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Tsuzuki N, Kitama T, Wasano K, Wakabayashi T, Hosoya M, Nishiyama T, Ozawa H, Oishi N. Characteristics of pure tone audiogram in patients with untreated sporadic vestibular schwannoma: Analysis of audiometric shape and interaural differences stratified by age and mode of onset. Auris Nasus Larynx 2024; 51:347-355. [PMID: 37788966 DOI: 10.1016/j.anl.2023.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 09/09/2023] [Accepted: 09/20/2023] [Indexed: 10/05/2023]
Abstract
OBJECTIVE Asymmetric sensorineural hearing loss (ASHL) is the most common symptom of sporadic vestibular schwannoma (VS). However, there is still no universally accepted MRI protocol for diagnosing VS. This study identified the characteristics of pure tone audiogram (PTA) in patients with VS. METHODS We conducted a retrospective chart review of patients diagnosed with sporadic unilateral VS. In the analysis, we focused on the shape and interaural differences of PTA, stratified by the mode of onset and patient age. RESULTS In total, 390 patients met the inclusion criteria. The U-shaped audiogram showed the highest proportion in patients with the onset of sudden sensorineural hearing loss (SSNHL). In patients with SSNHL, U-shaped audiograms were younger than other audiograms, and 86.7 % of patients under 40 had U-shaped audiograms. Patients with VS were more likely to have interaural differences at higher frequencies than at lower frequencies. Patients with SSNHL had a significantly higher percentage of interaural differences at 500-4000 Hz than those with onset other than SSNHL (non-SSNHL patients). In addition, non-SSNHL patients had a significant trend toward a higher percentage of interaural differences at all frequencies with increasing age. CONCLUSION MRI screening can be considered in patients with SSNHL with U-shaped audiograms under 40 years of age. In ASHL, not SSNHL, MRI screening can be considered for older patients with interaural differences at wider continuous frequencies. Patients with interaural differences at high frequencies had a higher priority than those with interaural differences at low frequencies as indications for MRI screening for VS.
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Affiliation(s)
- Nobuyoshi Tsuzuki
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35, Shinanomachi, Shinjuku, Tokyo 160-8582, Japan; National Institute of Sensory Organs, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro, Tokyo 152-8902, Japan; Department of Otolaryngology, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro, Tokyo 152-8902, Japan
| | - Tsubasa Kitama
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35, Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Koichiro Wasano
- Department of Otolaryngology, Head and Neck Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara-city, Kanagawa 259-1193, Japan
| | - Takeshi Wakabayashi
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35, Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Makoto Hosoya
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35, Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Takanori Nishiyama
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35, Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Hiroyuki Ozawa
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35, Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Naoki Oishi
- Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, 35, Shinanomachi, Shinjuku, Tokyo 160-8582, Japan.
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Huang X, Ni X, Shen J, Chen L, Xu L, Tang X. Associations between neutrophil-to-lymphocyte/platelet-to-lymphocyte and recovery in sudden sensorineural hearing loss. Biomark Med 2024; 18:115-122. [PMID: 38436264 DOI: 10.2217/bmm-2022-0729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2024] Open
Abstract
Aims: This study investigated the nonlinear associations between neutrophil-to-lymphocyte (NLR)/platelet-to-lymphocyte (PLR) and recovery rates in sudden sensorineural hearing loss (SSNHL). Methods: Total of 244 SSNHL patients were included. The primary outcome was recovery rate. Results: A nonlinear association was detected between NLR and recovery rate using the LOWESS method, with a knot of 3. Patients with NLR ≥3 had a higher recovery rate than NLR <3. Using the linear-spline function, NLR was significantly associated with high recovery rate when NLR was <3. However, when NLR was ≥3, this association became nonsignificant. The trend test showed a similar result. PLR was not associated with recovery rate. Conclusion: The association between NLR and recovery rate is nonlinear, with a knot of around three. PLR is not associated with recovery rate.
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Affiliation(s)
- Xinmei Huang
- Otolaryngology Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zheda Road, Hangzhou, 310027, China
| | - Xupei Ni
- Otolaryngology Department, Jinhua TCM Hospital, Shuangxi Road, Jinhua, 321000, China
| | - Jun Shen
- Otolaryngology Department, Jinhua TCM Hospital, Shuangxi Road, Jinhua, 321000, China
| | - Lihua Chen
- Otolaryngology Department, Jinhua TCM Hospital, Shuangxi Road, Jinhua, 321000, China
| | - Liying Xu
- Emergency Department, Zhejiang Provincial Hospital of TCM, Youdian Road, Hangzhou, 310003, China
| | - Xuxia Tang
- Otolaryngology Department, Zhejiang Provincial Hospital of TCM, Youdian Road, Hangzhou, 310003, China
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Plötzlicher sensorineuraler Hörverlust: Zusammenhänge mit Offenwinkelglaukom? Laryngorhinootologie 2024; 103:87-8. [PMID: 38320561 DOI: 10.1055/a-2164-0623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2024]
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Kommentar zu „Plötzlicher sensorineuraler Hörverlust: Zusammenhänge mit Offenwinkelglaukom?“. Laryngorhinootologie 2024; 103:88-9. [PMID: 38320562 DOI: 10.1055/a-2164-1510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2024]
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Hey M, Dambon J, Synowitz M, Ambrosch P. [Retrocochlear diagnostics for acute hearing loss and successful therapy]. HNO 2024; 72:44-50. [PMID: 37615685 PMCID: PMC10781830 DOI: 10.1007/s00106-023-01351-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/20/2023] [Indexed: 08/25/2023]
Abstract
A 41-year-old female patient presented due to acute onset of unilateral hearing loss 3 months previously and persistent since then. Systemic therapy with oral glucocorticoids in decreasing doses had been performed beforehand, but did not lead to any improvement. In the course of audiological diagnostics, based on subjective and objective methods, a retrocochlear hearing disorder was suspected. A meningioma was diagnosed by diagnostic imaging. Subsequent surgical removal achieved a significant hearing improvement.
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Affiliation(s)
- Matthias Hey
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, UKSH Campus Kiel, Arnold-Heller-Straße 14, 24105, Kiel, Deutschland.
| | - Jan Dambon
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, UKSH Campus Kiel, Arnold-Heller-Straße 14, 24105, Kiel, Deutschland
| | | | - Petra Ambrosch
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, UKSH Campus Kiel, Arnold-Heller-Straße 14, 24105, Kiel, Deutschland
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Zhou Y, Wen J, Yang Z, Zeng R, Gong W, Jing Q. The potential relationship between uric acid and the recovery in sudden sensorineural hearing loss. Braz J Otorhinolaryngol 2024; 90:101368. [PMID: 38006724 PMCID: PMC10724551 DOI: 10.1016/j.bjorl.2023.101368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 10/19/2023] [Accepted: 11/12/2023] [Indexed: 11/27/2023] Open
Abstract
OBJECTIVE Serum uric acid is proven to be associated with chronic hearing loss, but its effect on Sudden Sensorineural Hearing Loss (SSNHL) is unclear. This study aims to evaluate the prognostic values of serum uric acid levels in SSNHL patients. METHODS The clinical records of SSNHL patients were retrospectively reviewed. Patients were divided into different groups based on hearing recovery and audiogram type, and uric acid levels were compared. Based on uric acid levels, patients were categorized into normouricemia and hyperuricemia groups, and clinical features and hearing recovery were evaluated. Univariate and multivariate analyses were performed to identify prognostic factors. RESULTS In total, 520 SSNHL patients were included in this study, including 226 females and 294 males. In female patients, 186 patients were included in the normouricemia group, and 40 patients were enrolled in the hyperuricemia group. Significant differences were observed in uric acid levels, Total Cholesterol (TC), rate of complete recovery, and slight recovery between the two groups. In male patients, 237 subjects were categorized into the normouricemia group, and 57 patients were included in the hyperuricemia group. The rate of complete recovery and slight recovery was lower in the hyperuricemia group compared to the normouricemia group. All patients were further divided into good recovery and poor recovery groups based on hearing outcomes. The uric acid levels, initial hearing threshold, rate of hyperuricemia, and TC were lower in the good recovery group than the poor recovery group both in female and male patients. Binary logistic regression results showed that uric acid levels, initial hearing threshold, and hyperuricemia were associated with hearing recovery. CONCLUSION Hyperuricemia might be an independent risk factor for hearing recovery in SSNHL patients. Serum uric acid and initial hearing threshold possibly affected the hearing outcome in males and females with SSNHL. LEVEL OF EVIDENCE Level 4.
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Affiliation(s)
- Yandan Zhou
- Changsha Aier Eye Hospital, Aier Eye Hospital Group, Changsha, Hunan, China
| | - Jie Wen
- University of South China, Hengyang Medical School, The Affiliated Changsha Central Hospital, Department of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China; University of South China, Changsha, Hengyang Medical School, Institute of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China
| | - Zhongchun Yang
- University of South China, Hengyang Medical School, The Affiliated Changsha Central Hospital, Department of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China; University of South China, Changsha, Hengyang Medical School, Institute of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China
| | - Ruifang Zeng
- University of South China, Hengyang Medical School, The Affiliated Changsha Central Hospital, Department of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China; University of South China, Changsha, Hengyang Medical School, Institute of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China
| | - Wei Gong
- University of South China, Hengyang Medical School, The Affiliated Changsha Central Hospital, Department of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China; University of South China, Changsha, Hengyang Medical School, Institute of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China
| | - Qiancheng Jing
- University of South China, Hengyang Medical School, The Affiliated Changsha Central Hospital and Institute of Otolaryngology Head and Neck Surgery, Changsha, Hunan, China.
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Battat N, Ungar OJ, Handzel O, Eta RA, Oron Y. Video head impulse test for the assessment of vestibular function in patients with idiopathic sudden sensorineural hearing loss without vertigo. J Laryngol Otol 2023; 137:1374-1377. [PMID: 36794537 PMCID: PMC10694636 DOI: 10.1017/s0022215123000245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/08/2023] [Indexed: 02/17/2023]
Abstract
OBJECTIVE Idiopathic sudden sensorineural hearing loss may be accompanied by dizziness without true vertigo. This study used the video head impulse test to evaluate vestibular function in idiopathic sudden sensorineural hearing loss patients who described experiencing dizziness and not true vertigo. METHODS A prospective study was conducted of 30 consecutive patients diagnosed with idiopathic sudden sensorineural hearing loss with dizziness without true vertigo. A comparison of the video head impulse test results of the patients who complained of dizziness (symptomatic group) with a group of patients with idiopathic sudden sensorineural hearing loss and no dizziness (asymptomatic) was performed. RESULTS Nine patients (30 per cent) were symptomatic. Two of those patients had abnormal video head impulse test findings. Seven patients in the asymptomatic group (7 out of 21, 33 per cent) presented with abnormal video head impulse test results. No significant difference in vestibular function between the two groups was detected by the video head impulse test. CONCLUSION The site of insult in patients with idiopathic sudden sensorineural hearing loss without true vertigo is usually limited to the cochlea or the cochlear nerve.
