Quality of Life and Hearing Eight Years After Sudden Sensorineural Hearing Loss

被引:43
作者
Harkonen, Kati [1 ,2 ,3 ]
Kivekas, Ilkka [1 ,3 ]
Rautiainen, Markus [1 ,3 ]
Kotti, Voitto [3 ]
Vasama, Juha-Pekka [3 ]
机构
[1] Univ Tampere, Tampere Univ Hosp & Sch Med, Dept Otorhinolaryngol, Tampere, Finland
[2] Univ Tampere, Tampere Univ Hosp & Sch Med, Dept Anat, Tampere, Finland
[3] Tampere Univ Hosp, Dept Ear & Oral Dis, POB 2000, FIN-33521 Tampere, Finland
关键词
Unilateral; sudden sensorineural hearing loss; quality of life; hearing; prognosis; UNILATERAL DEAFNESS; PROGNOSTIC-FACTORS; ADULTS; REHABILITATION; SYMPTOMS; HEALTH;
D O I
10.1002/lary.26133
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objectives/HypothesisTo explore long-term hearing results, quality of life (QoL), quality of hearing (QoH), work-related stress, tinnitus, and balance problems after idiopathic sudden sensorineural hearing loss (ISSNHL). Study DesignCross-sectional study. MethodsWe reviewed the audiograms of 680 patients with unilateral ISSNHL on average 8 years after the hearing impairment, and then divided the patients into two study groups based on whether their ISSNHL had recovered to normal (pure tone average [PTA] 30 dB) or not (PTA > 30 dB). The inclusion criteria were a hearing threshold decrease of 30 dB or more in at least three contiguous frequencies occurring within 72 hours in the affected ear and normal hearing in the contralateral ear. Audiograms of 217 patients fulfilled the criteria. We reviewed their medical records; measured present QoL, QoH, and work-related stress with specific questionnaires; and updated the hearing status. ResultsPoor hearing outcome after ISSNHL was correlated with age, severity of hearing loss, and vertigo together with ISSNHL. Quality of life and QoH were statistically significantly better in patients with recovered hearing, and the patients had statistically significantly less tinnitus and balance problems. During the 8-year follow-up, the PTA of the affected ear deteriorated on average 7 dB, and healthy ear deteriorated 6 dB. ConclusionIdiopathic sudden sensorineural hearing loss that failed to recover had a negative impact on long-term QoL and QoH. The hearing deteriorated as a function of age similarly both in the affected and the healthy ear, and there were no differences between the groups. The cumulative recurrence rate for ISSNHL was 3.5%. Level of Evidence4 Laryngoscope, 127:927-931, 2017
引用
收藏
页码:927 / 931
页数:5
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