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European Archives of Oto-Rhino-Laryngology

, Volume 266, Issue 9, pp 1391–1395 | Cite as

How long should the sudden hearing loss patients be followed after early steroid combination therapy?

  • In Seok Moon
  • Jin Kim
  • So-Yoon Lee
  • Hyun Seung Choi
  • Won-Sang LeeEmail author
Otology

Abstract

To evaluate the beginning time and the completion time of hearing improvement in patients with sudden hearing loss who were treated with combination therapy including oral steroid. From September 2006 to December 2007, 102 idiopathic sudden hearing loss patients who showed any ‘recovery’ in hearing according to the Siegel’s criteria after treatment were analyzed. Pure tone audiometries were performed on the pretreatment day and on the third, seventh, fourteenth post-treatment day, and on the first, second, third, sixth post-treatment month. The time of initial hearing improvement and the completion time of hearing improvement were analyzed. Of 102 patients who showed any improvement, cumulatively, 93.1% showed beginning of hearing improvement within 14 days after treatment. Complete recovery or an end of change was achieved in cumulatively 80.4% of the patients within 1 month after treatment and in 92.2% of the patients within 2 months after treatment. Prognosis can be predicted approximately 2 weeks after start of treatment because time of commencement shows plateau after 2 weeks in improved cases. Hearing should be followed-up for at least 2 months after treatment in patients who show incomplete or delayed hearing improvement.

Keywords

Sensorineural hearing loss Follow-up Steroids 

Notes

Conflict of interest statement

There is no financial relationship with the organization that sponsored the research.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • In Seok Moon
    • 1
  • Jin Kim
    • 2
  • So-Yoon Lee
    • 2
  • Hyun Seung Choi
    • 2
  • Won-Sang Lee
    • 2
    Email author
  1. 1.Department of Otorhinolaryngology-Head and Neck Surgery, College of MedicineChung-Ang UniversitySeoulKorea
  2. 2.Department of OtorhinolaryngologyYonsei University College of MedicineSeoulKorea

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