Summary Introduction: High-frequency audiometry is not usually carried out during routine hearing examinations. It is a frequently used method at the ENT Clinic of the University Hospital Motol (especially in patients being treated for tumours of the pontocerebellar angle), although the exact indicative criteria for this have not been determined. We aimed to characterize a group of patients, using a method which improved the accuracy of the diagnostics. Material and methodology: We analysed 1,515 audiograms retrospectively. These audiograms were performed by using audiometer MADSEN Astera of GN Otometrics during 2011–2018 in 773 adults, aged 16–80 (47.79 ±13.54). They all underwent high-frequency audiometry comprising of all commonly examined frequencies up to 8 kHz, and also at higher frequencies of – 9 kHz, 10 kHz, 11.2 kHz, 12.5 kHz, 14 kHz a 16 kHz. The indication was very diverse – subjective hypacusis/hyperacusis, tinnitus, vestibulopathy, acutrauma, or an already known diagnosis of a pontocerebellar tumour. Results: We identifi ed a clinically signifi cant asymmetry or pathological elevation of the hearing threshold, which was only detectable at frequencies above 8 kHz in 52 patients (6.73%). This group consisted of patients with vestibular schwannoma (48.08%), other tumours and vascular malformations of the temporal region (11.53%), vestibulopathy (3.85%), and patients that had never developed a serious pathology (23.08%). They were mostly patients with straightforward hypacusis or tinnitus. Conclusion: In clinical practice, there are cases of patients with a hearing defect that can only be detected when HFA is performed. HFA clarifi es the diagnosis of hearing disorders and can lead to the detection of potentially life-threatening conditions such as tumours and vascular malformations of the otological area. Key words high-frequency audiometry – hearing loss – tinnitus
{"title":"The benefit of high-frequency audiometry – a retrospective study","authors":"V. Svobodová, O. Profant, J. Kluh, J. Plzák","doi":"10.48095/ccorl2022119","DOIUrl":"https://doi.org/10.48095/ccorl2022119","url":null,"abstract":"Summary Introduction: High-frequency audiometry is not usually carried out during routine hearing examinations. It is a frequently used method at the ENT Clinic of the University Hospital Motol (especially in patients being treated for tumours of the pontocerebellar angle), although the exact indicative criteria for this have not been determined. We aimed to characterize a group of patients, using a method which improved the accuracy of the diagnostics. Material and methodology: We analysed 1,515 audiograms retrospectively. These audiograms were performed by using audiometer MADSEN Astera of GN Otometrics during 2011–2018 in 773 adults, aged 16–80 (47.79 ±13.54). They all underwent high-frequency audiometry comprising of all commonly examined frequencies up to 8 kHz, and also at higher frequencies of – 9 kHz, 10 kHz, 11.2 kHz, 12.5 kHz, 14 kHz a 16 kHz. The indication was very diverse – subjective hypacusis/hyperacusis, tinnitus, vestibulopathy, acutrauma, or an already known diagnosis of a pontocerebellar tumour. Results: We identifi ed a clinically signifi cant asymmetry or pathological elevation of the hearing threshold, which was only detectable at frequencies above 8 kHz in 52 patients (6.73%). This group consisted of patients with vestibular schwannoma (48.08%), other tumours and vascular malformations of the temporal region (11.53%), vestibulopathy (3.85%), and patients that had never developed a serious pathology (23.08%). They were mostly patients with straightforward hypacusis or tinnitus. Conclusion: In clinical practice, there are cases of patients with a hearing defect that can only be detected when HFA is performed. HFA clarifi es the diagnosis of hearing disorders and can lead to the detection of potentially life-threatening conditions such as tumours and vascular malformations of the otological area. Key words high-frequency audiometry – hearing loss – tinnitus","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131649300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aneta Piatková, K. Obtulovičová, A. Kališ, M. Sičák
The authors present a case report of a 38-year-old female patient admitted at the Department of Otorhinolaryngology and Head and Neck Surgery in Ružomberok with an 18-month history of vertigo, right-sided tinnitus, sensorineural hearing loss and facial nerve paresis. The patient was dia gnosed with an 8 mm temporal bone tumor, located in the area of the lateral posterior semicircular canal and vestibule, which was intraoperatively identified as an extremely rare aggressive low-grade adenocarcinoma of the endolymphatic sac. In the case report, the authors discuss the anatomy, dia gnosis, CT and MRI images, the chosen surgical procedure and the subsequent dispensarization of the patient as well as an overview of the relevant literature. Keywords papillary adenocarcinoma – Heff ner’s tumor – saccus endolymphaticus
