Factors Effecting Hearing Improvement in Idiopathic Sudden Sensorineural Hearing Loss Patients with Intratympanic Dexamethasone Injection as a Salvage Treatment after Failure of Oral Prednisolone Therapy

Authors

  • สรชา โสภาเนตร แผนกโสต ศอ นาสิก โรงพยาบาลราชบุรี

Keywords:

sudden sensorineural hearing loss, failure of oral prednisolone therapy, intratympanic dexamethasone injection

Abstract

Background: Intratympanic dexamethasone injection (ITD) as a salvage treatment after failure of oral prednisolone therapy can promote additional hearing recovery in idiopathic sudden sensorineural hearing loss (ISSNHL) cases. The study of factors affecting hearing improvement is an important thing to evaluate the prognosis after therapy.

Objective: To study factors affecting hearing improvement in ISSNHL patients with ITD as a salvage treatment after failure of oral prednisolone therapy.

Methods: The retrospective descriptive study was analyzed among ISSNHL patients who underwent ITD injection after the failure of oral prednisolone therapy. The medical records from the Ratchaburi hospital’s HOSxP program were collected from July 2014 to December 2020. Pretreatment and post-treatment audiometric evaluations, including pure-tone average (PTA) and speech discrimination score (SDS), were analyzed. The data was presented in percentage, average, and standard deviation. T-test independent and chi-square test were implemented for the analysis of the factors relating to hearing recovery.

Results: Fifty-eight patients met the inclusion criteria of the study. Statistically significant factors were noted in those patients above the age of fifty-six, diabetes, smoking, the severity of ISSNHL, and the first ITD after 6 weeks from the onset of symptoms (p<0.05).

Conclusion:  Based on the present study, the adverse hearing recovery prognosis factors for ITD as salvage therapy after the failure of oral prednisolone in ISSNHL are advanced age, diabetes, smoking, the severity of ISSNHL and delayed first ITD after six weeks from the onset of symptoms.

Keywords: Sudden Sensorineural hearing loss, failure of oral prednisolone therapy, intratympanic dexamethasone injection.

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2022-05-03

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โสภาเนตร ส. (2022). Factors Effecting Hearing Improvement in Idiopathic Sudden Sensorineural Hearing Loss Patients with Intratympanic Dexamethasone Injection as a Salvage Treatment after Failure of Oral Prednisolone Therapy. Hua Hin Medical Journal, 2(1), 34–46. Retrieved from https://he01.tci-thaijo.org/index.php/hhsk/article/view/254088

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