Hyperbaric oxygen (HBO) therapy as an effective approach to the treatment of patients with severe idiopathic sudden sensorineural hearing loss

被引:18
作者
Choi, Yeonjoo [1 ]
Choi, Hye Lim [2 ]
Jeong, A. Young [2 ]
Kang, Woo Seok [1 ]
Park, Hong Ju [1 ]
Chung, Jong Woo [1 ]
Ahn, Joong Ho [1 ]
机构
[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Otolaryngol Head & Neck Surg, 88,Olymp Ro 43 Gil, Seoul 05505, South Korea
[2] Univ Szeged, Fac Med, Szeged, Hungary
关键词
Sudden sensorineural hearing loss; severe hearing loss; hyperbaric oxygen therapy; STEROIDS;
D O I
10.1080/00016489.2020.1717607
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background: The potential etiology of idiopathic sudden sensorineural hearing loss (ISSNHL) is cochlear ischemia, therefore, hyperbaric oxygen (HBO) therapy is a promising treatment, particularly in patients with severe hearing loss (>= 70 dB). Aims/objectives: To evaluate the efficacy of HBO therapy. Material and methods: The medical records of patients diagnosed with ISSNHL were retrospectively reviewed (>= 70 dB). Patients received HBO therapy 14 times in addition to systemic and intratympanic steroid therapy (HBO group), or systemic and intratympanic steroid therapy only (control group). Results: Data from a total of 82 patients (83 ears) were included in the analysis; 37 (38 ears) in the HBO group and 45 (45 ears) in the control group. After 2 weeks' treatment, hearing was significantly improved in the HBO group versus controls (weighted four-frequency average 28.1 +/- 26.9 dB versus 14.8 +/- 13.5 dB, respectively; p < .05), particularly in the low frequency groups (0.5 kHz, 1 kHz, 2 kHz; p < .05).
引用
收藏
页码:383 / 386
页数:4
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