Home Ahead of print Instructions Contacts
About us Current issue Submit article Advertise  
Editorial board Archives Subscribe Login   
Year : 2016  |  Volume : 22  |  Issue : 1  |  Page : 35-39

Sudden sensorineural hearing loss in adults: Our experience with multidrug high dose steroid regimen at tertiary care hospital

Department of ENT and Head and Neck Surgery, JLN Hospital and RC, Bhilai, Chhattisgarh, India

Correspondence Address:
Abhineet Jain
Department of ENT and Head and Neck Surgery, JLN Hospital and RC, Sector-9, Bhilai - 490 009, Chhattisgarh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-7749.176510

Rights and Permissions

Introduction: Sudden sensorineural hearing loss is a confusing and controversial issue in our practice since no standard definition, evaluation method and treatment protocol exists. It is an otological emergency with narrow golden period of treatment. Objective: To establish the early diagnosis, treatment and study the outcome of treatment. Design and Method: In a prospective study, including patients >18 year age who had presented with sudden sensorineural hearing loss in ENT opd; after ENT examination, PTA, impedance audiometry and necessary imaging, were treated with i.v. methylprednisolone and inj.methylcobalamine i.m. along with tablet Pentoxyfylline and tablet prednisolone. PTA was repeated on 4th day, 3 week, and 6 weeks after diagnosis. Results: Total 37 patients were diagnosed and treated. Majority of patients had sudden SNHL of <72 hrs. duration with severe hearing loss and tinnitus as commonest associated symptom. Idiopathic cause was commonest followed by acoustic trauma and head trauma. 35.14% patients had complete recovery while 40.54% and 24.32% patients had partial and no recovery respectively. Conclusion: PTA is single most important investigation. Prompt treatment in <72 hrs. carry good prognosis. Associated vertigo, flat audiogram, DM, HTN are of poor prognosis.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded363    
    Comments [Add]    
    Cited by others 1    

Recommend this journal