Glucocorticoid influence on prognosis of idiopathic sudden sensorineural hearing loss

Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30dB occurs in over 3 continuous frequencies, in up to 72hours, of which etiology is not established, despite adequate investigation. Different types of treatment regimens have been proposed, but only glucocortic...

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Published inBrazilian journal of otorhinolaryngology Vol. 80; no. 3; pp. 213 - 219
Main Authors Bogaz, Eduardo Amaro, Suzuki, Flavia A. de Barros, Rossini, Bruno A. Antunes, Inoue, Daniel Paganini, Penido, Norma de Oliveira
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Elsevier Editora Ltda 01.05.2014
Elsevier
Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Audiometria
Audiometry
Audiometry, Pure-Tone
Child
Cohort Studies
Drug Therapy, Combination
Female
Glucocorticoids - therapeutic use
Hearing loss
Hearing Loss, Sensorineural - drug therapy
Hearing Loss, Sudden - drug therapy
Humans
Male
Middle Aged
Original
OTORHINOLARYNGOLOGY
Pentoxifylline - therapeutic use
Perda auditiva súbita
Primary treatment
Prognosis
Prognóstico
Retrospective Studies
sudden
Time Factors
Tratamento primário
Treatment Outcome
Vasodilator Agents - therapeutic use
Young Adult
Primary treatment
Prognosis
Audiometry
sudden
Perda auditiva súbita
Prognóstico
Audiometria
Tratamento primário
Hearing loss
Hearing loss, sudden
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Abstract Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30dB occurs in over 3 continuous frequencies, in up to 72hours, of which etiology is not established, despite adequate investigation. Different types of treatment regimens have been proposed, but only glucocorticoids have shown some evidence of benefit in the literature. To analyze whether the type of treatment or time of treatment with glucocorticoids have any influence on hearing recovery in ISSHL. Observational retrospective cohort study. One hundred twenty-seven patients with ISSHL, treated at outpatient clinics between the years 2000 and 2010, were studied. We evaluated the prognostic correlation of the type of treatment and time to treatment with glucocorticoids and ISSHL. The absolute hearing gain and the relative hearing gain was as follows: 23.6dB and 37.2%. Complete recovery was observed in 15.7% of patients, significant recovery in 27.6% and recovery in 57.5%. In this study, there was no difference between the use and nonuse of glucocorticoids in hearing improvement. However, when started within seven days after onset, the use of glucocorticoids was a factor of better prognosis. A perda auditiva neurossensorial súbita idiopática (PANSSI) é definida pela queda dos limiares auditivos tonais de, pelo menos, 30dB em três frequências contíguas em até 72 horas e apesar de uma investigação apropriada, a etiologia da lesão não é encontrada. Diversos tipos de tratamentos já foram idealizados para a PANSSI, no entanto, os corticosteroides são os que encontram as melhores evidências de efetividade na literatura. Avaliar se o tipo de tratamento e o tempo de demora em iniciar o tratamento com corticosteroides têm correlação com a melhora dos limiares auditivos na PANSSI. Estudo de coorte retrospectivo observacional. Foram avaliados 127 pacientes com PANSSI provenientes do ambulatório entre os anos de 2000 e 2010. Foi avaliada a correlação prognóstica do tipo de tratamento e tempo de demora para o início de tratamento e a PANSSI. As taxas de recuperação absoluta e relativa foram 23,6dB e 37,2% respectivamente. Apresentaram melhora completa 15,7% dos pacientes, 27,6% apresentaram melhora significativa e 57,5% melhora. Neste estudo, não houve diferença entre o uso ou não de corticosteroide na melhora auditiva. Contudo, quando iniciado até sete dias, o uso de corticosteroide foi fator de melhor prognóstico.
