Otology

European Archives of Oto-Rhino-Laryngology

, Volume 256, Issue 1, pp S18-S21

Treatment of sudden sensorineural hearing loss with a continuous epidural block

  • M. FujinoAffiliated withDepartment of Otorhinolaryngology, Faculity of Medicine, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan
  • , K. HisashiAffiliated withDepartment of Otorhinolaryngology, Shimonoseki City Hospital, Shimonoseki 750-0041, Japan
  • , N. YashimaAffiliated withDepartment of Anesthesia, Kyushu Central Hospital, Fukuoka 815-0032, Japan
  • , M. TakeshitaAffiliated withDepartment of Anesthesia, Kyushu Central Hospital, Fukuoka 815-0032, Japan
  • , Y. FujiwaraAffiliated withDepartment of Anesthesia, Shimonoseki City Hospital, Shimonoseki 750-0041, Japan
  • , K. ChujoAffiliated withDepartment of Otorhinolaryngology, Shimonoseki City Hospital, Shimonoseki 750-0041, Japan
  • , T. NakagawaAffiliated withDepartment of Otorhinolaryngology, Faculity of Medicine, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan
  • , S. KomuneAffiliated withDepartment of Otorhinolaryngology, Miyazaki Medical College, Miyazaki 889-1601, Japan
  • , S. KomiyamaAffiliated withDepartment of Otorhinolaryngology, Faculity of Medicine, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan

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Abstract

The efficacy of a continuous epidural block was evaluated in the treatment of 20 patients with sudden sensorineural hearing loss (SNHL). Ten patients were treated with continuous cervicothoracic epidural block (group A) and the other 10 were treated with stellate ganglion block (group B). No significant difference in factors affecting prognosis was noted between the groups. In the epidural block group 70% achieved substantial hearing improvement, while this occurred in only 30% of patients undergoing stellate ganglion block. These findings suggest that continuous epidural block can be effective in the treatment of sudden SNHL.

Key words Sudden sensorineural hearing loss Continuous epidural block Stellate ganglion block Local analgesia