Hull York Medical School, United Kingdom.
University of Sheffield, United Kingdom.
Med J Malaysia. 2021 Aug;76(Suppl 4):55-59.
Sudden sensory neural hearing Loss (SSNHL) needs to be identified and managed correctly in a secondary or tertiary centre. Whilst 45% of presentations are said to be idiopathic in nature, several viruses have been linked to its aetiology. It was noted, anecdotally, that more patients were presenting with SSNHL during the COVID-19 pandemic to our ENT service at Wrightington Wigan and Leigh teaching hospitals, UK (WWL). We identified 4 COVID-19 positive patients who presented to our ENT service with SSNHL. Despite normal findings on external ear examination, three of the patients showed bilateral hearing loss, whilst one had a predominantly unilateral loss. Given our findings we would like to present these four cases, as well as providing hypotheses on possible aetiology of this association. This may aid in research, diagnosis and treatment of future COVID positive patients with SSNHL.
突发性感觉神经性听力损失(SSNHL)需要在二级或三级中心正确识别和处理。虽然据说 45%的发作是特发性的,但有几种病毒与它的病因有关。有人注意到,在英国莱特温·维根和利教学医院(WWL)的耳鼻喉科服务中,有更多的患者在 COVID-19 大流行期间出现 SSNHL。我们发现了 4 名 COVID-19 阳性患者,他们因 SSNHL 到我们的耳鼻喉科就诊。尽管外耳检查正常,但其中 3 名患者双侧听力下降,而 1 名患者主要单侧听力下降。鉴于我们的发现,我们想介绍这 4 个病例,并提出这种关联可能的病因假说。这有助于研究、诊断和治疗未来 COVID 阳性 SSNHL 患者。