{"title":"Low-grade papillary adenoma from endolymphatic sac – a case report","authors":"Aneta Piatková, K. Obtulovičová, A. Kališ, M. Sičák","doi":"10.48095/ccorl2022156","DOIUrl":"https://doi.org/10.48095/ccorl2022156","url":null,"abstract":"The authors present a case report of a 38-year-old female patient admitted at the Department of Otorhinolaryngology and Head and Neck Surgery in Ružomberok with an 18-month history of vertigo, right-sided tinnitus, sensorineural hearing loss and facial nerve paresis. The patient was dia gnosed with an 8 mm temporal bone tumor, located in the area of the lateral posterior semicircular canal and vestibule, which was intraoperatively identified as an extremely rare aggressive low-grade adenocarcinoma of the endolymphatic sac. In the case report, the authors discuss the anatomy, dia gnosis, CT and MRI images, the chosen surgical procedure and the subsequent dispensarization of the patient as well as an overview of the relevant literature. Keywords papillary adenocarcinoma – Heff ner’s tumor – saccus endolymphaticus","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124402991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie Kaniová, S. Reguli, Veronika Švédíková, Petra Hanzlíková, K. Zeleník, P. Komínek
Introduction and aims: An awake craniotomy is one of the newly introduced procedures for brain tumor surgery. It is a brain operation where speech and language functions are monitored by a clinical speech therapist with the active participation of the patient who is awake during the procedure. The aim of such an operation is to preserve the speech and language functions of the patient as well as resection of the brain tumor to the greatest possible extent. This paper summarizes the current experience and knowledge of awake craniotomy at the University Hospital in Ostrava. Methodology: Retrospective evaluation of the success of performed awake craniotomies with extirpations of tumors located in eloquent regions of the brain. The criterion for the success of awake craniotomy was the preservation of patient’s speech and language skills after surgery compared to their condition before surgery. Description of procedures, preoperative examinations, and intraoperative testing by a clinical speech therapist. Results: By comparing the results of testing speech and language functions in a group of 54 patients operated between 2013 and 2021 before and after awake craniotomy, it was found that in 40 of 54 patients there was no deterioration of speech and language functions after surgery. From a speech therapy perspective, this is a 74% success rate. Conclusion: Awake craniotomy is a new procedure introduced during brain glioma operations in eloquent regions of the speech zones. The method contributes signifi cantly to the preservation of the patient’s speech and language competences and thus to the preservation of his quality of life. Key words awake craniotomy – language functions – clinical speech therapist
{"title":"Experience with awake craniotomy (performed in University Hospital in Ostrava) from the perspective of speech and language therapist","authors":"Marie Kaniová, S. Reguli, Veronika Švédíková, Petra Hanzlíková, K. Zeleník, P. Komínek","doi":"10.48095/ccorl2022141","DOIUrl":"https://doi.org/10.48095/ccorl2022141","url":null,"abstract":"Introduction and aims: An awake craniotomy is one of the newly introduced procedures for brain tumor surgery. It is a brain operation where speech and language functions are monitored by a clinical speech therapist with the active participation of the patient who is awake during the procedure. The aim of such an operation is to preserve the speech and language functions of the patient as well as resection of the brain tumor to the greatest possible extent. This paper summarizes the current experience and knowledge of awake craniotomy at the University Hospital in Ostrava. Methodology: Retrospective evaluation of the success of performed awake craniotomies with extirpations of tumors located in eloquent regions of the brain. The criterion for the success of awake craniotomy was the preservation of patient’s speech and language skills after surgery compared to their condition before surgery. Description of procedures, preoperative examinations, and intraoperative testing by a clinical speech therapist. Results: By comparing the results of testing speech and language functions in a group of 54 patients operated between 2013 and 2021 before and after awake craniotomy, it was found that in 40 of 54 patients there was no deterioration of speech and language functions after surgery. From a speech therapy perspective, this is a 74% success rate. Conclusion: Awake craniotomy is a new procedure introduced during brain glioma operations in eloquent regions of the speech zones. The method contributes signifi cantly to the preservation of the patient’s speech and language competences and thus to the preservation of his quality of life. Key words awake craniotomy – language functions – clinical speech therapist","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121475282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"85 years since the establishment of the Primary ENT Department and 20 years of the Clinic of ENT and Head and Neck Surgery in Pardubice","authors":"A. Pellant, V. Chrobok, J. Mejzlík, J. Vodička","doi":"10.48095/ccorl2022172","DOIUrl":"https://doi.org/10.48095/ccorl2022172","url":null,"abstract":"","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128408374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The ENT department in Považská Bystrica was founded in 1958 and gradually developed into one of the best regional workplaces in Central Slovakia. It was operated as an inpatient department until 2011 when it transformed into a one-day surgery unit. The is a lack of detailed information in the literature about the first protagonists of this workplace – doctors Šámal, Faber, and Bulla, who contributed to its development and excellent professional level. Key words ENT department – Považská Bystrica – history
