Department of Otorhinolaryngology-Head and Neck Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621 Japan.
Department of Hearing implant Sciences, Shinshu University School of Medicine, Matsumoto, Japan.
Auris Nasus Larynx. 2024 Aug;51(4):811-821. doi: 10.1016/j.anl.2024.06.004. Epub 2024 Jul 4.
Acute sensorineural hearing loss represents a spectrum of conditions characterized by sudden onset hearing loss. The "Clinical Practice Guidelines for the Diagnosis and Management of Acute Sensorineural Hearing Loss" were issued as the first clinical practice guidelines in Japan outlining the standard diagnosis and treatment. The purpose of this article is to strengthen the guidelines by adding the scientific evidence including a systematic review of the latest publications, and to widely introduce the current treatment options based on the scientific evidence.
The clinical practice guidelines were completed by 1) retrospective data analysis (using nationwide survey data), 2) systematic literature review, and 3) selected clinical questions (CQs). Additional systematic review of each disease was performed to strengthen the scientific evidence of the diagnosis and treatment in the guidelines.
Based on the nationwide survey results and the systematic literature review summary, the standard diagnosis flowchart and treatment options, including the CQs and recommendations, were determined.
The guidelines present a summary of the standard approaches for the diagnosis and treatment of acute sensorineural hearing loss. We hope that these guidelines will be used in medical practice and that they will initiate further research.
急性感音神经性听力损失是一种以突发性听力损失为特征的病症谱。《急性感音神经性听力损失的诊断和治疗临床实践指南》作为日本的首个临床实践指南发布，概述了标准诊断和治疗方法。本文旨在通过纳入最新出版物的系统评价等科学证据来加强指南，并基于科学证据广泛介绍当前的治疗选择。
通过 1）回顾性数据分析（使用全国性调查数据）、2）系统文献回顾和 3）选定的临床问题（CQs）来完成临床实践指南。对每种疾病进行额外的系统评价，以加强指南中诊断和治疗的科学证据。
基于全国性调查结果和系统文献回顾总结，确定了标准诊断流程图和治疗选择，包括 CQs 和建议。
本指南总结了急性感音神经性听力损失的标准诊断和治疗方法。我们希望这些指南能在医疗实践中得到应用，并能引发进一步的研究。
