of treatment is worse. In a more recent evidence based review, Lawrence and Thevasagayam (2015) suggested that either oral or intratympanic steroids should generally be offered. As of 2016, the best approach appears to be more steroids - -both systemic and intratympanic. The steroid regimen involved prescribing 66 tablets of prednsone (10 mg) given in a dose of 6 tablets for 7 days, then 5 capsules for 2 days, then 1 less capsule per day until finished. It seems to us that the injections themselves might have an adverse effect on hearing (compared to oral steroids given without a placebo injection).
We do not recommend IT steroids otherwise -- for example, in persons with minor hearing loss. In a more recent evidenced based review, Lawrence and Thevasagayam (2015) suggested that antivirals should not generally be offered routinely.
Horn et al (2005) also reported some good responses to hyperbaric treatment in an uncontrolled study of 9 patients.
In a recent evidenced based review, Lawrence and Thevasagayam (2015) suggested that "Due to the variability in the vasodilator and vasoactive agents used, there is insufficient evidence to support the routine use of these agents.
At this writing we do not feel that there is enough evidence for either treatment to advocate for its use. According to their article on their experience in 97 patients, surgery can be beneficial if performed within 7 days (Maier et al, 2008).
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. SSHL is defined as an idiopathic hearing loss of sensorineural origin, greater than 30 dB in three connected frequencies that usually occurs in less than three days and in only one ear.
Standard management of sudden deafness consists of removal of the known cause, antibiotics, steroids and inhalation of a mixture of carbon-dioxide and oxygen.
Steroid treatment helps to some SSHL patients who also have conditions that affect the immune system, the body’s defense against disease. In the body, just one deficiency can have trickle down affect and makes it very hard to isolate the exact cause of sudden hearing loss, and many other disease process. Considering this unlikely but devastating possibility, we think it is prudent to take the more aggressive approach in treating SHL (see below).
Even more recently, Gao and Liu (2016), in another meta-analysis, suggested that combined intratympanic and systemic steroids provide better outcomes than systemic steroids alone. Another recent meta-analysis concluded that there was no significant effect (Labus et al, 2010).
There is an obvious trend for an increasing number of positive reports, albeit nearly all uncontrolled, over time.
Or perhaps this is because controlled studies show no effect, and studies that show no effect are hard to publish. We are not sure ourselves whether oral or IT steroids are superior in terms of hearing results to doing nothing, but we are certain that large amounts of oral steroids can cause significant side effects. We are very unenthused about this treatment suggestion deriving from this uncontrolled trial.
Second, the natural history of SHL is such that improvement cannot be necessarily attributed to surgical exploration and patching. It is puzzling that these patients were operated, and even more puzzling that they got better.
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.
By taking less processed sugar in diet, you can low your blood sugar and thus reverse some of the debilitating effects. High levels of cholesteral and low levels of Coenzyme Q are associated with SHL (Cadoni et al, 2007).
Another recent trial comparing oral steroids to intratympanic injections suggested that there was no difference (Nakache et al, 2015).
This study suggested a powerful treatment effect where the combination group did far better than groups with either IT dexamethasone alone or high dose steroids + placebo injections.
Concerning intravenous steroids, they are likely superior to oral steroids, but they are far more difficult to administer.
Their method of judging whether or not a fistula was present was direct observation of the round window while displacing the stapes footplate. As it is a medical emergency, a person who experiences SSHL should visit a doctor immediately. 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. Of course, most of the processes that they noticed were either disorders that affected spinal fluid (such as meningitis or superficial siderosis), the body as a whole (a variety of autoimmune inner ear disease), and bilateral forms of unilateral ear disorders.
They reported a statistically better effect in the IT patients, with no change in the controls. This protocol also would be expected to have numerous steroid side effects due to the prolonged use of high-dose prednisone. 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. Lets be clear however -- these are not big effects, and one should be careful to judge whether the risk of steroids is warranted by the small effect.
For example, one would generally not want to use high dose systemic steroids in a diabetic, as the risk from steroid effects on diabetes might easily outweigh the small average effect on hearing. The problem with this study is that it is not a protocol likely to be helpful clinically, as it is not presently common to give 10 days of intravenous steroids in the treatment of SHL. Another concern with this study is that it is implausible in that conventional thought is that treatments provided after 10 days of illness are intrinsically unlikely to work. The obvious problem here that makes interpretation impossible, is the lack of definition of what was done as well as the lack of controls.
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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