Clinical Characteristics and Treatment of Bilateral Sudden Sensorineural Hearing Loss:A Report of 8 Cases
LAI Wen
ZHONG Shixun
QIAN Yi
HU Guohua
HONG Suling
KANG Houyong
SHEN Yang
WANG Ling
XU Zhengyan
Abstract:Objective To report characteristics and treatment outcomes in patients with bilateral sudden sensorineural hearing loss (BSSHL). Methods From Jan 2012 to June 2013, 318 patients with sudden sensorineural hearing loss were treat?ed by the authors. Of these, 8 (2.5%) had BSSHL. We reviewed the charts of these 8 patients, focusing on clinical manifesta?tions, audiologic characteristics, radiography, laboratory results and treatment outcomes. Results Seven of the 8 patients re?ported simultaneous BSSHL, and the other one had sequential BSSHL. Electrocardiogram, CT and MRI were normal in all pa?tients. Abnormal white blood cell count was seen in one case, increased blood viscosities in 5 cases, increased virus antibod?ies in 6 cases, abnormal glucose in 1 case, abnormal lipid metabolism profile in 1 case, and increased fibrinogen levels in all 8 cases. After combined multiple therapies tailored to each patient based on subtypes of audiogram, complete hearing recov?ery was achieved in 1 ear (6.25%), while the rest showed no responses. Conclusion BSSHL is a complex condition with vari?able etiological factors and poor prognosis. It may need to be treated based upon subtypes of audiogram.
Keywords:Hearing lossSuddenAudiometryPure-toneTherapeutics
Publication Date:2014-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:6( 597-602 )
