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Arch Otolaryngol Head Neck Surg. 2000;126:1161-1164.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis

Sudden-onset unilateral sensorineural hearing loss has no effective treatment.

BACKGROUND

The phenomenon of sudden-onset, unilateral sensorineural hearing loss (SSNHL) has been recognized and well described for some time. Whether it represents a single pathophysiologic entity or is the common end point of numerous, varied pathologic processes remains unknown. Many different causes of SSNHL have been hypothesized: viral infection of the labyrinth or cochlear nerve; vascular insult; perilymphatic hypoxia; intralabyrinthine membrane rupture; inflammatory and metabolic causes; and others. However, none has been shown to cause all, or even most, cases of SSNHL. There is not even universal acceptance of a standard definition of SSNHL. Although many authors define SSNHL as loss of at least 30 decibels (dB) in 3 contiguous frequencies over a period of 3 days or less, some investigators use more or less stringent criteria. This article reviews the most significant published data on treatment of SSNHL and attempts to . . . [Full Text of this Article]

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