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Probability of clinically significant hearing recovery following salvage intratympanic steroids for sudden sensorineural hearing loss in the ‘real world’

Published online by Cambridge University Press:  18 May 2022

L Q Li Open the ORCID record for L Q Li [Opens in a new window]  and
A M D Bennett
L Q Li
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Lauriston Building, Edinburgh, Scotland, UK
A M D Bennett*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Lauriston Building, Edinburgh, Scotland, UK
*
Author for correspondence: Mr A M D Bennett, Department of Otolaryngology, Lauriston Building, Lauriston Place, Edinburgh EH3 9EN, Scotland, UK E-mail: alex.bennett@nhslothian.scot.nhs.uk
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Abstract

Objective

This study aimed to determine the probability of hearing recovery in patients with idiopathic sudden sensorineural hearing loss following salvage intratympanic steroids

Method

A retrospective review of all patients receiving salvage intratympanic steroid injections for idiopathic sudden sensorineural hearing loss was performed (January 2014 to December 2019). Twenty-two patients were identified, of whom 15 met inclusion criteria. Pre- and post-treatment audiograms were compared with the unaffected ear. Hearing recovery was categorised based on American Academy of Otolaryngology Head and Neck Surgery criteria.

Results

Only 1 patient out of 15 (6.7 per cent) made a partial recovery, and the remainder were non-responders. The median duration of time between symptom onset and first salvage intratympanic steroid treatment was 52 days (range, 14–81 days). No adverse reactions were observed.

Conclusion

‘Real world’ patients with idiopathic sudden sensorineural hearing loss present differently to those in the literature. Sudden sensorineural hearing loss should be diagnosed with care and intratympanic steroid injections initiated early if considered appropriate. Patients should make an informed decision on treatment based on prognostic factors and local success rates.

Keywords

SteroidsInjection, IntratympanicHearing Loss, SuddenHearing Loss, SensorineuralAudiometry
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 9 , September 2022 , pp. 831 - 838
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr A M D Bennett takes responsibility for the integrity of the content of the paper

Presented at Winter ENT Scotland Meeting (virtual), 27 November 2020.

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