Abstract | RATIONALE: PATIENT CONCERNS: A 44-year-old woman complained of an abrupt hearing deterioration in the left ear with the sensation of aural fullness and loud tinnitus presented for 48 hours. The patient was admitted to the Department of Otolaryngology of Public Hospital for diagnosis and treatment. DIAGNOSES: The patient was diagnosed with unilateral sudden idiopathic sensorineural hearing loss, assessed by measuring the tonal audiograms. INTERVENTIONS: The patient received treatment including oral high-dose corticosteroids combined with HBO protocol including 15 daily 1-hour exposures to 100% oxygen at 2.5 atmosphere absolute. OUTCOMES: A pharmacotherapy combined with early HBO resulted in full recovery of hearing. LESSONS: Early implementation of HBO to the pharmacotherapy in sudden sensorineural hearing loss may lead to full recovery of hearing. There is a need for systematic research to establish guidelines for optimal number of HBO sessions in relation to the timeframe from hearing loss symptoms onset to implementation of HBO therapy.
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Authors | Dorota Olex-Zarychta |
Journal | Medicine
(Medicine (Baltimore))
Vol. 96
Issue 51
Pg. e9397
(Dec 2017)
ISSN: 1536-5964 [Electronic] United States |
PMID | 29390550
(Publication Type: Case Reports, Journal Article)
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Copyright | Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved. |
Chemical References |
- Anti-Inflammatory Agents
- Prednisone
|
Topics |
- Administration, Oral
- Adult
- Anti-Inflammatory Agents
(therapeutic use)
- Combined Modality Therapy
- Female
- Hearing Loss, Sensorineural
(therapy)
- Humans
- Hyperbaric Oxygenation
- Prednisone
(therapeutic use)
|