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Affiliation(s)
- N Battat
- Department of Otolaryngology – Head and Neck Surgery, Samson Assuta Ashdod University Hospital, Ben Gurion University Faculty of Health Sciences, Ashdod, Israel
| | - O J Ungar
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - O Handzel
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - R Abu Eta
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Y Oron
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Al-Azzawi A, Stapleton E. Blood tests as biomarkers for the diagnosis and prognosis of sudden sensorineural hearing loss in adults: a systematic review. J Laryngol Otol 2023; 137:977-984. [PMID: 36794400 DOI: 10.1017/s0022215123000282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
OBJECTIVE Sudden sensorineural hearing loss is considered idiopathic in up to 90 per cent of cases. This study explored the role of blood tests as biomarkers for the diagnosis and prognosis of sudden sensorineural hearing loss. METHOD Two researchers filtered 34 papers into the final review. This review was pre-registered on the Prospero database and conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. RESULTS Raised inflammatory markers are almost universal in sudden sensorineural hearing loss, suggesting an inflammatory or autoimmune process. The most useful biomarkers are neutrophil-lymphocyte ratio, platelet-lymphocyte ratio and fibrinogen level. Focused investigations should be deployed on a case-by-case basis to identify underlying metabolic, infective and autoimmune conditions. CONCLUSION A full blood count and coagulation screen (fibrinogen) is recommended in all cases of sudden sensorineural hearing loss. These are inexpensive, accessible and offer as much diagnostic and prognostic information as any other biomarker. There is emerging evidence regarding specific biomarkers for sudden sensorineural hearing loss prognosis, with heat shock protein-70, anti-endothelial cell antibody and prestin demonstrating potential; investigation of their validity through prospective, controlled research is recommended.
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Affiliation(s)
- A Al-Azzawi
- Medical School, University of Manchester, Manchester, UK
| | - E Stapleton
- Department of Otolaryngology, Manchester Royal Infirmary, Manchester, UK
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Oussoren FK, Schermer TR, van Leeuwen RB, Bruintjes TD. Cardiovascular Risk Factors, Cerebral Small Vessel Disease, and Subsequent Risk of Stroke in Patients with Idiopathic Sudden Sensorineural Hearing Loss: Systematic Review and Meta-Analyses of the Current Literature. Audiol Neurootol 2023; 29:1-29. [PMID: 37557093 PMCID: PMC10836643 DOI: 10.1159/000530686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 04/04/2023] [Indexed: 08/11/2023] Open
Abstract
Vascular involvement in the pathophysiology of idiopathic sudden sensorineural hearing loss (iSSNHL) has been previously proposed. The objective of this study was to perform a systematic review of the current literature and conduct meta-analyses to evaluate associations between cardiovascular risk factors, cerebral small vessel disease, and subsequent stroke after presentation with iSSNHL. Three systematic literature reviews and meta-analyses were conducted using PubMed, Embase, and CINAHL. All studies investigating associations between iSSNHL and the cardiovascular risk factors: body mass index (BMI), diabetes mellitus, hyperlipidemia, hypertension, medical history of myocardial infarction (MI), smoking, the degree of white matter hyperintensities, and incidence of stroke were included. Adhering to the PRISMA guidelines, two independent reviewers reviewed the articles and assessed risk of bias. The cardiovascular risk factors of abnormal BMI, diabetes, hypertension, total cholesterol, low-density lipoprotein cholesterol, and a medical history of MI were significantly associated with iSSNHL. The adjusted hazard ratio of a higher degree of white matter hyperintensities was 0.70 (95% CI 0.44, 1.12). Patients with iSSNHL showed a higher risk of stroke compared to controls, with hazard ratios ranging from 1.22 up to 4.08. Several cardiovascular risk factors are more frequently present in patients with iSSNHL than in the general population. The degree of white matter hyperintensities does not appear to be increased in patients with iSSNHL, while the risk of stroke following ISSNHL is increased. Prospective studies with larger study populations are needed to confirm the associations between generalized cardiovascular disease and iSSNHL and to assess whether these patients benefit from cardiovascular risk management to prevent future cardiovascular and cerebrovascular disease.
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Affiliation(s)
- Fieke K. Oussoren
- Department of Otorhinolaryngology, Leiden University Medical Center, Leiden, The Netherlands
- Apeldoorn Dizziness Centre, Gelre Hospital, Apeldoorn, The Netherlands
| | - Tjard R. Schermer
- Apeldoorn Dizziness Centre, Gelre Hospital, Apeldoorn, The Netherlands
- Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | | | - Tjasse D. Bruintjes
- Department of Otorhinolaryngology, Leiden University Medical Center, Leiden, The Netherlands
- Apeldoorn Dizziness Centre, Gelre Hospital, Apeldoorn, The Netherlands
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Lee YH, Young YH. The role of serum osmolality in Meniere's disease with acute sensorineural hearing loss. Int J Audiol 2023; 62:713-719. [PMID: 35736628 DOI: 10.1080/14992027.2022.2075799] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 04/29/2022] [Accepted: 05/04/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVE This study investigated the role of serum osmolality in Meniere's disease (MD) patients with acute sensorineural hearing loss (SNHL). DESIGN Retrospective study. STUDY SAMPLES Twenty definite MD patients with acute unilateral SNHL were treated with an osmotic diuretic (Isosorbide, 100 mL daily) and assigned to Group A. Another 20 age- and sex-matched definite MD patients with acute SNHL were not given Isosorbide and assigned to Group B. Both groups underwent audiometry and blood examination for serum osmolality before and after treatment. RESULTS Group A revealed a significant increase in serum osmolality after treatment. The optimal cut-off values for increased serum osmolality in Group A were +1.5 mOSM/L for predicting hearing improvement at frequencies of 250-1000 Hz, and +2.5 mOSM/L at 2000-4000 Hz. Comparing increased levels of serum osmolality (> +2.0 vs. ≤ +2.0 mOSM/L), Isosorbide dosing at 3.0 L vs. 1.0 L, significantly differed in the odds ratio (OR). Isosorbide at a total dosage of 3.0 L thus improves the hearing threshold by >10 dB at frequencies of 250-2000 Hz. CONCLUSION The Isosorbide at a total dosage of 3.0 L may increase serum osmolality by > +2.0 mOSM/L, and improve the hearing threshold for hydropic ears at least >10 dB at low- and mid-frequencies.
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Affiliation(s)
- Yen-Hui Lee
- Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan
| | - Yi-Ho Young
- Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan
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Kose Celebi N, Deveci HS, Kulekci Ozturk S, Aslan Dundar T. Clinical role of vitamin D, vitamin B12, folate levels and hematological parameters in patients with sudden sensorineural hearing loss. Acta Otolaryngol 2023; 143:596-601. [PMID: 37498186 DOI: 10.1080/00016489.2023.2235398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 07/03/2023] [Accepted: 07/04/2023] [Indexed: 07/28/2023]
Abstract
BACKGROUND Sudden sensorineural hearing loss (SSNHL), which is frequently observed in otolaryngology clinics, is characterized by sudden onset hearing loss that can develop within hours or days. Its etiology is still not fully understood. AIMS/OBJECTIVES This research aims to identify prognostic biomarkers that can be utilized to assess the progress of SSNHL as well as circumstances that may predispose individuals to the disease. MATERIALS AND METHODS Between 1 January 2019 and 1 October 2020, patients diagnosed with SSNHL in our clinic and a control group consisting of healthy people were examined retrospectively. The files of the groups were examined and the levels of hemoglobin, Neutrophil-Lymphocyte Ratio (NLR), ferritin, iron, iron binding capacity (UIBC), vitamin D, vitamin B12, folate were statistically compared with the control group. In addition, the effect of the parameters studied in the patient group on the degree of recovery was examined. RESULTS There was no statistically significant difference between the groups in terms of mean age and gender distribution (p > .05). NLR level of the patient group was higher than the control group (p < .05). Vitamin D level of the patient group was lower than the control group (p < .05). NLR and vitamin D levels had no effect on the degree of recovery (p > .05). There was no significant difference between the groups in terms of other parameters (p > .05). CONCLUSIONS AND SIGNIFICANCE We think that our study can be a guide for adding vitamin D as a routine laboratory test in patients with SSNHL. In addition, we think that NLR value can be used as a marker in patients with SSNHL. It is recommended to investigate the role of vitamin D supplementation in better and faster response in these patients.
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Affiliation(s)
- Nurdan Kose Celebi
- Otorhinolaryngology, İstanbul Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey
| | - Hande Senem Deveci
- Otorhinolaryngology, İstanbul Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey
| | - Semra Kulekci Ozturk
- Otorhinolaryngology, İstanbul Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey
| | - Tugba Aslan Dundar
- Otorhinolaryngology, İstanbul Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey
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Dong C, Yang D, Zhang P, Guo S, Li X. Sudden Sensorineural Hearing Loss Is Related to Endothelial Progenitor Cells and Lipoprotein-Associated Phospholipase A2. J Int Adv Otol 2023; 19:76-80. [PMID: 36975077 PMCID: PMC10152105 DOI: 10.5152/iao.2023.21523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 03/28/2022] [Indexed: 03/29/2023] Open
Abstract
BACKGROUND This study aimed to investigate the correlation between lipoprotein-associated phospholipase A2, endothelial progenitor cells, and sudden sensorineural hearing loss. METHODS The number of endothelial progenitor cells and lipoprotein-associated phospholipase A2 levels collected from peripheral blood samples were measured and compared between sudden sensorineural hearing loss group and control group. RESULTS The number of endothelial progenitor cells was reduced in sudden sensorineural hearing loss group compared to control group (38.88 ± 10.73 in sudden sensorineural hearing loss group vs. 77.14 ± 8.56 in control group, P <.01). The lipoprotein-associated phospholipase A2 level was markedly increased in sudden sensorineural hearing loss group compared to control group (244.94 ± 59.547 in sudden sensorineural hearing loss group vs. 189.00 ± 50.987 in control group, P <.05). CONCLUSION The number of endothelial progenitor cells was decreased and lipoprotein-associated phospholipase A2 levels were increased in sudden sensorineural hearing loss patients. Changes in the number of endothelial progenitor cells and lipoprotein-associated phospholipase A2 levels may be involved in the pathogenesis of sudden sensorineural hearing loss.
