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ORL 2010;72:295–299
(DOI:10.1159/000314695)

A Comparison of the Short-Term Outcome in Patients with Acute Low-Tone Sensorineural Hearing Loss

Morita S. · Suzuki M. · Iizuka K.

Author affiliations

Department of Otolaryngology, Kushiro City General Hospital, Kushiro, Japan

Corresponding Author

Shinya Morita

Department of Otolaryngology

Kushiro City General Hospital

1-12 Shunkodai, Kushiro, Hokkaido 085-0822 (Japan)

Tel. +81 154 41 6121, Fax +81 154 41 4080, E-Mail shinyamorita@yahoo.co.jp

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Abstract

Purpose of the Study: We aimed to compare the short-term outcome of patients with acute low-tone sensorineural hearing loss (ALHL) treated with steroid alone, diuretics alone or combination treatment. Procedures: Between April 2000 and March 2009, we retrospectively reviewed the medical records of 156 patients with a diagnosis of ALHL. All patients were followed up until improvement or for 8 weeks from the initial examination. Patients were treated with steroid alone (n = 49), diuretics alone (n = 40), combination treatment (n = 46) or they received neither steroid nor diuretics (n = 21). Results: The steroid-diuretic combination therapy for ALHL showed significantly better results than the steroid or diuretic treatments alone (p < 0.05). There were no clinically significant differences in the outcome between the steroid- and diuretic-alone treatments. Conclusion and Message: The etiology of ALHL is described as both an endolymphatic hydrops and an autoimmunological mechanism so that, as expected, the steroid-diuretic combination therapy was more effective than the steroid or diuretic treatments alone.

© 2010 S. Karger AG, Basel


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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 15, 2010
Accepted: April 21, 2010
Published online: September 01, 2010

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 1

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: https://www.karger.com/ORL