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  Contents > Previous page > Article detail print Order
o Issue N# 3 - 2012 o

OTOLOGY

Idiopathic sudden deafness: 96 patients report


Authors : Gabanou F, Bera G, Vincent C. (Lille)

Ref. : Rev Laryngol Otol Rhinol. 2012;133,3:119-122.

Article published in french
Downloadable PDF document french



Summary : Objectives: Evaluation of the management of idiopathic sudden deafness indicating the usefulness of biological assessments and the pronostic factors of hearing recovery. Patients and methods: This is a retrospective study of 96 patients with idiopathic sudden deafness referred to a tertiary centre between 2005 and 2009 treated with cortico­steroids intravenously at a daily dose of 1 mg / kg. Mean tonal thresholds were assessed (PTA = [500 Hz + 1000 Hz + 2000 Hz + 4000 Hz] / 4). Each audiogram was classified as five classes according to its frequency profile. Results: The hearing recovery is significant between D0-D5 and D5-M1 for the fre­quencies 0.5, 1 and 2 kHz. For 4 kHz, the recovery is signi­fi­cant between 0 and J5. There is no statistically signi­fi­cant corre­lation between the presence of associated signs (tinnitus, vertigo) and hearing recovery. Hearing recovery according to the five types of audiograms has the same evolution in the follow-up time but with audiograms type E (cophosis or subcophosis) often associated with an hypo­reactivity at the videonystagmography. The presence of cardio­vascular disease is a predictor of poor hearing recovery. The usefullness of systematic extensive blood tests is low. Conclusion: In sudden deafness, the maximum hearing recovery takes place in the month following the onset of symptoms. The predictors of poor hearing recovery are an initial mean threshold > 70 dB, the existence of an associated cardiovascular disease.

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