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Affiliation(s)
- Chao Dong
- Department of Otolaryngology, General Hospital of Tianjin Medical University, Tianjin, China
| | - Dong Yang
- Department of Otolaryngology, General Hospital of Tianjin Medical University, Tianjin, China
| | - Peng Zhang
- Department of Otolaryngology, General Hospital of Tianjin Medical University, Tianjin, China
| | - Sitong Guo
- Department of Otolaryngology, General Hospital of Tianjin Medical University, Tianjin, China
| | - Xin Li
- Department of Otolaryngology, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China
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Johns JD, Adadey SM, Hoa M. The role of the stria vascularis in neglected otologic disease. Hear Res 2023; 428:108682. [PMID: 36584545 PMCID: PMC9840708 DOI: 10.1016/j.heares.2022.108682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 12/16/2022] [Accepted: 12/19/2022] [Indexed: 12/25/2022]
Abstract
The stria vascularis (SV) has been shown to play a critical role in the pathogenesis of many diseases associated with sensorineural hearing loss (SNHL), including age-related hearing loss (ARHL), noise-induced hearing loss (NIHL), hereditary hearing loss (HHL), and drug-induced hearing loss (DIHL), among others. There are a number of other disorders of hearing loss that may be relatively neglected due to being underrecognized, poorly understood, lacking robust diagnostic criteria or effective treatments. A few examples of these diseases include autoimmune inner ear disease (AIED) and/or autoinflammatory inner ear disease (AID), Meniere's disease (MD), sudden sensorineural hearing loss (SSNHL), and cytomegalovirus (CMV)-related hearing loss (CRHL). Although these diseases may often differ in etiology, there have been recent studies that support the involvement of the SV in the pathogenesis of many of these disorders. We strive to highlight a few prominent examples of these frequently neglected otologic diseases and illustrate the relevance of understanding SV composition, structure and function with regards to these disease processes. In this study, we review the physiology of the SV, lay out the importance of these neglected otologic diseases, highlight the current literature regarding the role of the SV in these disorders, and discuss the current strategies, both approved and investigational, for management of these disorders.
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Affiliation(s)
- J Dixon Johns
- Department of Otolaryngology-Head and Neck Surgery, Georgetown University School of Medicine, Washington, DC, USA.
| | - Samuel M Adadey
- Auditory Development and Restoration Program, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, MD, USA.
| | - Michael Hoa
- Department of Otolaryngology-Head and Neck Surgery, Georgetown University School of Medicine, Washington, DC, USA; Auditory Development and Restoration Program, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, MD, USA.
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Amernik K, Twardowska R, Jaworowska E. The Tullio effect in a patient qualified for cochlear implantation: Diagnosis, management and rehabilitation performance: A case report. Medicine (Baltimore) 2022; 101:e31867. [PMID: 36401400 PMCID: PMC9678553 DOI: 10.1097/md.0000000000031867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
RATIONALE A case study on the qualification and treatment of profound hearing loss with a cochlear implant in a patient with a positive Tullio effect is described. To our knowledge this is the first such case reported in the literature. PATIENT CONCERNS A 46-year-old woman was admitted due to sudden hearing loss in the right ear (RE). The patient had suffered from bilateral hearing loss since childhood and was fitted with hearing aids on the RE successfully, in contrast to the left ear. While undergoing pure-tone audiometry, a positive Tullio effect was observed in the RE. The average hearing threshold for the RE was 95 dB. Due to the lack of effective treatment for sudden hearing loss, the patient was qualified for cochlear implantation. The patient's attempts to place a hearing aid on the RE resulted in dizziness. DIAGNOSES Computed tomography excluded the presence of a perilymphatic fistula, which could have been the cause of the patient's vertigo. INTERVENTIONS During the surgical procedure of cochlear implantation, considering the possible mechanisms of the Tullio effect, the incus was removed and the niche of the oval window was filled with fragments of connective tissue. The postoperative course was uneventful. OUTCOMES Three months after implantation, speech intelligibility in the free field was 80% of the correctly repeated elements of the numerical test, at 65 dB sound pressure level. An acoustic stimulation test was performed during tonal audiometry and no preexisting symptoms were observed. LESSONS A positive Tullio effect does not contraindicate treating hearing loss by means of cochlear implantation. When the Tullio effect is present, it is necessary to exclude presence of perilymphatic fistula. During cochlear implant surgery, in a patient with a positive Tullio effect, it is reasonable to disconnect the ossicular chain with the simultaneous sealing of the oval window niche.
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Affiliation(s)
- Katarzyna Amernik
- Department of Otolaryngology, Pomeranian Medical University, Szczecin, Poland
- * Correspondence: Katarzyna Amernik, Department of Otolaryngology, Pomeranian Medical University, Szczecin 71-252, Poland (e-mail: )
| | - Renata Twardowska
- Department of Otolaryngology, Pomeranian Medical University, Szczecin, Poland
| | - Ewa Jaworowska
- Department of Otolaryngology, Pomeranian Medical University, Szczecin, Poland
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Missner AA, Johns JD, Gu S, Hoa M. Repurposable Drugs That Interact with Steroid Responsive Gene Targets for Inner Ear Disease. Biomolecules 2022; 12:1641. [PMID: 36358991 PMCID: PMC9687275 DOI: 10.3390/biom12111641] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 10/25/2022] [Accepted: 11/02/2022] [Indexed: 10/28/2023] Open
Abstract
Corticosteroids, oral or transtympanic, remain the mainstay for inner ear diseases characterized by hearing fluctuation or sudden changes in hearing, including sudden sensorineural hearing loss (SSNHL), Meniere's disease (MD), and autoimmune inner ear disease (AIED). Despite their use across these diseases, the rate of complete recovery remains low, and results across the literature demonstrates significant heterogeneity with respect to the effect of corticosteroids, suggesting a need to identify more efficacious treatment options. Previously, our group has cross-referenced steroid-responsive genes in the cochlea with published single-cell and single-nucleus transcriptome datasets to demonstrate that steroid-responsive differentially regulated genes are expressed in spiral ganglion neurons (SGN) and stria vascularis (SV) cell types. These differentially regulated genes represent potential druggable gene targets. We utilized multiple gene target databases (DrugBank, Pharos, and LINCS) to identify orally administered, FDA approved medications that potentially target these genes. We identified 42 candidate drugs that have been shown to interact with these genes, with an emphasis on safety profile, and tolerability. This study utilizes multiple databases to identify drugs that can target a number of druggable genes in otologic disorders that are commonly treated with steroids, providing a basis for establishing novel repurposing treatment trials.
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Affiliation(s)
| | - James Dixon Johns
- Department of Otolaryngology-Head and Neck Surgery, Georgetown University Medical Center, Washington, DC 20007, USA
| | - Shoujun Gu
- Auditory Development and Restoration Program, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, MD 20892, USA
| | - Michael Hoa
- Department of Otolaryngology-Head and Neck Surgery, Georgetown University Medical Center, Washington, DC 20007, USA
- Auditory Development and Restoration Program, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, MD 20892, USA
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陆 翼, 雍 军, 夏 寅, 刘 志. [Multifactorial analysis of the degree of hearing loss and outcome in patients with sudden hearing loss]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 36:827-834. [PMID: 36347574 PMCID: PMC10127571 DOI: 10.13201/j.issn.2096-7993.2022.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Indexed: 06/16/2023]
Abstract
Objective:To investigate the relationship between the severity and curative effect of hearing loss and clinical indicators in patients with sudden hearing loss (SHL). Methods:The Spearman correlation coefficient was used to analyze the correlation between the efficacy of SHL and clinical indicators.A total of two hundred and seventy-three patients with SHL were selected and divided into three quantile groups according to the average hearing threshold of the the involved ear frequency of the first pure tone audiometry at admission. Univariate and multivariate ordered logistic regression were used to evaluate the relationship between initial hearing level and clinical indicators of SHL patients. The Spearman correlation coefficient was used to analyze the correlation between efficacy of SHL and clinical indicators. Results:Compared with patients with lower hearing loss (≤50 dB HL),patients with higher hearing loss (>50 dB HL) had higher Neutrophil, Monocyte, Triglycerides, Hemoglobin, Fibrinogen, Glucose, Neutrophil/high-density lipoprotein cholesterol ratio (NHR), Monocyte/high-density lipoprotein cholesterol ratio, Monocyte/lymphocyte cell ratio, age, dizziness, and lower Platelet/ lymphocyte cell ratio and High-density lipoprotein cholesterol, and poor final hearing threshold.Multivariate logistic regression showed that NHR and age were independent risk factors for initial hearing loss in SHL patients.And the NHR, Neutrophil/lymphocyte cell ratio (NLR), course of disease, type of hearing curve, and final hearing threshold were significantly negatively correlated with curative effect. Conclusion:SHL patients with higher NHR and NLR values, the longer time from onset to visit, and the more severe hearing loss had worse efficacy.However, SHL patients with higher NHR and age values had greater initial hearing loss,the degree of hearing loss and curative effect are different in SHL patients with different types of hearing threshold curve and age.
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Affiliation(s)
- 翼年 陆
- 新疆医科大学第一附属医院耳鼻咽喉头颈外科(乌鲁木齐,830000)Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830000, China
| | - 军 雍
- 新疆医科大学第一附属医院耳鼻咽喉头颈外科(乌鲁木齐,830000)Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830000, China
| | - 寅 夏
- 首都医科大学附属北京天坛医院耳鼻咽喉头颈外科Department of Otolaryngology Head and Neck Surgery, Beijing Tiantan Hospital, Capital Medical University
| | - 志连 刘
- 新疆医科大学第一附属医院耳鼻咽喉头颈外科(乌鲁木齐,830000)Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830000, China
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张 姝, 黎 志, 李 凌, 曾 祥. [An analyzation on the characterization of frequency tuning of vestibular evoked myogenic potential in patients with unilateral vestibular hypofunction]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 36:702-706. [PMID: 36036072 PMCID: PMC10127623 DOI: 10.13201/j.issn.2096-7993.2022.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Indexed: 06/15/2023]
Abstract
Objective: To explore the value of adding 1 kHz cervical vestibular evoked myogenic potential(cVEMP) and ocular vestibular evoked myogenic potential(oVEMP) in the auxiliary diagnosis of unilateral vestibular hypofunction. Methods:A retrospective analysis of 84 patients with unilateral vestibular hypofunction receiving two or more vestibular function tests was conducted,29 cases of unilateral Ménière's disease, 27 cases of benign paroxysmal positional vertigo (BPPV), 8 cases of idiopathic sudden sensorineural hearing loss (ISSHL) with vertigo, and 20 cases of ISSHL without vertigo were included. SPSS 25.0 software was used for statistical analysis to observe the difference of frequency amplitude ratio (FAR) at 500 Hz/1 kHz of cVEMP and oVEMP between the experimental and control groups. Results:①The cVEMP elicitation rates were 95.24% (80/84) and 98.81% (83/84) for 500 Hz and 1 kHz, respectively; and the oVEMP elicitation rates were 78.57% (66/84) and 91.67% (77/84) for 500 Hz and 1 kHz, respectively. ②Except for the lateral difference of FAR in oVEMP of the posterior semicircular canal BPPV group and cVEMP of the horizontal semicircular canal BPPV group (P<0.05), no significant lateral difference was observed in the other disease groups (P>0.05). Conclusion:In patients with unilateral vestibular hypofunction, cVEMP and oVEMP showed different frequency tuning changes in different semicircular canal BPPV groups. Additionally, 1 kHz cVEMP and oVEMP as regular stimulation frequencies in clinical test, which has certain clinical reference significance for determining the diagnosis and prognosis of BPPV on the weak ear and in different semicircular canal involvement.
