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Otolaryngol Head Neck Surg. 2005 Jan;132(1):5-10.

Oral steroid regimens for idiopathic sudden sensorineural hearing loss.

Author information

  • 1House Ear Institute, Los Angeles, CA 90057, USA. wslattery@hei.org

Abstract

OBJECTIVE:

To determine hearing recovery in patients with idiopathic sudden hearing loss treated with varying amounts of oral steroids.

STUDY DESIGN AND SETTING:

A retrospective chart review (n = 75) in a tertiary care clinic examined sudden hearing loss patients treated with 1 60-mg prednisone taper, 1 course of steroid less than a 60-mg taper, or any 2 courses of oral steroid.

RESULTS:

Overall, 35% of the patients recovered a clinically significant amount of hearing. Recovery was associated with immediate treatment (within 2 weeks from onset), better hearing at the onset of treatment, and treatment with the higher dose of prednisone in patients with just 1 additional symptom (dizziness or tinnitus). Patients tended to continue to experience some recovery in hearing up to 4 months after treatment.

CONCLUSION:

Immediate treatment of patients with unilateral idiopathic sudden hearing loss and additional symptoms (dizziness or tinnitus) with a 14-day course of 60 mg prednisone (with taper) is recommended.

EBM RATING:

B-3.

Comment in

PMID:
15632902
[PubMed - indexed for MEDLINE]
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