Hearing Recovery in Patients Treated for Idiopathic Sudden Sensorineural Hearing Loss.

IF 1.7 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

American Journal of Audiology Pub Date : 2026-06-02 Epub Date: 2026-03-02 DOI:10.1044/2025_AJA-25-00152

Rose Thomas Kalathottukaren, Amy H C Ng

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引用次数: 0

Abstract

Purpose: The purpose of this study was to investigate factors related to hearing recovery in patients treated for idiopathic sudden sensorineural hearing loss (SSNHL).

Method: This study included 36 participants (23 men, 13 women) diagnosed with unilateral SSNHL. The inclusion criteria required a confirmed diagnosis of unilateral SSNHL using standard pure-tone audiometry. Associated symptoms, such as new-onset dizziness and tinnitus in the affected ear, were recorded at the time of the initial audiometric evaluation. Information regarding treatment approaches and intensity was collected by chart review.

Results: Participants were classified into two groups based on posttreatment pure-tone averages (PTAs) and word recognition scores: recovery (n = 15) and nonrecovery (n = 21) groups. A logistic regression analysis identified that dizziness and pretreatment PTAs were the statistically significant factors associated with hearing recovery in this cohort.

Conclusions: It was found that the presence of dizziness and pretreatment PTAs were the significant factors associated with hearing recovery. The findings of this study indicate that patients presenting with vestibular symptoms and severe hearing loss should be considered at high risk for poor recovery.

Supplemental material: https://doi.org/10.23641/asha.31395753.

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特发性突发性感音神经性听力损失患者的听力恢复。

目的：本研究旨在探讨特发性突发性感音神经性听力损失（SSNHL）患者听力恢复的相关因素。方法：本研究纳入36名被诊断为单侧SSNHL的参与者（23名男性，13名女性）。纳入标准需要单侧SSNHL的确诊，使用标准纯音测听。相关症状，如新发的头晕和耳鸣在受影响的耳朵，记录在最初的听力评估。通过图表回顾收集有关治疗方法和强度的信息。结果：参与者根据治疗后的纯音平均值（pta）和单词识别分数分为两组：恢复组（n = 15）和非恢复组（n = 21）。logistic回归分析发现，眩晕和预处理pta是该队列中与听力恢复相关的统计学显著因素。结论：发现眩晕的存在和PTAs预处理是影响听力恢复的重要因素。本研究结果表明，出现前庭症状和严重听力损失的患者应考虑恢复不良的高风险。补充资料：https://doi.org/10.23641/asha.31395753。

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来源期刊

American Journal of Audiology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY

CiteScore

3.00

自引率

16.70%

发文量

163

审稿时长

>12 weeks

期刊介绍： Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.