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Affiliation(s)
- 姝琪 张
- 中山大学附属第三医院耳鼻咽喉头颈外科(广州,510630)Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
| | - 志成 黎
- 中山大学附属第三医院耳鼻咽喉头颈外科(广州,510630)Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
| | - 凌伟 李
- 中山大学附属第三医院耳鼻咽喉头颈外科(广州,510630)Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
| | - 祥丽 曾
- 中山大学附属第三医院耳鼻咽喉头颈外科(广州,510630)Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China
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Wang MM, Sun X, Hu N, Hou ZQ, Xiong WP, Wang YJ, Fan ZM, Wang HB. [The changes of blood-labyrinth barrier in idiopathic sudden sensorineural hearing loss and the relationship with clinical features and prognosis]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57:937-942. [PMID: 36058659 DOI: 10.3760/cma.j.cn115330-20210705-00429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Objective: To investigate the clinical features and prognosis in patients with idiopathic sudden sensorineural hearing loss (ISSNHL) with blood-labyrinth barrier breakdown (BLB-B). Methods: Clinical data of patients with unilateral ISSNHL hospitalized from December 2017 to December 2018 were retrospectively analyzed. According to the results of 3D-FLAIR MRI and enhanced MRI scanning, these patients were divided into two groups, i.e., normal and abnormal inner ear groups. The patients in abnormal inner ear group were further divided into two subgroups: BLB-B and BLB-B with exudation. The differences and correlations among the groups in clinical characteristics, in terms of gender, age, deafness side, basic diseases, dizziness/vertigo, vestibular function, hearing loss degree, as well as classification of hearing curve, and prognosis were analyzed by statistical software SPSS 23.0. Results: Data were collected from 150 cases, in which 68 were male and 82 were female, aged (46.2±14.6) years, including 67 cases with normal inner ears and 83 cases with abnormal inner ears (13 cases with BLB-B; 70 cases with BLB-B and exudation). The dizziness/vertigo incidence, side ratio, hearing loss degree, classification of hearing curve, vestibular dysfunction (vestibular double temperature test, HIT and VAT) and therapeutic effect were different between normal and abnormal inner ear groups (P<0.05). The dizziness/vertigo incidence, side ratio, hearing loss degree, classification of hearing curve, vestibular dysfunction (vestibular double temperature test, o/cVEMP, HIT and VAT) and therapeutic effect were different among normal inner ear, BLB-B and BLB-B with exudation groups (P<0.05). Pairwise comparison between groups revealed that vestibular dysfunction (vestibular double temperature test, o/cVEMP, HIT and VAT) and therapeutic effect were different between normal inner ear and BLB-B groups (P<0.05); The dizziness/vertigo incidence, side ratio, hearing loss degree, classification of hearing curve, vestibular dysfunction (vestibular double temperature test, o/cVEMP, HIT and VAT) and therapeutic effect were different between normal inner ear and BLB-B with exudation groups (P<0.05). There was no significant different between BLB-B and BLB-B with exudation groups. Conclusion: BLB-B displayed by 3D-FLAIR MRI manifestation in ISSNHL patients indicates more serious cochlear and vestibular dysfunction, and worse therapeutic effect.
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Affiliation(s)
- M M Wang
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China
| | - X Sun
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China
| | - N Hu
- Medical Imaging Center, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China
| | - Z Q Hou
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China
| | - W P Xiong
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China
| | - Y J Wang
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China
| | - Z M Fan
- Department of Otology Center, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China
| | - H B Wang
- Department of Otology Center, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China
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罗 冬, 李 国, 齐 伟, 陈 丹. [Association of sudden sensorineural hearing loss and its prognosis with the brain white matter hyperintensity]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 36:523-527. [PMID: 35822380 PMCID: PMC10128380 DOI: 10.13201/j.issn.2096-7993.2022.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Indexed: 06/15/2023]
Abstract
Objective:To explore the relationship between white matter hyperintensity(WMH) and sudden sensorineural hearing loss(SSHL) and evaluate the influence of WMH on the prognosis of SSHL. Methods:Fifty hospitalized unilateral SSHL patients and 50 age and gender matched routine physical examination individuals without SSHL history from June 2019 to June 2020 were included for a case-control study. All included subjects underwent 3.0 Tesla cranial magnetic resonance examination, and the Fazekas scale was applied to evaluate periventricular white matter hyperintense(PVWMH) and deep white matter hyperintense(DWMH). Fazekas score and distribution proportions of Fazekas score was compared between SSHL and control. Ordered logistic regression was used to study the relationship between prognosis of SSHL and WMH. Results:The Fazekas score of WMH in SSHL group was significantly higher than that of control group(PVWMH: P=0.004, DWMH: P=0.010); There was a significant difference in the distribution proportions of Fazekas scores between SSHL and control(PVWMH: P=0.036, DWMH: P=0.047); The results of ordered logistic regression showed that patients without WMH(Fazekas=0) is an independent predictor of good prognosis in SSHL(P=0.025, OR=12.779). Conclusion:The prevalence of WMH in SSHL patients was higher than that of control. SSHL patients without WMH has a better prognosis than those with WMH.
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Affiliation(s)
- 冬 罗
- 宝鸡市中心医院神经内科(陕西宝鸡,721008)Department of Neurology, Baoji Municipal Central Hospital, Baoji, 721008, China
| | - 国梁 李
- 宝鸡市中心医院神经内科(陕西宝鸡,721008)Department of Neurology, Baoji Municipal Central Hospital, Baoji, 721008, China
| | - 伟平 齐
- 宝鸡市中心医院耳鼻咽喉头颈外科Department of Otolaryngology Head and Neck Surgery, Baoji Municipal Central Hospital
| | - 丹 陈
- 宝鸡市中心医院耳鼻咽喉头颈外科Department of Otolaryngology Head and Neck Surgery, Baoji Municipal Central Hospital
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20
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Gordon SA, Waltzman SB, Friedmann DR. Delayed cochlear implantation in congenitally deaf children-identifying barriers for targeted interventions. Int J Pediatr Otorhinolaryngol 2022; 155:111086. [PMID: 35219037 DOI: 10.1016/j.ijporl.2022.111086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 02/01/2022] [Accepted: 02/15/2022] [Indexed: 11/18/2022]
Abstract
OBJECTIVES Age of cochlear implantation (CI) is an important predictor of language development in those with congenital sensorineural hearing loss. Despite universal newborn hearing screening initiatives and the known benefits of early CI, a subset of congenitally deaf children continue to be evaluated for cochlear implants later in childhood. This study aims to identify the barriers to early cochlear implantation in these children. METHODS A retrospective review was conducted for all pediatric cochlear implants aged 3 years or older performed at a single academic institution between 2013 and 2017. Children implanted before the age three, those with a prior unilateral cochlear implant, and those with progressive or sudden hearing loss were excluded. Variables included newborn hearing screen results, age at hearing loss diagnosis, time of initiation and documented benefit of hearing aids, age of implantation, pre/post-implantation evaluation scores, and reason for delayed referral for cochlear implantation. RESULTS Thirty-one patients were identified meeting these inclusion criteria. Twenty-one children were subject to UNBS in the U.S. Fourteen of those children failed their newborn hearing screening. Average age at implantation was 6.2 years. Four reasons were identified for increased age at cochlear implantation. Two categories represent delays related to (1) Amplification continually prescribed even though the range of hearing loss and speech development assessment suggests CI may have been more appropriate well before referral (N = 13) (2) Patients were not subject to newborn hearing screening and/or timely diagnosis of their hearing loss (N = 8). In other cases, patients were appropriately fit with hearing aids until evidence that they derived limited benefit and then referred for CI (N = 8). Lastly, in a few cases, records were indeterminate with regards to the timing and appropriate diagnosis of their hearing loss (N = 2). CONCLUSION Understanding the reasons for delayed cochlear implantation in congenitally deaf children might allow the development of targeted interventions to improve outcomes. Specifically, those children who were not referred before age 3 despite use of amplification with limited benefit offer one potential target population for earlier CI.
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Affiliation(s)
- Steven A Gordon
- Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, USA
| | - Susan B Waltzman
- Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, USA
| | - David R Friedmann
- Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, USA.
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崔 庆, 王 蕊, 闫 瑾, 刘 芳, 陈 娜, 张 雷, 戴 峰, 楼 颖. [Vestibular rehabilitation in patients with vestibular peripheral vertigo]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 36:217-221. [PMID: 35193345 PMCID: PMC10128297 DOI: 10.13201/j.issn.2096-7993.2022.03.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Indexed: 06/14/2023]
Abstract
Objective:To evaluate the efficacy of vestibular rehabilitation in patients with anterior peripheral vertigo and analyze its influencing factors. Methods:From January 2018 to June 2021, 153 cases with peripheral vertigo diseases(including 47 cases of benign positional paroxysmal vertigo, 38 cases of Meniere's disease, 26 cases of sudden deafness with vertigo, 23 cases of vestibular migraine and 19 cases of vestibular neuritis) were enrolled. One hundred and three cases were treated with vestibular rehabilitation combined with drugs, and 50 cases only treated with drugs were used as controls. Self-rating scale and vertigo disorder scale were evaluated at the beginning of treatment, 4 weeks and 8 weeks, respectively. The curative effects of the two groups were tested by t-test, and the independent risk factors affecting the curative effects were analyzed by multiple linear regression. Results:There was no difference in clinical data, self-assessment scale and vertigo disorder scale between the two groups(P>0.05). At 4 and 8 weeks, the scores of self-assessment scale and vertigo disorder scale in the experimental group were better than those in the control group(all P<0.01), and the curative effect at 8 weeks was better than that at 4 weeks, especially the decrease of emotional score during walking and the proportion of severe vertigo disability(all P<0.01). The scores of self-rating scale and vertigo disorder scale of the cases with benign positional paroxysmal vertigo and vestibular neuritis were better than Meniere's disease, vestibular migraine and sudden deafness with vertigo(P<0.05). Headache(P<0.05) and severe vertigo disorder before intervention(P<0.01) were independent risk factors affecting the efficacy of vestibular rehabilitation. Conclusion:Vestibular rehabilitation combined with anti-vertigo drugs in the treatment of vestibular peripheral vertigo is better than that of only using drugs, especially in improving the degree of emotional disorder and vertigo disability. It is more suitable for benign positional paroxysmal vertigo and vestibular neuritis, while the effect of combined headache or severe vertigo is relatively poor.
