Efficacy of combination therapy in adolescent and adult patients with total-deafness sudden sensorineural hearing loss.
Acta Otolaryngol
; 139(3): 258-262, 2019 Mar.
Article
in En
| MEDLINE
| ID: mdl-30762471
ABSTRACT
BACKGROUND:
Combination therapy is the first-line option for total-deafness sudden sensorineural hearing loss (SSNHL). Age may act as a crucial prognostic factor.OBJECTIVE:
The aim of this study was to compare efficacy of combination therapy between adolescent and adult patients with total-deafness SSNHL. MATERIALS ANDMETHODS:
Twenty-five adolescent patients (adolescent group) and 106 adult patients (adult group) with total-deafness SSNHL were recruited. All the recruited patients underwent initial treatment with batroxobin, methylprednisolone, and gastrodin. After 10-day treatment, hearing outcomes were determined by pure-tone average measured by audiometry. Moreover, the total effective rates in the hearing recovery and improvement of tinnitus were calculated.RESULTS:
There existed no significant difference between two groups in the total effective rate of the hearing recovery (p = .110). However, a significant difference was found in the total effective rate of improvement of tinnitus between two groups (p = .016). Both adolescent and adult patients could receive the optimal hearing gains at 500 Hz (20.2 ± 13.3 and 23.1 ± 13.9dB, respectively), followed by those at 1000 Hz (18.8 ± 12.5 and 22.7 ± 14.8dB, respectively). Yet, adult patients could get better hearing gains only at 500 Hz than adolescent patients (p = .02).CONCLUSION:
Compared with adult patients, adolescent patients with total-deafness SSNHL undergoing combination therapy may be less likely to have hearing recovery and the improvement of tinnitus.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Benzyl Alcohols
/
Methylprednisolone
/
Batroxobin
/
Hearing Loss, Sudden
/
Fibrinolytic Agents
/
Glucosides
/
Anti-Inflammatory Agents
Type of study:
Prognostic_studies
Limits:
Adolescent
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Acta Otolaryngol
Year:
2019
Document type:
Article
Affiliation country:
China