Lee Hyeon A, Chung Jae Ho
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Korea.
J Audiol Otol. 2024 Jan;28(1):10-17. doi: 10.7874/jao.2024.00024. Epub 2024 Jan 10.
Sudden sensorineural hearing loss (SSNHL) is a rapid decline in auditory function that needs urgent medical management. Although etiologic factors, including viral infections, autoimmune diseases, and vascular issues, contribute to the understanding of SSNHL, the condition remains unclear in most cases. Systemic steroids are often used as the first-line treatment because they reduce inner ear inflammation; however, there remains numerous discussions about the effectiveness of alternative treatments. To predict hearing recovery is crucial in patients' counseling with factors, including delayed treatment, vertigo, and other health conditions, which indicate poor prognosis. Herein, we review contemporary research on the treatment approaches and outcome predictions of SSNHL to establish important guidelines for physicians in evaluating and treating patients with SSNHL.
突发性感音神经性听力损失(SSNHL)是一种听觉功能的快速衰退,需要紧急医疗处理。尽管包括病毒感染、自身免疫性疾病和血管问题在内的病因有助于理解SSNHL,但在大多数情况下,该病的病因仍不明确。全身性类固醇药物常被用作一线治疗药物,因为它们可减轻内耳炎症;然而,关于替代治疗的有效性仍存在诸多讨论。预测听力恢复对于患者咨询至关重要,因为包括治疗延迟、眩晕和其他健康状况等因素表明预后较差。在此,我们回顾了关于SSNHL治疗方法和预后预测的当代研究,以便为医生评估和治疗SSNHL患者制定重要指导原则。