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Affiliation(s)
- 庆佳 崔
- 首都医科大学附属北京康复医院耳鼻咽喉科(北京,100144)Department of Otolaryngology, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, China
| | - 蕊 王
- 首都医科大学附属北京康复医院耳鼻咽喉科(北京,100144)Department of Otolaryngology, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, China
| | - 瑾 闫
- 首都医科大学附属北京康复医院耳鼻咽喉科(北京,100144)Department of Otolaryngology, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, China
| | - 芳 刘
- 首都医科大学附属北京康复医院耳鼻咽喉科(北京,100144)Department of Otolaryngology, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, China
| | - 娜 陈
- 首都医科大学附属北京康复医院耳鼻咽喉科(北京,100144)Department of Otolaryngology, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, China
| | - 雷 张
- 首都医科大学附属北京康复医院耳鼻咽喉科(北京,100144)Department of Otolaryngology, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, China
| | - 峰 戴
- 首都医科大学附属北京康复医院耳鼻咽喉科(北京,100144)Department of Otolaryngology, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, China
| | - 颖 楼
- 首都医科大学附属北京康复医院耳鼻咽喉科(北京,100144)Department of Otolaryngology, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, China
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Borkoski Barreiro S, Falcón González JC, Chicharro Soria I, Monedero Afonso J, Ramos Macías Á. [Macrolides as a possible cause of hearing loss in childhood]. Andes Pediatr 2021; 92:765-768. [PMID: 35319585 DOI: 10.32641/andespediatr.v92i5.2980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 02/09/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Idiopathic sudden hearing loss (SHL) is a relatively frequent entity in the adult population with unk nown cause in most cases. There are few studies in pediatric age and its diagnosis and management are a challenge for health professionals. OBJECTIVE To relate macrolide therapy as a causal agent of sudden hearing loss in pediatric patients. CLINICAL CASE 3-year-old girl with no relevant pathological history, with normal neonatal hearing screening and age-appropriate language development. She consulted due to an upper airway infectious process, treated on an outpatient basis with azithromycin for 3 days. One week later, she developed bilateral hearing loss, confirmed with Brainstem Auditory Evoked Potentials (BAEP), and started treatment with oral methylprednisolone and intratympanic corticosteroids. During treatment, imaging, laboratory, and genetic studies were performed, ruling out other causes of SHL, so the recent use of macrolides was considered as a possible diagnosis. As no clinical improvement was observed 6 weeks after the treatment, confirmed by the absence of response in the steady-state auditory evoked potentials and BAEP, simultaneous bilateral cochlear implant surgery was carried out. Four years after surgery, the patient showed good speech-language develop ment and adequate school performance. CONCLUSIONS Ototoxicity is a cause that must be considered in the case of SHL in childhood. A multidisciplinary approach will allow effective treatment in these patients, in which early management with an adequate hearing aid will restore hearing and achieve adequate speech development and linguistic competence.
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Affiliation(s)
- Silvia Borkoski Barreiro
- Servicio de Otorrinolaringología, Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Las Palmas, España
| | - Juan Carlos Falcón González
- Servicio de Otorrinolaringología, Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Las Palmas, España
| | - Isabel Chicharro Soria
- Servicio de Otorrinolaringología, Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Las Palmas, España
| | - Jaime Monedero Afonso
- Servicio de Otorrinolaringología, Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Las Palmas, España
| | - Ángel Ramos Macías
- Servicio de Otorrinolaringología, Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Las Palmas, España
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McLean WJ, Hinton AS, Herby JT, Salt AN, Hartsock JJ, Wilson S, Lucchino DL, Lenarz T, Warnecke A, Prenzler N, Schmitt H, King S, Jackson LE, Rosenbloom J, Atiee G, Bear M, Runge CL, Gifford RH, Rauch SD, Lee DJ, Langer R, Karp JM, Loose C, LeBel C. Improved Speech Intelligibility in Subjects With Stable Sensorineural Hearing Loss Following Intratympanic Dosing of FX-322 in a Phase 1b Study. Otol Neurotol 2021; 42:e849-e857. [PMID: 33617194 PMCID: PMC8279894 DOI: 10.1097/mao.0000000000003120] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
OBJECTIVES There are no approved pharmacologic therapies for chronic sensorineural hearing loss (SNHL). The combination of CHIR99021+valproic acid (CV, FX-322) has been shown to regenerate mammalian cochlear hair cells ex vivo. The objectives were to characterize the cochlear pharmacokinetic profile of CV in guinea pigs, then measure FX-322 in human perilymph samples, and finally assess safety and audiometric effects of FX-322 in humans with chronic SNHL. STUDY DESIGNS Middle ear residence, cochlear distribution, and elimination profiles of FX-322 were assessed in guinea pigs. Human perilymph sampling following intratympanic FX-322 dosing was performed in an open-label study in cochlear implant subjects. Unilateral intratympanic FX-322 was assessed in a Phase 1b prospective, randomized, double-blinded, placebo-controlled clinical trial. SETTING Three private otolaryngology practices in the US. PATIENTS Individuals diagnosed with mild to moderately severe chronic SNHL (≤70 dB standard pure-tone average) in one or both ears that was stable for ≥6 months, medical histories consistent with noise-induced or idiopathic sudden SNHL, and no significant vestibular symptoms. INTERVENTIONS Intratympanic FX-322. MAIN OUTCOME MEASURES Pharmacokinetics of FX-322 in perilymph and safety and audiometric effects. RESULTS After intratympanic delivery in guinea pigs and humans, FX-322 levels in the cochlear extended high-frequency region were observed and projected to be pharmacologically active in humans. A single dose of FX-322 in SNHL subjects was well tolerated with mild, transient treatment-related adverse events (n = 15 FX-322 vs 8 placebo). Of the six patients treated with FX-322 who had baseline word recognition in quiet scores below 90%, four showed clinically meaningful improvements (absolute word recognition improved 18-42%, exceeding the 95% confidence interval determined by previously published criteria). No significant changes in placebo-injected ears were observed. At the group level, FX-322 subjects outperformed placebo group in word recognition in quiet when averaged across all time points, with a mean improvement from baseline of 18.9% (p = 0.029). For words in noise, the treated group showed a mean 1.3 dB signal-to-noise ratio improvement (p = 0.012) relative to their baseline scores while placebo-treated subjects did not (-0.21 dB, p = 0.71). CONCLUSIONS Delivery of FX-322 to the extended high-frequency region of the cochlea is well tolerated and enhances speech recognition performance in multiple subjects with stable chronic hearing loss.
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Affiliation(s)
- Will J. McLean
- Frequency Therapeutics, Woburn, MA & Farmington, CT
- Department of Surgery, University of Connecticut School of Medicine, Farmington, CT
| | | | | | - Alec N. Salt
- Department of Otolaryngology, Central Institute for the Deaf, Fay and Carl Simons Center for Hearing and Deafness, Washington University School of Medicine, Saint Louis, MO
| | - Jared J. Hartsock
- Department of Otolaryngology, Central Institute for the Deaf, Fay and Carl Simons Center for Hearing and Deafness, Washington University School of Medicine, Saint Louis, MO
| | - Sam Wilson
- Frequency Therapeutics, Woburn, MA & Farmington, CT
| | | | - Thomas Lenarz
- Department of Otolaryngology and Cluster of Excellence of the German Research Foundation “Hearing4all”, Hannover Medical School, Hannover, Germany
| | - Athanasia Warnecke
- Department of Otolaryngology and Cluster of Excellence of the German Research Foundation “Hearing4all”, Hannover Medical School, Hannover, Germany
| | - Nils Prenzler
- Department of Otolaryngology and Cluster of Excellence of the German Research Foundation “Hearing4all”, Hannover Medical School, Hannover, Germany
| | - Heike Schmitt
- Department of Otolaryngology and Cluster of Excellence of the German Research Foundation “Hearing4all”, Hannover Medical School, Hannover, Germany
| | | | | | | | | | | | - Christina L. Runge
- Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI
| | - René H. Gifford
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN
| | - Steven D. Rauch
- Department of Otolaryngology, Harvard Medical School and Massachusetts Eye and Ear, Boston
| | - Daniel J. Lee
- Department of Otolaryngology, Harvard Medical School and Massachusetts Eye and Ear, Boston
| | - Robert Langer
- Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA
| | - Jeffrey M. Karp
- Center for Nanomedicine, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School Boston MA
- Harvard-MIT Division of Health Science and Technology
- Harvard Stem Cell Institute, Harvard University, Cambridge, MA, USA
- Broad Institute of MIT and Harvard, Cambridge, MA
| | | | - Carl LeBel
- Frequency Therapeutics, Woburn, MA & Farmington, CT
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Affiliation(s)
- Waldemar Narożny
- Department of Otolaryngology, Medical Univeristy of Gdańsk, Smoluchowskiego str. 17, 80-214 Gdańsk, Poland.
| | - Andrzej Skorek
- Department of Otolaryngology, Medical Univeristy of Gdańsk, Smoluchowskiego str. 17, 80-214 Gdańsk, Poland.
| | - Dmitry Tretiakow
- Department of Otolaryngology, Medical Univeristy of Gdańsk, Smoluchowskiego str. 17, 80-214 Gdańsk, Poland.
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Ming RJ, Wei JH, Zong SM, Xiao HJ. [Autophagy in sensorineural hearing loss]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021; 56:777-783. [PMID: 34344111 DOI: 10.3760/cma.j.cn115330-20210426-00229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- R J Ming
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - J H Wei
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - S M Zong
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - H J Xiao
- Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
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Peiró Villalba C, Albiñana Pérez A, Casas Movilla C. Sudden hearing loss as the main symptom of bilateral ischemic stroke secondary to fibroelastoma of the aortic valve. Med Clin (Barc) 2021; 158:190-191. [PMID: 34229880 DOI: 10.1016/j.medcli.2021.04.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 04/27/2021] [Accepted: 04/28/2021] [Indexed: 11/19/2022]
Affiliation(s)
- Clara Peiró Villalba
- Hospital Universitario Fundación Jiménez Díaz, Servicio de Urgencias, Madrid, Madrid, España.
| | - Alberto Albiñana Pérez
- Hospital Universitario Fundación Jiménez Díaz, Servicio de Urgencias, Madrid, Madrid, España
| | - Clara Casas Movilla
- Hospital Universitario Fundación Jiménez Díaz, Servicio de Urgencias, Madrid, Madrid, España
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Abstract
Reversible sensorineural hearing loss is a recognised complication of cryptococcal meningitis. Cryptococcal meningitis typically presents with usual symptoms of fever, headache and neck stiffness. This case highlights acute, profound, bilateral hearing loss as the initial symptom and presentation of cryptococcal meningitis in a young woman, who was later diagnosed with AIDS.
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Affiliation(s)
- Aleem Azal Ali
- Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA
| | - Naji Maaliki
- Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA
| | - Monique Oye
- Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA
| | - Carmen Liliana Isache
- Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA
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28
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Vahl JM, Goldberg-Bockhorn E, Hoffmann TK, Wigand MC. [Hormonal influence on hearing]. HNO 2021; 69:987-995. [PMID: 33725160 DOI: 10.1007/s00106-021-01019-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Hearing loss leads to impairments in communication, social interactions, and cognitive functions. This renders early treatment particularly important. A causal therapy is not yet available. Human and animal studies have shown that certain hormones can have a positive effect on hearing. OBJECTIVE This review provides an overview of the effects of various hormones on hearing and describes the potential benefit for future therapeutic approaches. MATERIALS AND METHODS A systematic literature review of reviews dealing with the effects of various hormones on hearing in humans and animals published in PubMed between 2015 and 2020 was conducted. RESULTS Hormones may mediate antiapoptotic effects on structure-relevant cells of the cochlea and auditory pathway, and may influence hair cell functionality or the electrolyte balance of the endo- and perilymph. Current research focuses on glucocorticoids; the mineral corticoid aldosterone; the sex hormones estrogen, progesterone, and testosterone; the growth hormones GH (growth hormone) and IGF‑1 (insulin-like growth factor 1); thyroid hormones; and insulin. Study results are still inconsistent at this time, but various hormones appear to represent a possible future treatment option for acute hearing loss. Long-term hormone treatment, which would be necessary particularly in the case of age-related hearing loss, does not currently represent a sensible course of action due to the side effect profile of the systemic treatment/lack of practicable topical application options. CONCLUSION The mode of action of hormones is complex. Whether they can be used in the future for individualized treatment of patients with acute hearing impairment requires further investigation.
