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Hyperbaric oxygen therapy for sudden sensorineural hearing loss after failure from oral and intratympanic corticosteroid.

Imsuwansri T, Poonsap P, Snidvongs K - Clin Exp Otorhinolaryngol (2012)

Bottom Line: Other treatments include vasodilator, immunosuppressant and antiviral medication.However, only 61% of patients achieve full recovery, and controversies about the standard treatment still exist.In this case report, we present a patient with idiopathic sudden sensorineural hearing loss who failed to respond to systemic and intratympanic steroid treatments but subsequently recovered after undergoing hyperbaric oxygen therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology and Otorhinolaryngology, Burapha University Faculty of Medicine, Chon Buri, Thailand.

ABSTRACT
Systemic and intratympanic steroids are most widely used for treating idiopathic sudden sensorineural hearing loss. Other treatments include vasodilator, immunosuppressant and antiviral medication. However, only 61% of patients achieve full recovery, and controversies about the standard treatment still exist. In this case report, we present a patient with idiopathic sudden sensorineural hearing loss who failed to respond to systemic and intratympanic steroid treatments but subsequently recovered after undergoing hyperbaric oxygen therapy.

No MeSH data available.


Related in: MedlinePlus

Treatment table hyperbaric oxygen therapy (HBOT) 45/90 minutes. Total elapsed time: 95 minutes.
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Figure 1: Treatment table hyperbaric oxygen therapy (HBOT) 45/90 minutes. Total elapsed time: 95 minutes.

Mentions: The HBOT program was scheduled for 10 sessions according to the US Navy treatment table (2 ATA 90 minutes) (Fig. 1). We used a 6-seat multi place chamber for the HBOT (Figs. 2 and 3), which was started at day 36 after the hearing loss onset. After the third session of HBOT (day 38), normal hearing returned, with no tinnitus in both ears. The following audiogram revealed normal hearing with a right threshold of 20 dB and a left threshold of 30 dB. Tinnitus was evaluated to be resolved by the visual analog scale. The patient was sent for the 4th (day 41) and the 5th sessions (day 42) as scheduled. The following audiogram 3 months after the entire treatment showed normal hearing level with a right threshold of 22 dB and a left threshold of 20 dB.


Hyperbaric oxygen therapy for sudden sensorineural hearing loss after failure from oral and intratympanic corticosteroid.

Imsuwansri T, Poonsap P, Snidvongs K - Clin Exp Otorhinolaryngol (2012)

Treatment table hyperbaric oxygen therapy (HBOT) 45/90 minutes. Total elapsed time: 95 minutes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3369993&req=5

Figure 1: Treatment table hyperbaric oxygen therapy (HBOT) 45/90 minutes. Total elapsed time: 95 minutes.
Mentions: The HBOT program was scheduled for 10 sessions according to the US Navy treatment table (2 ATA 90 minutes) (Fig. 1). We used a 6-seat multi place chamber for the HBOT (Figs. 2 and 3), which was started at day 36 after the hearing loss onset. After the third session of HBOT (day 38), normal hearing returned, with no tinnitus in both ears. The following audiogram revealed normal hearing with a right threshold of 20 dB and a left threshold of 30 dB. Tinnitus was evaluated to be resolved by the visual analog scale. The patient was sent for the 4th (day 41) and the 5th sessions (day 42) as scheduled. The following audiogram 3 months after the entire treatment showed normal hearing level with a right threshold of 22 dB and a left threshold of 20 dB.

Bottom Line: Other treatments include vasodilator, immunosuppressant and antiviral medication.However, only 61% of patients achieve full recovery, and controversies about the standard treatment still exist.In this case report, we present a patient with idiopathic sudden sensorineural hearing loss who failed to respond to systemic and intratympanic steroid treatments but subsequently recovered after undergoing hyperbaric oxygen therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology and Otorhinolaryngology, Burapha University Faculty of Medicine, Chon Buri, Thailand.

ABSTRACT
Systemic and intratympanic steroids are most widely used for treating idiopathic sudden sensorineural hearing loss. Other treatments include vasodilator, immunosuppressant and antiviral medication. However, only 61% of patients achieve full recovery, and controversies about the standard treatment still exist. In this case report, we present a patient with idiopathic sudden sensorineural hearing loss who failed to respond to systemic and intratympanic steroid treatments but subsequently recovered after undergoing hyperbaric oxygen therapy.

No MeSH data available.


Related in: MedlinePlus