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Sudden sensorineural hearing loss: A review of diagnosis, treatment, and prognosis

机译:突然的感音神经性听力损失:诊断,治疗和预后的回顾

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摘要

Sudden sensorineural hearing loss (SSNHL) is commonly encountered in audiologic and otolaryngologic practice. SSNHL is most commonly defined as sensorineural hearing loss of 30dB or greater over at least three contiguous audiometric frequencies occurring within a 72-hr period. Although the differential for SSNHL is vast, for the majority of patients an etiologic factor is not identified. Treatment for SSNHL of known etiology is directed toward that agent, with poor hearing outcomes characteristic for discoverable etiologies that cause inner ear hair cell loss. Steroid therapy is the current mainstay of treatment of idiopathic SSNHL in the United States. The prognosis for hearing recovery for idiopathic SSNHL is dependent on a number of factors including the severity of hearing loss, age, presence of vertigo, and shape of the audiogram.
机译:听力和耳鼻喉科实践中经常会遇到突然的感音神经性听力损失(SSNHL)。 SSNHL通常被定义为在72小时内发生的至少三个连续测听频率上的30dB或更大的感音神经性听力损失。尽管SSNHL的差异很大,但对于大多数患者而言,尚未发现病因。已知病因的SSNHL的治疗针对该病原,具有导致内耳毛细胞流失的可发现病因的不良听力结果特征。在美国,类固醇疗法是目前治疗特发性SSNHL的主要手段。特发性SSNHL听力恢复的预后取决于许多因素,包括听力损失的严重程度,年龄,眩晕的存在和听力图的形状。

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