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Affiliation(s)
- J M Vahl
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde und Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89070, Ulm, Deutschland.
| | - E Goldberg-Bockhorn
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde und Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89070, Ulm, Deutschland
| | - T K Hoffmann
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde und Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89070, Ulm, Deutschland
| | - M C Wigand
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde und Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89070, Ulm, Deutschland
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29
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Ren TL, Wang Y, Wang WQ. [Characteristics of endolymphatic hydrops in low frequency descent sudden hearing loss]. Zhonghua Yi Xue Za Zhi 2020; 100:3680-3683. [PMID: 33342144 DOI: 10.3760/cma.j.cn112137-20200928-02741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Objective: To investigate the correlation between the clinical features of low-frequency sudden deafness and endolymphatic hydrops on gadolinium contrast in the inner ear. Methods: From July 2019 to January 2020, adult patients with unilateral low-frequency sudden deafness who were hospitalized in the outpatient clinic or ward of the Department of Otorhinolaryngology, Eye and ENT Hospital of Fudan University were selected and examined by audiology and gadolinium magnetic resonance (MR) angiography of inner ear. The same treatment plan was given, and the curative effect was recorded and followed up for more than 3 months. SPSS 20.0 software was used to analyze the correlation between the accompanying symptoms, deafness, and endolymphatic hydrops. Results: A total of 48 patients were included in the study, including 18 males and 30 females. The age ranged from 21 to 52 (37.3±10.0) years. All of them were unilateral, including 28 cases of left ear and 20 cases of right ear. The course of the disease was less than 2 weeks in all cases. The endolymphatic hydrops group included 14 cases, including vestibular hydrocele (6 cases), cochlear hydrops (2 cases), and cochlear and vestibular hydrops (6 cases). The incidence of dizziness in the endolymphatic hydrops group was higher than that in the non-hydrops group (6/14 vs 0/34, P<0.001). There was no significant difference in hearing values between the two groups at 125, 250, 500, 4 000 and 8 000 Hz (all P>0.05). The hearing in the endolymphatic hydrops group was worse than that in the non-hydrops group at 1 000 and 2 000 Hz. Conclusion: Compared with those without endolymphatic hydrops, patients with hydrops tend to have a higher incidence of dizziness, worse hearing at 1 000 and 2 000 Hz, and a worse prognosis.
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Affiliation(s)
- T L Ren
- Department of Otorhinolaryngology, Eye and ENT Hospital of Fudan University/Key Laboratory of Hearing Medicine (Fudan University), National Health Commission, Shanghai 200031, China
| | - Y Wang
- Department of Otorhinolaryngology, Eye and ENT Hospital of Fudan University/Key Laboratory of Hearing Medicine (Fudan University), National Health Commission, Shanghai 200031, China
| | - W Q Wang
- Department of Otorhinolaryngology, Eye and ENT Hospital of Fudan University/Key Laboratory of Hearing Medicine (Fudan University), National Health Commission, Shanghai 200031, China
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30
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Lu KP, Xiong WP, Fan ZM, Wang MM. [Sudden sensorineural hearing loss with acanthosis nigricans and guillain-barre syndrome: a case report]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 55:1072-1074. [PMID: 33210890 DOI: 10.3760/cma.j.cn115330-20191206-00747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- K P Lu
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China
| | - W P Xiong
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China
| | - Z M Fan
- Department of Otology Center, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China
| | - M M Wang
- Department of Otological Medicine, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250022, China
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31
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杨 丽, 吴 梅, 唐 亮. [Etiological analysis of 1027 patients with vertigo in Xinjiang Autonomous Region]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 34:1024-1026. [PMID: 33254324 PMCID: PMC10133128 DOI: 10.13201/j.issn.2096-7993.2020.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Indexed: 06/12/2023]
Abstract
Objective:To analysis the etiological characteristics of patients with vertigo in Xinjiang Uygur Autonomous Region. Method:The data of 1027 patients with vertigo and dizziness were collected and the etiology was analyzed. Result:The patients aged 51-60 years accounted for 27.95% of the total, followed by those aged 61-70 years accounted for 20.16% and those aged 41-50 years accounted for 17.33% s. There were 363 males and 664 females with a ratio of 1∶1.8. Benign paroxysmal positional vertigo (BPPV) was the most common cause in 233 cases (22.69%), followed by vestibular migraine (VM) in 184 cases (17.92%), Meniere's disease (MD) in 139 cases (13.53%), sudden deafness with vertigo in 132 cases (12.85%), and unknown cause in 114 cases (11.10%). Conclusion:Among vertigo patients, women are significantly more than men. BPPV, VM, MD, and SHL are the most common vertigo causes. There are still some patients haven't received definite diagnosis.
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Affiliation(s)
- 丽 杨
- 新疆维吾尔自治区人民医院耳鼻咽喉科(乌鲁木齐,830001)Department of Otorhinolaryngology, the People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, China
| | - 梅 吴
- 新疆维吾尔自治区人民医院耳鼻咽喉科(乌鲁木齐,830001)Department of Otorhinolaryngology, the People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, China
| | - 亮 唐
- 新疆维吾尔自治区人民医院耳鼻咽喉科(乌鲁木齐,830001)Department of Otorhinolaryngology, the People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, China
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32
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Newsted D, Rosen E, Cooke B, Beyea MM, Simpson MTW, Beyea JA. Approach to hearing loss. Can Fam Physician 2020; 66:803-809. [PMID: 33208419 PMCID: PMC8302436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE To provide family physicians with a practical evidence-based approach to the management of patients with hearing loss. SOURCES OF INFORMATION MEDLINE and PubMed databases were searched for English-language hearing loss research, review articles, and guidelines published between 1980 and 2020. Most of the retrieved articles provided level II or III evidence. MAIN MESSAGE Hearing loss is one of the most common sensory impairments worldwide and causes great detriment to a patient's overall well-being by affecting physical health, finances, social inclusion, and mental health. A robust clinical assessment of hearing loss includes a history and physical examination that effectively characterizes the deficit as conductive, sensorineural, or mixed. Patients presenting with red flags (such as sudden unilateral sensorineural hearing loss) must be urgently referred to otolaryngology-head and neck surgery or immediately assessed in the emergency department. Many nonurgent presentations of hearing loss will also require referral for further audiological assessment, diagnosis, and management. CONCLUSION As primary care providers, family physicians are well equipped to manage the psychological concerns associated with hearing loss and to reinforce conservative treatment strategies. Frequently, referral or urgent workup, including imaging, is necessary to confirm a patient's diagnosis and initiate management in order to prevent further complications.
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Affiliation(s)
- Daniel Newsted
- Doctoral candidate and medical student in the Department of Otolaryngology at Queen's University in Kingston, Ont
| | - Emily Rosen
- Registered clinical audiologists in the Department of Audiology and Speech-Language Pathology at Hotel Dieu Hospital in Kingston
| | - Bonnie Cooke
- Registered clinical audiologists in the Department of Audiology and Speech-Language Pathology at Hotel Dieu Hospital in Kingston
| | - Michael M Beyea
- Emergency physician in the Department of Emergency Medicine at Hamilton Health Sciences in Ontario
| | - Matthew T W Simpson
- Assistant Professor and Faculty Development Director in the Department of Family Medicine at Queen's University
| | - Jason A Beyea
- Assistant Professor and Research Director in the Division of Otolaryngology-Head and Neck Surgery at Queen's University and Adjunct Scientist with ICES Queen's.
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33
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Affiliation(s)
- Bernhard G Weiss
- Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Marchionistr. 15, 81377, München, Germany.
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Cayir S, Kayabasi S, Hizli O. Predictor parameters for poor prognosis in patients with sudden sensorineural hearing loss: fibrinogen to albumin ratio vs C-reactive protein to albumin ratio. Braz J Otorhinolaryngol 2020; 87:457-461. [PMID: 32788059 PMCID: PMC9422658 DOI: 10.1016/j.bjorl.2020.06.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 05/13/2020] [Accepted: 06/07/2020] [Indexed: 11/28/2022] Open
Abstract
Introduction Prognosis of sudden sensorineural hearing loss may be predicted using several parameters of laboratory blood analysis. Objective To identify and investigate the most significant indicator parameters related to the poor prognosis of sudden sensorineural hearing loss. Methods Eighty-eight patients were included, and three groups were constituted: non-recovery group with14 patients, recovery group with 33 patients and control group with 41 individuals. We compared fibrinogen-to-albumin ratio, C-reactive protein-to-albumin ratio, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, white blood cell and hemoglobin of the groups. Then, we investigated the most significant indicator parameters related to the poor prognosis of sudden hearing loss. Results The mean hemoglobin, mean platelet-lymphocyte ratio and median white blood cell values did not significantly differ among three groups (p = 0.36, p = 0.86 and p = 0.79, respectively). A significant difference of median fibrinogen-albumin ratio, C-reactive protein-albumin ratio, neutrophil-to-lymphocyte ratio was evident among three groups (p < 0.001, p = 0.003 and p = 0.002, respectively). Median fibrinogen-albumin ratio, C-reactive protein-albumin ratio and neutrophil-to-lymphocyte ratio values were significantly greater in the non-recovery group, compared with the controls (p < 0.001, p = 0.003 and p = 0.005, respectively). Median fibrinogen-to-albumin ratio, C-reactive protein-to-albumin ratio and neutrophil-to-lymphocyte ratio were significantly greater in the recovery group, compared with the controls (p < 0.001, p = 0.013 and p = 0.005, respectively). Moreover, the median fibrinogen-albumin ratio was significantly greater in the non-recovery group compared with the recovery group (p = 0.017). However, no statistically significant difference of median C-reactive protein-albumin ratio, neutrophil-to-lymphocyte was evident between the non-recovery and recovery groups (p = 0.15). Conclusion Increased levels of fibrinogen-albumin ratio may be predictive for poor prognosis in patients with sudden sensorineural hearing loss.
