Lenarz T, Schönermark M
Hals-Nasen-Ohrenklinik, Medizinischen Hochschule Hannover.
Laryngorhinootologie. 1995 Jan;74(1):1-6. doi: 10.1055/s-2007-997677.
Progressive sensorineural hearing loss (SNHL) is still a challenge to the otorhinolaryngologist. It can be solved only by a systematic and interdisciplinary approach to the patient and his disease. Most often an acute onset is observed with a non-linear, sometimes dramatic progress to chronicity and complete deafness. Cardiovascular and rheologic diseases, hereditary disorders, immunological phenomena, hormonal and metabolic derailments, infections, environmental causes like noise, ototoxic drugs and industrial substances and systemic maladies must be included in the diagnostic reflections. Otopathy is an idiopathic hearing loss which cannot be classed with the above mentioned disorders. Wherever possible a causal therapy should be carried out. Symptomatic therapeutic concepts include rheologic medications, corticosteroids or, with all reservation, cytotoxic drugs. Hearing aids should be prescribed in close relation to the dynamic deterioration of the hearing. The timely cochlear implant operation stands at the end of the therapeutic scale.
进行性感音神经性听力损失（SNHL）对耳鼻喉科医生来说仍是一项挑战。只有通过对患者及其疾病采取系统的多学科方法才能解决这一问题。最常见的是急性起病，呈非线性进展，有时病情急剧发展至慢性并导致完全失聪。诊断时必须考虑心血管和血液流变学疾病、遗传性疾病、免疫现象、激素和代谢紊乱、感染、噪声等环境因素、耳毒性药物和工业物质以及全身性疾病。耳病是一种特发性听力损失，无法归类于上述疾病。只要有可能，就应进行病因治疗。对症治疗方案包括血液流变学药物、皮质类固醇，或在严格保留的情况下使用细胞毒性药物。应根据听力的动态恶化情况密切相关地开具助听器。及时进行人工耳蜗植入手术是治疗方案中的最后手段。
