Smith A, Gutteridge I, Elliott D, Cronin M
School of Medicine,Griffith University,Gold Coast,Queensland,Australia.
Department of Otorhinolaryngology,Gold Coast University Hospital,Queensland,Australia.
J Laryngol Otol. 2017 Jul;131(S2):S57-S61. doi: 10.1017/S0022215117000779. Epub 2017 Apr 17.
Sudden sensorineural hearing loss is a rare otological condition with potential for dire outcomes including permanent hearing loss. Although the majority of cases are deemed idiopathic, bilateral sudden sensorineural hearing loss represents a rare subset typically related to systemic conditions, with higher morbidity and mortality. A controversial association with acute otitis media has been reported, with few bilateral cases published in the literature.
A very rare case of bilateral sudden sensorineural hearing loss associated with acute otitis media is described, with a review of the literature.
The limited evidence available suggests that acute otitis media with tinnitus and/or bacterial pathology may have an increased risk of sudden sensorineural hearing loss, which is consistent with the case described. Although there is no sufficiently powered published evidence to provide definitive treatment guidelines, the literature reviewed suggests that early myringotomy and antibiotics may greatly improve treatment outcomes.
突发性感音神经性听力损失是一种罕见的耳科疾病，可能导致包括永久性听力损失在内的严重后果。尽管大多数病例被认为是特发性的，但双侧突发性感音神经性听力损失是一种罕见的类型，通常与全身疾病有关，发病率和死亡率更高。有报道称其与急性中耳炎存在争议性关联，文献中发表的双侧病例很少。
本文描述了一例非常罕见的与急性中耳炎相关的双侧突发性感音神经性听力损失病例，并对文献进行了综述。
现有有限的证据表明，伴有耳鸣和/或细菌病理学改变的急性中耳炎可能会增加突发性感音神经性听力损失的风险，这与所描述的病例一致。尽管没有足够有力的已发表证据来提供明确的治疗指南，但综述的文献表明早期鼓膜切开术和使用抗生素可能会大大改善治疗效果。