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Affiliation(s)
- Serkan Cayir
- Aksaray University, Aksaray Education and Research Hospital, Department of ENT, Aksaray, Turkey.
| | - Serkan Kayabasi
- Aksaray University, Faculty of Medicine, Department of ENT, Aksaray, Turkey
| | - Omer Hizli
- Giresun University, Prof Dr. A. Ilhan Ozdemir Education and Research Hospital, Department of ENT, Giresun, Turkey
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35
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Minosse S, Garaci F, Martino F, Mauro RD, Melis M, Giuliano FD, Picchi E, Floris R, Guerrisi M, Girolamo SD, Toschi N. Global and local reorganization of brain network connectivity in sudden sensorineural hearing loss. Annu Int Conf IEEE Eng Med Biol Soc 2020; 2020:1730-1733. [PMID: 33018331 DOI: 10.1109/embc44109.2020.9175688] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Recent reports suggested that even moderate sudden sensorineural hearing loss (SSNHL) can be partly responsible for a loss of gray matter volume in the primary auditory cortex, hence reducing the capacity of the auditory cortical areas to react to sound stimulation. There is also evidence for a plastic reorganization of brain functional networks visible as enhanced local functional connectivity. The aim of this study was to use rs-fMRI, in conjunction with graph- theoretical analysis and a newly developed functional "disruption index" to study whole-brain as well as local functional changes in patients with acute and unilateral sensorineural hearing loss. No statistically significant differences in global or local network measures we found between SSNHL patients and healthy controls. However, when analyzing local metrics through the disruption index k, we found negative values for k which were statistically different from zero both in single subject analysis. Additionally, we found several associations between graph-theoretical metrics and clinical parameters.
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Chen Y, Pei T, Sun Y, Jiang J, Zhang H. [New progress of IGF-1 and allosteroid injection in the treatment of sudden deafness complicated with type 2 diabetes]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 34:569-572. [PMID: 32842194 PMCID: PMC10128332 DOI: 10.13201/j.issn.2096-7993.2020.06.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Indexed: 06/11/2023]
Abstract
Glucocorticoids are a recognized treatment for sudden deafness, and there has always been a contradiction between the control of blood glucose levels and the use of glucocorticoids. The systemic use of hormones may lead to a series of adverse events, which are dose-dependent. High doses can induce an increase in blood sugar, especially for patients with type 2 diabetes, which can aggravate their condition or cause complications. The systemic application of glucocorticoids has been largely replaced by local glucocorticoids treatment. Topical insulin-like growth factor (IGF-1) is used without increasing blood sugar, thus avoiding the possible complications. The author intends to compare the local IGF-1 treatment and local glucocorticoid treatment to systemic therapy. The efficacy of local IGF-1 therapy in treating corticosteroid-refractory sudden sensorineural hearing loss combined with type 2 diabetes is reviewed.
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李 姝, 张 帆, 杨 军. [Interpretation of AAOHNSF clinical practice guideline:sudden hearing loss(update) and comparison with previous edition]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 34:385-388. [PMID: 32791604 PMCID: PMC10133163 DOI: 10.13201/j.issn.2096-7993.2020.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Indexed: 06/11/2023]
Affiliation(s)
- 姝娜 李
- 上海交通大学医学院附属新华医院耳鼻咽喉头颈外科 上海交通大学医学院耳科学研究所 上海耳鼻疾病转化医学重点实验室(上海,200092)
| | - 帆 张
- 上海交通大学医学院附属新华医院耳鼻咽喉头颈外科 上海交通大学医学院耳科学研究所 上海耳鼻疾病转化医学重点实验室(上海,200092)
| | - 军 杨
- 上海交通大学医学院附属新华医院耳鼻咽喉头颈外科 上海交通大学医学院耳科学研究所 上海耳鼻疾病转化医学重点实验室(上海,200092)
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Islamoglu Y, Kesici GG, Ercan K, Babademez MA. Single-sided deafness after sudden hearıng loss: late effect on cochlear nerve size. Eur Arch Otorhinolaryngol 2020; 277:2423-2426. [PMID: 32314048 DOI: 10.1007/s00405-020-05977-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 04/10/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Single-sided deafness (SSD) is a condition where an individual has non-functional hearing in one ear and receives no clinical benefit from amplification in that ear, with the contralateral ear possessing normal audiometric function. Cochlear implant presents a good choice in rehabilitation of SSD. The presence of a deficient cochlear nerve (CN) has been linked to poor performance with cochlear implants. CN can be measured by imaging techniques. The objective of this study was to compare CN diameter in patients who had a history of single-sided deafness because of sudden hearing loss. METHODS Retrospective study where radiologist was blind designed. 53 SSD patients who had a history of sudden hearing loss and MRI at least 5 years after the sudden hearing loss were included in this retrospective study. High-resolution 3-D constructive interference in steady state (CISS)-sequence magnetic resonance (MRI) images was review by the neurotology-experienced blind radiologist. Vertical, horizontal and area measurements of cochlear nerve between the deaf and the normal ear were made. RESULTS There was no statistically significant difference between the normal ear and deaf ear of the subjects in terms of cochlear nerve vertical diameter, horizontal diameter and area. (respectively, p = 0.250; p = 0.183; p = 0.874) CONCLUSION: The numbers of remaining cochlear neurons and spiral ganglion cells in the implanted deaf ears are critical and evidence was not found for spiral ganglion cell loss in the sudden hearing loss deaf ear with SSD in MRI. In the light of all these findings, implantation would be a good choice for rehabilitation in postlingual SSD regardless of auditory deprivation duration.
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Affiliation(s)
- Yuce Islamoglu
- Department of Otolaryngology-Head and Neck Surgery, Ankara City Hospital, Ankara, Turkey.
| | - Gulin Gokcen Kesici
- Department of Otolaryngology-Head and Neck Surgery, Ankara City Hospital, Ankara, Turkey
| | - Karabekir Ercan
- Department of Radiology, Ankara City Hospital, Ankara, Turkey
| | - Mehmet Ali Babademez
- Department of Otolaryngology-Head and Neck Surgery, Yıldırım Beyazıt Medical School, Ankara, Turkey
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殷 勇, 陆 青. [Effects of life events and emotional stress on short-term curative efficacy in adolescents with sudden hearing loss]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 34:255-258. [PMID: 32791595 PMCID: PMC10127865 DOI: 10.13201/j.issn.2096-7993.2020.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Indexed: 06/11/2023]
Abstract
Objective:To investigate the effects of life events and emotional stress on short-term curative efficacy in adolescents with low-tone sudden deafness (LTSD). Method:Various psychological stress measures were conducted on adolescent patients with recently diagnosed LTSD before initiating treatment, and the follow-up hearing condition were also obtained after 3 months of treatment. Using logistic regression analysis, we identified the predictors of life stress and emotion symptoms of treatment response in these adolescent patients. Result:Treatment were effective in 103 cases and ineffective in 41 cases. The stress, depression and anxiety symptoms of the high-life events in the ineffective group were significantly higher than those in the effective group. The logistics regression analysis showed that life stress [OR(95%CI)=1.16(1.07-2.42) ] and depressive symptoms [OR(95%CI)=1.65(1.26-2.71) ] were significantly correlated with patients' prognosis after controlling for the duration of LTSD and the level of hearing loss before the treatment. Conclusion:We found life stress and depressive symptoms were the independent predictors of treatment response in adolescent patients with LTSD. Our results also highlighted that psychological intervention may be part of the primary treatment for LTSD in adolescents.
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Affiliation(s)
- 勇 殷
- 南通大学附属医院耳鼻咽喉头颈外科(江苏南通,226007)Department of Otolaryngology Head and Neck Surgery, the Affiliated Hospital, Nantong University, Nantong, 226007, China
| | - 青云 陆
- 南通大学公共卫生学院School of Public Health, Nantong University
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贺 海, 袁 琨, 陈 伟, 张 琼, 韩 一, 翁 晶, 潘 红. [Effect of tympanic dexamethasone injection in the treatment of different types of sudden deafness]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2020; 34:124-127. [PMID: 32086915 PMCID: PMC10128417 DOI: 10.13201/j.issn.1001-1781.2020.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/23/2019] [Indexed: 06/10/2023]
Abstract
Objective:The aim of this study is to explore the best administration, timing and efficacy of dexamethasone and Mison in the treatment of different types of sudden deafness. Method:242 cases of sudden deafness first diagnosed in our department were selected. According to the guidelines(2015), the patients were divided into low frequency descending type (49 cases), high frequency descending type (66 cases), flat descending type (71 cases) and total deafness (56 cases). Different types of patients were randomly divided into tympanic injection group and systemic administration group on the basis of routine treatment. Tympanic injection group was further divided into initial injection group and delayed injection group. Tympanic injection was performed under ear endoscope, once every other day, three times for low frequency descending deafness, and five times for other types of deafness. Result:In comparison of total effective rate, there were significant differences among the three treatments in 49 cases of low frequency descending type, 71 cases of flat descending type and 56 cases of total deafness type (P<0.05). In 66 cases of high frequency descending type, there was no significant difference among the three treatments (P>0.05). In the comparison of cure rate, the difference of cure rate among the three treatment methods was also significant in low frequency descending type (P<0.05). In the other three types of deafness, there was no significant difference among the three treatment methods (P>0.05). There was no significant difference in the effective rate between men and women (P>0.05) in all patients treated by tympanic injection. There was significant difference in the effective rate of tympanic injection within 7 days of onset and 7 days after onset (P<0.05). Conclusion:Intratympanic injection of dexamethasone is safe, effective, and easy to use as an initial treatment for low frequency descent, flat, and full deafness, and the sooner the better.
