Therapeutic efficacy of salvage hyperbaric oxygen therapy in sudden sensorineural hearing loss after failure of steroids

Abdulkadir İmre; İbrahim Aladağ; Ercan Pınar; Hale Aslan; Rıdvan Duran; Mustafa Yazır

Makale detayları

Therapeutic efficacy of salvage hyperbaric oxygen therapy in sudden sensorineural hearing loss after failure of steroids

Yazarlar:

Abdulkadir İmre | İbrahim Aladağ | Ercan Pınar | Hale Aslan | Rıdvan Duran | Mustafa Yazır

Yayıncı:

Sürekli Eğitim ve Bilimsel Araştırmalar Derneği

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

ENT Updates 2017 Vol.7 Issue 3, pp.120-125

Belge Tipi:

Makale

Yayın Tarihi:

11/2017

Belge Dili:

İngilizce

Document ID (Org No.):

2000781820

Sıklık:

Üç Yıllık

eISSN:

2149-6498

pISSN:

2149-7109

Özet:

 


Objective: The aim of this study was to 
evaluate the efficacy of hyperbaric oxygen (HBO) therapy as salvage 
therapy in patients with idiopathic sudden sensorineural hearing loss 
(ISSNHL) after failure of systemic therapy. 

                                
                              Methods: 
Forty-eight consecutive patients with refractory ISSNHL were enrolled 
retrospectively. All patients were given systemic steroid therapy by 
tapered doses. In addition, forty-one patients received intratympanic 
dexamethasone injection. Hearing outcomes were determined by recovery 
rate according to Siegel's criteria and hearing gains in pure-tone 
average (PTA) measured by audiometry before and after HBO therapy. The 
effects of prognostic factors on hearing recovery were also evaluated.  
  

                                
                                Results: 
Thirteen (27%) patients responded to HBO therapy. The remaining 35 (73%)
 patients did not show any improvement. After HBO therapy, significant 
improvement was found in mean hearing thresholds at all frequencies. 
Only the level of initial PTA level and gender were significantly 
associated with recovery. Patients with severe hearing loss (≥70 dB) had
 significantly better results. 

                                
                            Conclusion: 
Salvage HBO therapy may be beneficial in patients with ISSNHL who failed
 to recover by primary combined steroid therapy. Further hearing 
recovery with salvage HBO therapy can be expected, particularly in 
patients with PTA greater than 70 dB. 


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Makale detayları

Therapeutic efficacy of salvage hyperbaric oxygen therapy in sudden sensorineural hearing loss after failure of steroids

Yazarlar: Abdulkadir İmre | İbrahim Aladağ | Ercan Pınar | Hale Aslan | Rıdvan Duran | Mustafa Yazır

Yayıncı: Sürekli Eğitim ve Bilimsel Araştırmalar Derneği

Ana Başlıklar: Sağlık teşvikleri

Dergi: ENT Updates 2017 Vol.7 Issue 3, pp.120-125

Belge Tipi: Makale

Yayın Tarihi: 11/2017

Belge Dili: İngilizce

Document ID (Org No.): 2000781820

Sıklık: Üç Yıllık

eISSN: 2149-6498

pISSN: 2149-7109

Sayı

Yazarlar:

Abdulkadir İmre | İbrahim Aladağ | Ercan Pınar | Hale Aslan | Rıdvan Duran | Mustafa Yazır

Yayıncı:

Sürekli Eğitim ve Bilimsel Araştırmalar Derneği

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

ENT Updates 2017 Vol.7 Issue 3, pp.120-125

Belge Tipi:

Makale

Yayın Tarihi:

11/2017

Belge Dili:

İngilizce

Document ID (Org No.):

2000781820

Sıklık:

Üç Yıllık

eISSN:

2149-6498

pISSN:

2149-7109