KBB-Forum 2020 , Cilt 19, Sayı 4

EVALUATION OF TREATMENT RESULTS APPLIED IN SUDDEN HEARING LOSSES TREATED IN OUR CLINIC

Burak ERDEN 1, MD; Gökçe ŞİMŞEK 2, MD; Rahmi KILIÇ 3, MD;
1Mersin Şehir Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Anabilimdalı, Mersin, Turkey
2Kırıkkale Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Anabilimdalı, Kırıkkale, Turkey
3Ankara Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Anabilimdalı, Ankara, Turkey Purpose: Sudden sensorineural hearing loss (SSNHL) is sensorineural hearing loss over 30 dB, which develops abruptly in less than three days, affecting three or more frequencies. Prognostic factors affecting the treatment results and treatment outcomes of patients with SSNHL were examined in this study.

Material and method: Between 2011 and 2014, 65 cases included in 68 ear studies. All patients were given steroids, vasodilator drugs (betahistine) and vitamin B. In the treatment of patients who did not show significant audiological improvement in 5 days, in the event that they gave consent, 0.5-0.7 cc 250 mg methylprednisolone of intratympanic was added per day in addition to systemic steroid therapy and salvage treatment was performed. Anamnesis details and clinical findings of patients, audiological configurations and degrees of hearing loss, treatment start times, vertigo and tinnitus relationship with the SSNHL and the effects of these factors on prognosis were examined in this study.

Results: In this study, 31 of the cases were male and 34 were female. The age range was between 12-75 (average 44.2). It was observed that twelve (17.6%) cases had mild, 23 (33.8%) had moderate, 24 (35.3%) had advanced and 9 (13.2%) had very advanced SSNHL. In patients treated early, statistically significant results were obtained in terms of positive response to treatment (p<0.05). Statistically significant results were obtained in terms of hearing loss degree and good response to treatment in patients with SSNHL (p<0.05). There was no significant differences between tinnitus and vertigo and SSNHL relationship (p>0.05).

Conclusion: Early treatment and low degrees of SSNHL severity are positive prognostic factors. Keywords : Hearing Loss, Sudden; Etiology; Prognostic Factors; Treatment Effectiveness