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Is hyperbaric oxygen therapy a salvage treatment option for sudden sensorineural hearing loss?

Published online by Cambridge University Press:  30 August 2016

Y Alimoglu  and
E Inci
Y Alimoglu*
Affiliation:
Otolaryngology Department, Haseki Training and Research Hospital, Istanbul, Turkey
E Inci
Affiliation:
Otolaryngology Department, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
*
Address for correspondence: Dr Yalcin Alimoglu, Haseki Egitim ve Arastirma Hastanesi, Kulak Burun Bogaz Klinigi, Fatih, İstanbul, Turkey E-mail: [email protected]
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Abstract

Objective:

To investigate of the efficacy of hyperbaric oxygen therapy as a salvage treatment after unsuccessful oral corticosteroid therapy.

Methods:

Case notes of patients who were followed up because of idiopathic sudden sensorineural hearing loss between 2005 and 2011 in a tertiary care centre were examined retrospectively. Audiograms from before and after hyperbaric oxygen therapy were examined in terms of mean gains in pure tone average and at 0.25, 0.5, 1, 2, 4 and 8 kHz. In addition, recovery according to Siegel's criteria was noted.

Results:

Mean gain in pure tone average was 10.55 ± 13.56 dB. Mean gains at 0.25, 0.5, 1, 2, 4 and 8 kHz were 16.66 ± 18.43 dB, 16.94 ± 19.93 dB, 12.63 ± 16.71 dB, 7.36 ± 15.28 dB, 5.27 ± 11.58 dB and 2.91 ± 12.44 dB, respectively. Three patients had complete recovery, 1 had partial recovery, 5 had slight recovery and 25 had no improvement.

Conclusion:

Hyperbaric oxygen utilised as a salvage therapy after failed corticosteroid therapy may be beneficial in some patients. Studies with more patients are needed.

Keywords

Hearing Loss, SuddenHyperbaric OxygenationSalvage Therapy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 10 , October 2016 , pp. 943 - 947
Copyright
Copyright © JLO (1984) Limited 2016 

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