双侧突发性感音神经性听力损失两年后自发性听力恢复:奇迹随时可能发生。

Mymensingh medical journal : MMJ Pub Date : 2025-01-01
H A R Talukder
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引用次数: 0

摘要

突发性感音神经性听力损失是一种医学紧急情况。发病率很低。单侧SSNHL是常见的,大多数是特发性的。2周内自然恢复率30-65%。双侧SSNHL是一种罕见的亚群,在已报道的SSNHL中不到5%,与全身性疾病有较高的相关性。治疗后预后很差。SSNHL术后3个月听力恢复是非常罕见的。本案例中发生的自发性听力恢复是一个奇迹。一名12岁女童在SSNHL后接受人工耳蜗植入手术前几天突然恢复了可使用的听力。两年前她患上了一种非常罕见的双侧突发性感音神经性听力损失。双侧突发性感音神经性听力损失是一个罕见的子集,尽管单侧SSHL并不常见。听力大多在两周内恢复,很少超过60天。本病例报告了隐匿性SSNHL后大约两年的突然听力增加。解释尚不清楚,可证明是耳蜗血管的重建或根本原因的自发消除。未发现可用数据,需进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spontaneous Hearing Recovery Two Years Following Onset of Bilateral Sudden Sensorineural Hearing Loss: Miracle May Happen any Time.

Sudden sensorineural hearing loss is a medical emergency. Incidence is very low. Unilateral SSNHL is common and mostly idiopathic. Spontaneous recovery rate is 30-65% within 2 weeks. Bilateral SSNHL is a rare subset, less than 5% of reported SSNHL and higher association with systemic disease. Prognosis is very poor following treatment. Recovery of hearing after 3 months following SSNHL is a very rare entity. Spontaneous hearing gain after a long time is a miracle that happened in the reported case. A 12-year-old female child suddenly recovered serviceable hearing few days prior to the date of cochlear implant surgery following SSNHL. She developed a very rare bilateral sudden sensorineural hearing loss two years back. Bilateral sudden sensorineural hearing loss is a rare subset though unilateral SSHL is little common. Recovery of hearing occurs mostly within two weeks, very rare beyond sixty days. Our case reported sudden hearing gain about two years after insidious SSNHL. Explanations not clear provably reestablishment of vascularity to cochlear or spontaneous elimination of underlying cause. No available data found, further study is needed.

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