Assessing the Effectiveness of Different Hyperbaric Oxygen Treatment Methods in Patients with Sudden Sensorineural Hearing Loss.

IF 2.1 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Audiology Research Pub Date : 2024-03-29 DOI:10.3390/audiolres14020029
Paweł Rozbicki, Jacek Usowski, Sandra Krzywdzińska, Dariusz Jurkiewicz, Jacek Siewiera
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Abstract

Introduction: Hyperbaric oxygen therapy (HBOT) is one of the treatment methods in patients with sudden sensorineural hearing loss (SSNHL). It is recommended as an elective treatment in patients undergoing steroid therapy. According to current scientific reports, HBOT should be implemented within two weeks after the first symptoms. However, as far as the profile of HBOT is concerned, there are no straightforward recommendations.

Methods: The data obtained from the medical records of 218 patients undergoing HBOT for SSNHL at the Military Institute of Medicine-National Research Institute were analyzed statistically for the impact of the duration and the delay in implementing HBOT on the end results of pure-tone audiometry (PTA).

Results: A statistically significant hearing improvement in patients undergoing more than 15 cycles of HBOT was detected at all frequencies except for 1500 Hz; in the group reporting for treatment with a delay of more than 10 days, hearing improvement was statistically unsignificant at frequencies of 1500, 3000, and 4000 Hz.

Conclusions: The statistical analysis showed that the urgent onset of HBOT could be a significant factor in the therapy of SSNHL.

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评估不同高压氧治疗方法对突发性感音神经性听力损失患者的疗效。
简介高压氧疗法(HBOT)是治疗突发性感音神经性听力损失(SSNHL)患者的方法之一。在接受类固醇治疗的患者中,高压氧疗法被推荐为一种选择性治疗方法。根据目前的科学报告,HBOT 应在首次出现症状后两周内实施。然而,关于 HBOT 的概况,目前还没有直接的建议:方法:对军事医学研究院-国家研究所 218 名接受 HBOT 治疗的 SSNHL 患者的病历数据进行统计分析,以了解 HBOT 治疗的持续时间和延迟对纯音测听(PTA)最终结果的影响:结果:接受 15 个周期以上 HBOT 治疗的患者在除 1500 Hz 以外的所有频率上的听力改善均有统计学意义;在延迟 10 天以上治疗的报告组中,1500、3000 和 4000 Hz 频率上的听力改善无统计学意义:统计分析显示,HBOT 的紧急开始是治疗 SSNHL 的一个重要因素。
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来源期刊
Audiology Research
Audiology Research AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.30
自引率
23.50%
发文量
56
审稿时长
11 weeks
期刊介绍: The mission of Audiology Research is to publish contemporary, ethical, clinically relevant scientific researches related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear that can be used by clinicians, scientists and specialists to improve understanding and treatment of patients with audiological and neurotological disorders.
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