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Otolaryngol Head Neck Surg. 2013 Jan;148(1):121-7. doi: 10.1177/0194599812464475. Epub 2012 Oct 16.

Efficacy of 3 different steroid treatments for sudden sensorineural hearing loss: a prospective, randomized trial.

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1
Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea.

Erratum in

  • Otolaryngol Head Neck Surg. 2013 Jun;148(6):1064.

Abstract

OBJECTIVES:

We treated patients with idiopathic sudden sensorineural hearing loss (ISSNHL) with several protocols on an outpatient department (OPD) basis. The study compared the efficacy of 3 different steroid treatments for ISSNHL.

STUDY DESIGN:

A prospective randomized controlled study.

SETTING:

Tertiary referral center.

METHODS:

A total of 60 patients diagnosed with ISSNHL were treated through OPD. They were randomly and equally divided into 3 groups based on therapy: oral steroid for 10 days (group I), intratympanic dexamethasone injection (ITDI) 4 times (group II), and both (group III). Pure-tone average (PTA) was measured by taking 4 frequencies (0.5, 1, 2, and 3 kHz). Hearing change was evaluated by comparing pre- and posttreatment PTAs. Recovery rate was assessed by American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) Clinical Practice Guidelines.

RESULTS:

The hearing gain was 12.8 ± 15.4 decibels (dB) in group I, 12.1 ± 14.6 dB in group II, and 21.9 ± 26.2 dB in group III. The recovery rate was 60% in groups I and III and 55% in group II. The overall recovery rate was 58.3% (35 of 60 patients). There was no significant difference in hearing gain and recovery rates for the 3 groups. Frequency-specific hearing gain also did not differ significantly among groups.

CONCLUSION:

Three different treatment protocols (oral steroid, ITDI, or the combination) resulted in similar hearing recovery rates. Therefore, OPD-based systemic and/or local steroid therapy can be recommended as an initial treatment in ISSNHL.

PMID:
23077155
DOI:
10.1177/0194599812464475
[Indexed for MEDLINE]
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