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Hyperbaric oxygen in the treatment of sudden deafness

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Abstract

Currently, the treatment of sudden deafness (SD) is based mainly on complete bed rest and the administration of corticosteroids. Hyperbaric oxygen therapy (HBOT) has previously been suggested as adjunctive treatment. We describe two cases of successful HBOT for SD. The first patient presented with moderate mid-frequency hearing loss without accompanying symptoms, whereas the second patient had moderate low-frequency hearing loss with persistent tinnitus and a single episode of vertigo. HBOT in addition to conventional treatment soon after diagnosis resulted in full recovery of hearing in both patients. The pathogenesis of SD may involve a reduction in cochlear blood flow and perilymph oxygenation, making early HBOT a reasonable treatment modality for this condition.

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References

  1. Aslan I, Oysu C, Veyseller B, Baserer N (2002) Does the addition of hyperbaric oxygen therapy to the conventional treatment modalities influence the outcome of sudden deafness? Otolaryngol Head Neck Surg 126:121–126

    Article  PubMed  Google Scholar 

  2. Byl FM Jr (1984) Sudden hearing loss: eight years’ experience and suggested prognostic table. Laryngoscope 94:647–661

    Article  PubMed  Google Scholar 

  3. Hughes GB, Freedman MA, Haberkamp TJ, Guay ME (1996) Sudden sensorineural hearing loss. Otolaryngol Clin North Am 29:393–405

    PubMed  CAS  Google Scholar 

  4. Kau RJ, Sendtner-Gress K, Ganzer U, Arnold W (1997) Effectiveness of hyperbaric oxygen therapy in patients with acute and chronic cochlear disorders. ORL J Otorhinolaryngol Relat Spec 59:79–83

    PubMed  CAS  Google Scholar 

  5. Kubo T, Matsunaga T, Asai H, Kawamoto K, Kusakari J, Nomura Y, Oda M, Yanagita N, Niwa H, Uemura T, Komune S (1988) Efficacy of defibrinogenation and steroid therapies on sudden deafness. Arch Otolaryngol Head Neck Surg 114:649–652

    PubMed  CAS  Google Scholar 

  6. Laird N, Wilson WR (1983) Predicting recovery from idiopathic sudden hearing loss. Am J Otolaryngol 4:161–164

    PubMed  CAS  Google Scholar 

  7. Lamm C, Walliser U, Schumann K, Lamm K (1988) Oxygen partial pressure measurements in the perilymph and scala tympani in normo- and hyperbaric conditions. An animal experiment study [in German]. HNO 36:363–366

    PubMed  CAS  Google Scholar 

  8. Lamm K, Lamm H, Arnold W (1998) Effect of hyperbaric oxygen therapy in comparison to conventional or placebo therapy or no treatment in idiopathic sudden hearing loss, acoustic trauma, noise-induced hearing loss and tinnitus. A literature survey. Adv Otorhinolaryngol 54:86–99

    PubMed  CAS  Google Scholar 

  9. Mattox DE, Simmons FB (1977) Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 86:463–480

    PubMed  CAS  Google Scholar 

  10. Moskowitz D, Lee KJ, Smith HW (1984) Steroid use in idiopathic sudden sensorineural hearing loss. Laryngoscope 94:664–666

    Article  PubMed  CAS  Google Scholar 

  11. Nagahara K, Fisch U, Yagi N (1983) Perilymph oxygenation in sudden and progressive sensorineural hearing loss. Acta Otolaryngol 96:57–68

    PubMed  CAS  Google Scholar 

  12. Nakashima T, Fukuta S, Yanagita N (1998) Hyperbaric oxygen therapy for sudden deafness. Adv Otorhinolaryngol 54:100–109

    PubMed  CAS  Google Scholar 

  13. Saeki N, Kitahara M (1994) Assessment of prognosis in sudden deafness. Acta Otolaryngol Suppl 510:56–61

    PubMed  CAS  Google Scholar 

  14. Welslau W, Almeling M, Lammerding A, Busch R, Trombitas G, Hesse G (1997) How many HBO treatments are necessary for the therapy of sudden deafness and acute tinnitus? In: Mekjavic IB, Tipton MJ, Eiken O (eds) Diving and hyperbaric medicine. Proceedings of the XXIII annual scientific meeting of the European Underwater and Baromedical Society, EUBS 97. BIOMED d.o.o., Ljubljana, Slovenia, pp 203–209

  15. Wilson WR, Gulya AJ (1993) Sudden sensorineural hearing loss. In: Cummings CW (ed) Otolaryngology - head and neck surgery, 2nd edn. Harker LA (ed) vol 4, Ear and cranial base. Mosby-Year Book, Inc., St. Louis, MO, pp 3103–3112

  16. Wilson WR, Byl FM, Laird N (1980) The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Arch Otolaryngol 106:772–776

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Israel Naval Medical Institute, IDF Medical Corps, P.O. Box 8040, 31 080, Haifa, Israel

    Liran Domachevsky, Yoav Keynan, Avi Shupak & Yochai Adir

Authors
  1. Liran Domachevsky
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  2. Yoav Keynan
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  3. Avi Shupak
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  4. Yochai Adir
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Correspondence to Liran Domachevsky.

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Domachevsky, L., Keynan, Y., Shupak, A. et al. Hyperbaric oxygen in the treatment of sudden deafness. Eur Arch Otorhinolaryngol 264, 951–953 (2007). https://doi.org/10.1007/s00405-007-0283-3

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  • DOI: https://doi.org/10.1007/s00405-007-0283-3

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