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Affiliation(s)
- 海霞 贺
- 华中科技大学同济医学院附属武汉中心医院耳鼻咽喉头颈外科(武汉,430014)Department of Otorhinolaryngology Head and Neck Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China
| | - 琨 袁
- 华中科技大学同济医学院附属武汉中心医院耳鼻咽喉头颈外科(武汉,430014)Department of Otorhinolaryngology Head and Neck Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China
| | - 伟 陈
- 华中科技大学同济医学院附属武汉中心医院耳鼻咽喉头颈外科(武汉,430014)Department of Otorhinolaryngology Head and Neck Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China
| | - 琼 张
- 华中科技大学同济医学院附属武汉中心医院耳鼻咽喉头颈外科(武汉,430014)Department of Otorhinolaryngology Head and Neck Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China
| | - 一鸣 韩
- 华中科技大学同济医学院附属武汉中心医院耳鼻咽喉头颈外科(武汉,430014)Department of Otorhinolaryngology Head and Neck Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China
| | - 晶 翁
- 华中科技大学同济医学院附属武汉中心医院耳鼻咽喉头颈外科(武汉,430014)Department of Otorhinolaryngology Head and Neck Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China
| | - 红 潘
- 华中科技大学同济医学院附属武汉中心医院耳鼻咽喉头颈外科(武汉,430014)Department of Otorhinolaryngology Head and Neck Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, China
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Hu H, Sun Q. A discussion about sensorineural hearing loss: Hu H, Sun Q. Undersea Hyperb Med 2020; 47:175. [PMID: 32176960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
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Sun CL, Guo DN, Shen J, Du XD. [A clinical analysis of 27 cases of simultaneous bilateral sudden sensorineural hearing loss]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019; 33:1134-1137. [PMID: 31914259 DOI: 10.13201/j.issn.1001-1781.2019.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Indexed: 06/10/2023]
Abstract
Objective:To compare the clinical characteristics and therapeutic effects between simultaneous bilateral sudden sensorineural hearing loss(Si-BSSHL) and unilateral sudden sensorineural hearing loss(USSHL). Method:The clinical data of 27 cases of Si-BSSHL were retrospectively analyzed, including the characteristics of the disease, clinical manifestations, audiological examination, hematological examination, and therapeutic effect, and compared with those of 139 cases of USSHL. Result:There was a statistically significant difference in the age(65.85±9.17 vs 56.95±13.18, P<0.01) and no significant difference in sex ratio(P>0.05) between the two groups. The proportion of Si-BSSHL patients with vertigo, ear fullness, hypertension, diabetes, coronary heart disease and stroke had no statistical difference compared with those of USSHL(P>0.05), the proportion of patients with tinnitus in Si-BSSHL group was significantly lower than that in USSHL group(P<0.05). The distribution of hearing loss degree and the type of audiometry in Si-BSSHL group were significantly different from those in USSHL group, PTA before treatment and the proportion of profound hearing loss in Si-BSSHL group was significantly lower than that in USSHL group(P<0.05), descending audiometry type was more common in Si-BSSHL group compared to USSHL(P<0.01). Fibrinogen in Si-BSSHL group was significantly higher than that in USSHL group(P<0.05). No significant difference was found between the two groups with respect to mean platelet volume, blood lipid and folic acid(P>0.05). The total treatment effective rate in Si-BSSHL group was 44.44%, while that in USSHL group was 41.73%, there was no significant difference between the two groups(P>0.05). Conclusion:Si-BSSHL has a female preponderance and tends to occur in advanced age in our cohort. Compared to USSHL patients, Si-BSSHL patients have less profound hearing loss and more descending audiograms, and the proportion of patients with extremely severe deafness is relatively small. There is no significant difference in the therapeutic effect between the two groups.
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Affiliation(s)
- C L Sun
- Department of Otolaryngology Head and Neck Surgery,Affiliated Hospital of Jiangnan University,Wuxi,214062,China
| | - D N Guo
- Department of Otolaryngology Head and Neck Surgery,Affiliated Hospital of Jiangnan University,Wuxi,214062,China
| | - J Shen
- Department of Otolaryngology Head and Neck Surgery,Affiliated Hospital of Jiangnan University,Wuxi,214062,China
| | - X D Du
- Department of Otolaryngology Head and Neck Surgery,Affiliated Hospital of Jiangnan University,Wuxi,214062,China
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Lan L, Shao LM, Xiong F, Xie LY, Yu L, Han B, Wang QJ. [The ability of gap detection in patients with acoustic neuroma]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019; 33:1053-1056. [PMID: 31914293 DOI: 10.13201/j.issn.1001-1781.2019.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Indexed: 06/10/2023]
Abstract
Objective:We aimed to provide a basis for the clinical study of acoustic neuroma through investigating the ability of temporal gap detection in acoustic neuroma patients and comparing the abilities with those in people with normal and impaired hearing. Method:Twenty-two patients with confirmed acoustic neuroma, 30 normal hearing patients and 16 patients with sensorineural hearing loss were enrolled in this study, and the interval threshold for awareness of each group was tested. Result:The mean temporal gap detection test(TGDT) threshold of the normal hearing group was (3.56±0.82) ms; the sensorineural hearing loss group's was (3.91±1.46) ms; TGDT threshold of healthy side of acoustic neuroma patients was (4.01±1.86) ms; TGDT threshold of the impaired side of acoustic neuroma patients was (9.48±9.46)ms. After statistical analysis, we found that excepting for the test of phonetically balanced maximum (PBmax) and TGDT, other results in the sensorineural hearing loss group and normal hearing group is of no statistical difference. The difference between the affected side of the acoustic neuroma group and the other groups was statistically significant (P<0.05). There was no linear correlation between the value of TGDT threshold and PBmax (P> 0.05). TGDT value of normal people has no significant difference among people of different genders and ears of different individuals. Conclusion:The TGDT of the healthy ear of the patients with acoustic neuroma is not affected, and there is no significant change compared with normal people. The TGDT test has a good consistency with the PBmax results. The time interval response ability of the affected ear of the acoustic neuroma is significantly weaker than that of the normal person. The combined test of PBmax and TGDT will contribute to the diagnosis of retrocochlear disease.
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Affiliation(s)
- L Lan
- Department of Otorhinolaryngology Head and Neck Surgery,General Hospital of Chinese People's Liberation Army,Beijing,100853,China
| | - L M Shao
- Otolaryngology Clinical Hearing Center,Shenzhen Hospital of Southern Medical University
| | - F Xiong
- Department of Otorhinolaryngology Head and Neck Surgery,General Hospital of Chinese People's Liberation Army,Beijing,100853,China
| | - L Y Xie
- Department of Otorhinolaryngology Head and Neck Surgery,General Hospital of Chinese People's Liberation Army,Beijing,100853,China
| | - L Yu
- Department of Otorhinolaryngology Head and Neck Surgery,General Hospital of Chinese People's Liberation Army,Beijing,100853,China
| | - B Han
- Department of Otorhinolaryngology Head and Neck Surgery,General Hospital of Chinese People's Liberation Army,Beijing,100853,China
| | - Q J Wang
- Department of Otorhinolaryngology Head and Neck Surgery,General Hospital of Chinese People's Liberation Army,Beijing,100853,China
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Plontke S, Kösling S, Pazaitis N, Rahne T. [Intracochlear schwannoma : Tumor removal via subtotal cochleoectomy and partial cochlear reconstruction with preservation of semicircular canal function. German version]. HNO 2019; 65:610-616. [PMID: 28477092 DOI: 10.1007/s00106-017-0347-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
We report about a patient who in 2005, aged 37 years, experienced sudden mild to moderate, mid-frequency sensorineural hearing loss in the right ear along with tinnitus and mild dizziness. MRI of the temporal bone revealed a very small (1 mm) contrast-enhancing lesion in the second turn of the right cochlea. Hearing gradually deteriorated with complete hearing loss in 2015. At this time, an MRI scan showed a lesion completely filling the cochlea.The tumor was removed via transmeatal subtotal cochleoectomy. The cochlea was partially reconstructed with cartilage and fascia. A cochlea implant dummy electrode was inserted as a placeholder in order to prevent complete fibrosis of the "neocochlea" during follow-up MRI examinations.Vestibular function tests 2 months postoperatively showed preserved caloric excitability and a normal vestibulo-ocular reflex (vHIT) in all three planes. The patient is free of vertigo.Intralabyrinthine schwannomas (ILS) are a rare differential diagnosis of sudden hearing loss, which should be specifically checked for in MRI. Surgical removal of an intracochlear ILS through partial or subtotal cochleoectomy with preservation of vestibular function is possible in principle.
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Affiliation(s)
- S Plontke
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.
| | - S Kösling
- Klinik für Radiologie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland
| | - N Pazaitis
- Institut für Pathologie; Universitätsmedizin Halle, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland
| | - T Rahne
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland
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Fishman JM, Cullen LM. Authors' reply to Zedan and De Ru and Bayoumy. BMJ 2019; 364:l761. [PMID: 30792178 DOI: 10.1136/bmj.l761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Jonathan M Fishman
- The Royal National Throat, Nose, and Ear Hospital, University College London Hospitals NHS Foundation Trust, London, UK
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Affiliation(s)
| | - Ahmed B Bayoumy
- Amsterdam University Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, Netherlands
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Affiliation(s)
- Abdel-Majeed Zedan
- Royal National Throat, Nose, and Ear Hospital, University College London Hospitals, London WC1X 8DA, UK
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Ni MM, Liu L, Zhao R, Nie M, Yang XH. [Analysis of related factors of coins foreign bodies crossing the esophagus in 204 cases of children]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 32:656-660. [PMID: 29771080 DOI: 10.13201/j.issn.1001-1781.2018.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Indexed: 06/08/2023]
Abstract
Objective:To evaluate the effect of systemic and intratympanic dexamethasone combination therapy on sudden deafness.Method:A total of 98 patients randomly divided into three groups: an intravenous corticosteroid (systemic corticosteroid monotherapy group); an intratympanic corticosteroid (IT monotherapy group); and a combination therapy group (IT plus systemic combination group). All patients were treated additionally with ginkgo-damole and mecobalamine and proton pomp inhibitor. An audiometry was performed before and after the therapies in all patients. Result:Of the total of 98 patients, 39 were receiving systemic corticosteroids, 28 received intratympanic(IT) corticosteroids, and 31 were receiving a combination of the two. A total of 65 patients (66.3%) responded positively to corticosteroid therapy. No significant differences were observed between the three groups (systemic group, IT and combination therapy group) in their overall response to treatment (P=0.61). Patients who suffered from concomitant tinnitus and dizziness responded less positively to the treatment (P=0.00). Positive family history of SSNHL seems to be negative prognostic factors in the response to treatment (P=0.02).The response to treatment was not related to the initial severity of hearing loss (P=0.68) and pattern (P=0.28). Conclusion:This study did not find any difference in the rate of hearing improvement between systemic, intratympanic, and combined corticosteroid therapy for sudden hearing loss.
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Affiliation(s)
- M M Ni
- Department of Otorhinolaryngology, Guizhou Provincial People's Hospital, Guiyang, 550002, China
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Lin Y, Wang JL, Sun F, Shen JJ, Wang ZX, Qiu JH, Zha DJ. [Recurrent low frequency sensorineural deafness]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018; 32:474-476. [PMID: 29737749 DOI: 10.13201/j.issn.1001-1781.2018.06.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/23/2017] [Indexed: 06/08/2023]
Abstract
Low frequency sensorineural deafness is a common subtype of idiopathic sudden deafness. Certain patients suffered recurrent attacks without vertigo, much alike Meniere's disease. Few of them developed into definite Meniere's disease during long-term follow-up in many clinical studies. Although the pathophysiology of recurrent low frequency deafness is yet unknown, the desease is considered associated with early state of endolymphatic hydrops or migraine. Otologists shall be aware of its clinical course and careful explanation is necessary at time of initial informed consent.
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Zhou N, Li LB. [Progress in the prognostic factors associated with the sudden sensorineural hearing loss]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017; 31:323-326. [PMID: 29871254 DOI: 10.13201/j.issn.1001-1781.2017.04.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Indexed: 06/08/2023]
Abstract
Sudden sensorineural hearing loss is a frequent emergency in otology, and there are various pathogenesises currently, such as disturbance of inner ear circulation, viral infection and autoimmune response are generally accepted. However, the varied therapeutic treatments are mostly disoriented that we can' t evaluate the clinical effects. So it is important to discuss the prognostic factors associated with the sudden sensorineural hearing loss, and provide guidance for clinical treatment. Here is to make a review of the influence of the factors that affecting the prognosis of sudden sensorineural hearing loss, including age, sex, ear side, treatment time, degree of hearing loss, comorbidities, audiological features, mental status, concurrent symptoms and genes.
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