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Which Treatment for Sudden Sensorineural Hearing Loss?
A Viral Etiology?
Arch Otolaryngol Head Neck Surg. 2000;126:1165-1166.
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Sudden-onset, unilateral sensorineural hearing loss has been perplexing otolaryngologists for many decades. The frustrations in diagnosing and treating patients with SSNHL have been well presented by Eisenman and Arts.
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As noted by the authors, there is not a standard definition of SSNHL. To me, this serves as a reminder of the vagaries of this clinical problem. In spite of diligent diagnostic efforts by physicians and researchers, most cases remain idiopathic. Fortunately for the patient, there is a reasonable chance of some recovery of hearing.
The authors supply an excellent review of the various regimens studied for the treatment of SSNHL. They note the limitations of these clinical studies. Because of a low annual incidence, a moderate spontaneous recovery rate, and many coexisting variables (eg, age, associated medical conditions, and severity of hearing loss), satisfactory clinical studies are extremely difficult to complete.
The authors did not discuss . . . [Full Text of this Article]
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