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Is hyperbaric oxygen therapy a salvage treatment option for sudden sensorineural hearing loss?

Published online by Cambridge University Press:  30 August 2016

Y Alimoglu  and
E Inci
Y Alimoglu*
Affiliation:
Otolaryngology Department, Haseki Training and Research Hospital, Istanbul, Turkey
E Inci
Affiliation:
Otolaryngology Department, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
*
Address for correspondence: Dr Yalcin Alimoglu, Haseki Egitim ve Arastirma Hastanesi, Kulak Burun Bogaz Klinigi, Fatih, İstanbul, Turkey E-mail: alimoglu2001@gmail.com
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Abstract

Objective:

To investigate of the efficacy of hyperbaric oxygen therapy as a salvage treatment after unsuccessful oral corticosteroid therapy.

Methods:

Case notes of patients who were followed up because of idiopathic sudden sensorineural hearing loss between 2005 and 2011 in a tertiary care centre were examined retrospectively. Audiograms from before and after hyperbaric oxygen therapy were examined in terms of mean gains in pure tone average and at 0.25, 0.5, 1, 2, 4 and 8 kHz. In addition, recovery according to Siegel's criteria was noted.

Results:

Mean gain in pure tone average was 10.55 ± 13.56 dB. Mean gains at 0.25, 0.5, 1, 2, 4 and 8 kHz were 16.66 ± 18.43 dB, 16.94 ± 19.93 dB, 12.63 ± 16.71 dB, 7.36 ± 15.28 dB, 5.27 ± 11.58 dB and 2.91 ± 12.44 dB, respectively. Three patients had complete recovery, 1 had partial recovery, 5 had slight recovery and 25 had no improvement.

Conclusion:

Hyperbaric oxygen utilised as a salvage therapy after failed corticosteroid therapy may be beneficial in some patients. Studies with more patients are needed.

Keywords

Hearing Loss, SuddenHyperbaric OxygenationSalvage Therapy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 10 , October 2016 , pp. 943 - 947
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 National Institutes of Health. Sudden Deafness (NIH publication 00-4757). Bethesda, MD: National Institutes of Health, 2000 Google Scholar
2 Mattox, DE, Simmons, FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977;86:463–80Google Scholar
3 Hughes, GB, Freedman, MA, Haberkamp, TJ, Guay, ME. Sudden sensorineural hearing loss. Otolaryngol Clin North Am 1996;29:393–405 Google Scholar
4 Byl, FM Jr. Sudden hearing loss: 8 years’ experience and suggested prognostic table. Laryngoscope 1984;94:647–61CrossRefGoogle ScholarPubMed
5 Alimoglu, Y, Inci, E, Edizer, DT, Ozdilek, A, Aslan, M. Efficacy comparison of oral steroid, intratympanic steroid, hyperbaric oxygen and oral steroid + hyperbaric oxygen treatments in idiopathic sudden sensorineural hearing loss cases. Eur Arch Otorhinolaryngol 2011;268:1735–41Google Scholar
6 Siegel, LG. The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am 1975;8:467–73CrossRefGoogle ScholarPubMed
7 Mazurek, B, Haupt, H, Georgiewa, P, Klapp, BF, Reisshauer, A. A model of peripherally developing hearing loss and tinnitus based on the role of hypoxia and ischemia. Med Hypotheses 2006;67:892–9Google Scholar
8 Bennett, MH, Kertesz, T, Yeung, P. Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus. Cochrane Database Syst Rev 2007;(1):CD004739Google Scholar
9 Nagahara, K, Fisch, U, Yagi, N. Perilymph oxygenation in sudden and progressive sensorineural hearing loss. Acta Otolaryngol 1983;96:57–68 Google Scholar
10 Kubo, T, Matsunaga, T, Asai, H, Kawamoto, K, Kusakari, J, Nomura, Y et al. Efficacy of defibrinogenation and steroid therapies on sudden deafness. Arch Otolaryngol Head Neck Surg 1988;114:649–52Google Scholar
11 Muzzi, E, Zennaro, B, Visentin, R, Soldano, F, Sacilotto, C. Hyperbaric oxygen therapy as salvage treatment for sudden sensorineural hearing loss: review of rationale and preliminary report. J Laryngol Otol 2010;124:e2 CrossRefGoogle ScholarPubMed
12 Horn, CE, Himel, HN, Selesnick, SH. Hyperbaric oxygen therapy for sudden sensorineural hearing loss: a prospective trial of patients failing steroid and antiviral treatment. Otol Neurotol 2005;26:882–9Google Scholar
13 Cvorovic, L, Jovanovic, MB, Milutinovic, Z, Arsovic, N, Djeric, D. Randomized prospective trial of hyperbaric oxygen therapy and intratympanic steroid injection as salvage treatment of sudden sensorineural hearing loss. Otol Neurotol 2013;34:1021–6CrossRefGoogle ScholarPubMed
14 Yang, CH, Wu, RW, Hwang, CF. Comparison of intratympanic steroid injection, hyperbaric oxygen and combination therapy in refractory sudden sensorineural hearing loss. Otol Neurotol 2013;34:1411–16Google Scholar
15 Psillas, G, Ouzounidou, S, Stefanidou, S, Kotsiou, M, Giaglis, GD, Vital, I et al. Hyperbaric oxygen as salvage treatment for idiopathic sudden sensorineural hearing loss. B-ENT 2015;11:39–44 Google Scholar
16 Pezzoli, M, Magnano, M, Maffi, L, Pezzoli, L, Marcato, P, Orione, M et al. Hyperbaric oxygen therapy as salvage treatment for sudden sensorineural hearing loss: a prospective controlled study. Eur Arch Otorhinolaryngol 2015;272:1659–66Google Scholar
17 Stachler, RJ, Chandrasekhar, SS, Archer, SM, Rosenfeld, RM, Schwartz, SR, Barrs, DM et al. Clinical practice guideline: sudden hearing loss. Otolaryngol Head Neck Surg 2012;146:S1–35 Google Scholar
18 Yeo, SW, Lee, DH, Jun, BC, Park, SY, Park, YS. Hearing outcome of sudden sensorineural hearing loss: long-term follow-up. Otolaryngol Head Neck Surg 2007;136:221–4CrossRefGoogle ScholarPubMed