AbstractList INTRODUCTIONIdiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30 dB occurs in over 3 continuous frequencies, in up to 72 hours, of which etiology is not established, despite adequate investigation. Different types of treatment regimens have been proposed, but only glucocorticoids have shown some evidence of benefit in the literature. OBJECTIVETo analyze whether the type of treatment or time of treatment with glucocorticoids have any influence on hearing recovery in ISSHL. METHODSObservational retrospective cohort study. One hundred twenty-seven patients with ISSHL, treated at outpatient clinics between the years 2000 and 2010, were studied. We evaluated the prognostic correlation of the type of treatment and time to treatment with glucocorticoids and ISSHL. RESULTSThe absolute hearing gain and the relative hearing gain was as follows: 23.6 dB and 37.2%. Complete recovery was observed in 15.7% of patients, significant recovery in 27.6% and recovery in 57.5%. CONCLUSIONIn this study, there was no difference between the use and nonuse of glucocorticoids in hearing improvement. However, when started within seven days after onset, the use of glucocorticoids was a factor of better prognosis.
INTRODUCTION: Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30 dB occurs in over 3 continuous frequencies, in up to 72 hours, of which etiology is not established, despite adequate investigation. Different types of treatment regimens have been proposed, but only glucocorticoids have shown some evidence of benefit in the literature. OBJECTIVE: To analyze whether the type of treatment or time of treatment with glucocorticoids have any influence on hearing recovery in ISSHL. METHODS: Observational retrospective cohort study. One hundred twenty-seven patients with ISSHL, treated at outpatient clinics between the years 2000 and 2010, were studied. We evaluated the prognostic correlation of the type of treatment and time to treatment with glucocorticoids and ISSHL. RESULTS: The absolute hearing gain and the relative hearing gain was as follows: 23.6 dB and 37.2%. Complete recovery was observed in 15.7% of patients, significant recovery in 27.6% and recovery in 57.5%. CONCLUSION: In this study, there was no difference between the use and nonuse of glucocorticoids in hearing improvement. However, when started within seven days after onset, the use of glucocorticoids was a factor of better prognosis.
Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30dB occurs in over 3 continuous frequencies, in up to 72hours, of which etiology is not established, despite adequate investigation. Different types of treatment regimens have been proposed, but only glucocorticoids have shown some evidence of benefit in the literature. To analyze whether the type of treatment or time of treatment with glucocorticoids have any influence on hearing recovery in ISSHL. Observational retrospective cohort study. One hundred twenty-seven patients with ISSHL, treated at outpatient clinics between the years 2000 and 2010, were studied. We evaluated the prognostic correlation of the type of treatment and time to treatment with glucocorticoids and ISSHL. The absolute hearing gain and the relative hearing gain was as follows: 23.6dB and 37.2%. Complete recovery was observed in 15.7% of patients, significant recovery in 27.6% and recovery in 57.5%. In this study, there was no difference between the use and nonuse of glucocorticoids in hearing improvement. However, when started within seven days after onset, the use of glucocorticoids was a factor of better prognosis. A perda auditiva neurossensorial súbita idiopática (PANSSI) é definida pela queda dos limiares auditivos tonais de, pelo menos, 30dB em três frequências contíguas em até 72 horas e apesar de uma investigação apropriada, a etiologia da lesão não é encontrada. Diversos tipos de tratamentos já foram idealizados para a PANSSI, no entanto, os corticosteroides são os que encontram as melhores evidências de efetividade na literatura. Avaliar se o tipo de tratamento e o tempo de demora em iniciar o tratamento com corticosteroides têm correlação com a melhora dos limiares auditivos na PANSSI. Estudo de coorte retrospectivo observacional. Foram avaliados 127 pacientes com PANSSI provenientes do ambulatório entre os anos de 2000 e 2010. Foi avaliada a correlação prognóstica do tipo de tratamento e tempo de demora para o início de tratamento e a PANSSI. As taxas de recuperação absoluta e relativa foram 23,6dB e 37,2% respectivamente. Apresentaram melhora completa 15,7% dos pacientes, 27,6% apresentaram melhora significativa e 57,5% melhora. Neste estudo, não houve diferença entre o uso ou não de corticosteroide na melhora auditiva. Contudo, quando iniciado até sete dias, o uso de corticosteroide foi fator de melhor prognóstico.
Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30 dB occurs in over 3 continuous frequencies, in up to 72 hours, of which etiology is not established, despite adequate investigation. Different types of treatment regimens have been proposed, but only glucocorticoids have shown some evidence of benefit in the literature. To analyze whether the type of treatment or time of treatment with glucocorticoids have any influence on hearing recovery in ISSHL. Observational retrospective cohort study. One hundred twenty-seven patients with ISSHL, treated at outpatient clinics between the years 2000 and 2010, were studied. We evaluated the prognostic correlation of the type of treatment and time to treatment with glucocorticoids and ISSHL. The absolute hearing gain and the relative hearing gain was as follows: 23.6 dB and 37.2%. Complete recovery was observed in 15.7% of patients, significant recovery in 27.6% and recovery in 57.5%. In this study, there was no difference between the use and nonuse of glucocorticoids in hearing improvement. However, when started within seven days after onset, the use of glucocorticoids was a factor of better prognosis.
Author Bogaz, Eduardo Amaro
Rossini, Bruno A. Antunes
Inoue, Daniel Paganini
Suzuki, Flavia A. de Barros
Penido, Norma de Oliveira
AuthorAffiliation Universidade Federal de São Paulo
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  givenname: Eduardo Amaro
  surname: Bogaz
  fullname: Bogaz, Eduardo Amaro
  email: eabogaz@uol.com.br
  organization: Department of Otorhinolaryngology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
– sequence: 2
  givenname: Flavia A. de Barros
  surname: Suzuki
  fullname: Suzuki, Flavia A. de Barros
  organization: Department of Otorhinolaryngology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
– sequence: 3
  givenname: Bruno A. Antunes
  surname: Rossini
  fullname: Rossini, Bruno A. Antunes
  organization: Department of Otorhinolaryngology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
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  givenname: Daniel Paganini
  surname: Inoue
  fullname: Inoue, Daniel Paganini
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  givenname: Norma de Oliveira
  surname: Penido
  fullname: Penido, Norma de Oliveira
  organization: Post-graduate Program, Department of Otorhinolaryngology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
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Keywords Primary treatment
Prognosis
Audiometry
sudden
Perda auditiva súbita
Prognóstico
Audiometria
Tratamento primário
Hearing loss
Hearing loss, sudden
Language English
Portuguese
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Snippet Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30dB occurs in over 3 continuous frequencies, in up to 72hours, of...
Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30 dB occurs in over 3 continuous frequencies, in up to 72 hours, of...
INTRODUCTIONIdiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30 dB occurs in over 3 continuous frequencies, in up to 72...
INTRODUCTION: Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) is defined when a loss of at least 30 dB occurs in over 3 continuous frequencies, in up to...
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StartPage 213
SubjectTerms Adolescent
Adult
Aged
Aged, 80 and over
Audiometria
Audiometry
Audiometry, Pure-Tone
Child
Cohort Studies
Drug Therapy, Combination
Female
Glucocorticoids - therapeutic use
Hearing loss
Hearing Loss, Sensorineural - drug therapy
Hearing Loss, Sudden - drug therapy
Humans
Male
Middle Aged
Original
OTORHINOLARYNGOLOGY
Pentoxifylline - therapeutic use
Perda auditiva súbita
Primary treatment
Prognosis
Prognóstico
Retrospective Studies
sudden
Time Factors
Tratamento primário
Treatment Outcome
Vasodilator Agents - therapeutic use
Young Adult
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Title Glucocorticoid influence on prognosis of idiopathic sudden sensorineural hearing loss
URI https://dx.doi.org/10.1016/j.bjorl.2014.02.002
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Volume 80
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