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Analysis of the relationship between changes in the auditory brainstem response and prognosis in patients with sudden hearing loss

Published online by Cambridge University Press:  03 December 2019

J Bang ,
H Lee ,
H Choi ,
D Lee ,
Y Kim  and
D-K Kim
J Bang
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
H Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
H Choi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
D Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
Y Kim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
D-K Kim*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daejeon, Korea
*
Author for correspondence: Associate Professor Dong-Kee Kim, Department of Otolaryngology – Head and Neck Surgery, Daejeon St Mary's Hospital, College of Medicine, Catholic University of Korea, Daeheung-dong, Jung-gu, Daejeon, Korea E-mail: cider12@catholic.ac.kr Fax: +82 42 221 9580
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Abstract

Objective

To analyse how the auditory brainstem response changes in patients with sudden sensorineural hearing loss.

Method

Data were collected via retrospective medical chart review.

Results

Forty-three patients were included in this study. The mean latency of auditory brainstem response wave 1 was significantly longer for the affected side than for the unaffected side (p = 0.003). The mean latency of auditory brainstem response wave 1 was significantly shorter, and the mean amplitude of auditory brainstem response wave 1 was significantly larger, in the good response group compared to the poor response group. In forward conditional logistic regression analysis, auditory brainstem response wave 1 latency was an independent predictor of a good response (odds ratio = 34.37, 95 per cent confidence interval = 1.56–757.15, p = 0.025).

Conclusion

In patients with sudden sensorineural hearing loss, the latency of wave 1 of the auditory brainstem response was significantly increased and was related to prognosis.

Keywords

Sensorineural Hearing LossAuditory Brain Stem ResponsePrognosisRetrocochlear Diseases
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 12 , December 2019 , pp. 1103 - 1106
Copyright
Copyright © JLO (1984) Limited, 2019

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Footnotes

Associate Professor D-K Kim takes responsibility for the integrity of the content of the paper

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