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- Title
A Comparison of the Short-Term Outcome in Patients with Acute Low-Tone Sensorineural Hearing Loss.
- Authors
Morita, Shinya; Suzuki, Masanobu; Iizuka, Keiji
- Abstract
Purpose of the Study: We aimed to compare the short-term outcome of patients with acute low-tone sensorineural hearing loss (ALHL) treated with steroid alone, diuretics alone or combination treatment. Procedures: Between April 2000 and March 2009, we retrospectively reviewed the medical records of 156 patients with a diagnosis of ALHL. All patients were followed up until improvement or for 8 weeks from the initial examination. Patients were treated with steroid alone (n = 49), diuretics alone (n = 40), combination treatment (n = 46) or they received neither steroid nor diuretics (n = 21). Results: The steroid-diuretic combination therapy for ALHL showed significantly better results than the steroid or diuretic treatments alone (p < 0.05). There were no clinically significant differences in the outcome between the steroid- and diuretic-alone treatments. Conclusion and Message: The etiology of ALHL is described as both an endolymphatic hydrops and an autoimmunological mechanism so that, as expected, the steroid-diuretic combination therapy was more effective than the steroid or diuretic treatments alone. Copyright © 2010 S. Karger AG, Basel
- Subjects
TREATMENT of deafness; HEALTH outcome assessment; ACOUSTIC nerve; STEROIDS; DIURETICS; MENIERE'S disease; AUTOIMMUNE diseases; ISOSORBIDE dinitrate (Drug)
- Publication
ORL, 2010, Vol 72, Issue 6, p295
- ISSN
0301-1569
- Publication type
Article
- DOI
10.1159/000314695