Leung Marcia A, Flaherty Anna, Zhang Julia A, Hara Jared, Barber Wayne, Burgess Lawrence
John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.
Hawaii J Med Public Health. 2016 Jun;75(6):172-4.
The primary care physician's role in recognizing sudden sensorineural hearing (SSNHL) loss and delivering initial treatment is critical in the management of the syndrome. This role involves recognizing its clinical symptoms, distinguishing it from conductive hearing loss with the Weber tuning fork or the Rauch hum test, and urgent administration of high dose oral corticosteroids. Diagnosis and treatment should not be delayed for audiometric testing or referral to otolaryngology. This paper provides an update on the initial evaluation and treatment of this syndrome based on the literature and clinical guideline recommendations.
基层医疗医生在识别突发性感音神经性听力损失（SSNHL）并进行初始治疗方面的作用，对于该综合征的管理至关重要。这一作用包括识别其临床症状，通过韦伯音叉试验或劳赫哼声试验将其与传导性听力损失区分开来，以及紧急给予高剂量口服糖皮质激素。诊断和治疗不应因听力测试或转诊至耳鼻喉科而延迟。本文根据文献和临床指南建议，提供了关于该综合征初始评估和治疗的最新信息。