{"title":"Establishment of the ENT department in Považská Bystrica and its first protagonists","authors":"Ivan Kalivoda","doi":"10.48095/ccorl2022102","DOIUrl":"https://doi.org/10.48095/ccorl2022102","url":null,"abstract":"The ENT department in Považská Bystrica was founded in 1958 and gradually developed into one of the best regional workplaces in Central Slovakia. It was operated as an inpatient department until 2011 when it transformed into a one-day surgery unit. The is a lack of detailed information in the literature about the first protagonists of this workplace – doctors Šámal, Faber, and Bulla, who contributed to its development and excellent professional level. Key words ENT department – Považská Bystrica – history","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126532076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laryngeal injury is a rare condition that may threaten the patient’s life with airway obstruction. Early diagnostics is the key management factor. Schaefer’s classification is the most commonly used classification to assess the extent of the injury. Based on this classification, a recommended management of therapy has been developed. There are several opinions on securing the airway by the orotracheal intubation. The authors present a case report of a 40-year-old male with thyroid cartilage fracture caused by a punch to the neck. The patient did not show signs of dyspnoea, had swollen neck and subcutaneous emphysema. Imaging by computed tomography showed a laryngeal fracture. A reconstruction of the thyroid cartilage and a tracheostomy in general anaesthesia were performed. Postoperative course was propitious, and the patient could be decannulated. It is important to consider a laryngeal injury in patients with external neck trauma. The key elements are early diagnosis and therapy, in which securing the airway is the crucial step. Further an effort should be made to create conditions for preserving laryngeal functions (respiration, phonation, and swallowing). Key words laryngeal injury – laryngeal fracture – larynx – tracheostomy
{"title":"Laryngeal fracture – a case report","authors":"T. Valenta, M. Černý, V. Chrobok","doi":"10.48095/ccorl202286","DOIUrl":"https://doi.org/10.48095/ccorl202286","url":null,"abstract":"Laryngeal injury is a rare condition that may threaten the patient’s life with airway obstruction. Early diagnostics is the key management factor. Schaefer’s classification is the most commonly used classification to assess the extent of the injury. Based on this classification, a recommended management of therapy has been developed. There are several opinions on securing the airway by the orotracheal intubation. The authors present a case report of a 40-year-old male with thyroid cartilage fracture caused by a punch to the neck. The patient did not show signs of dyspnoea, had swollen neck and subcutaneous emphysema. Imaging by computed tomography showed a laryngeal fracture. A reconstruction of the thyroid cartilage and a tracheostomy in general anaesthesia were performed. Postoperative course was propitious, and the patient could be decannulated. It is important to consider a laryngeal injury in patients with external neck trauma. The key elements are early diagnosis and therapy, in which securing the airway is the crucial step. Further an effort should be made to create conditions for preserving laryngeal functions (respiration, phonation, and swallowing). Key words laryngeal injury – laryngeal fracture – larynx – tracheostomy","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117068089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Residual cholesteatoma results from an incomplete surgical removal of the cholesteatoma matrix. A variety of surgical procedures are used to remove cholesteatomas with varying success rates. In extensive cholesteatomas with minimal possibility of conductive system reconstruction, subtotal petrosectomy with blind sac closure is an effective surgical procedure. Diffusion-weighted magnetic resonance imaging (DWI) and ADC maps are used in the diagnosis of recurrent cholesteatoma. We present the case of a 40-year-old man, who repeatedly underwent revision surgeries for extensive cholesteatoma recidivism. An early postoperative DWI in the first days after the revision intervention did not show residual cholesteatoma. Surprisingly, a follow-up DWI detected the presence of cholesteatoma a few months later. The goal of this paper is to open the discussion on early postoperative DW MRI. Key words recidivism – residual and recurrent cholesteatoma – DWI – ADC map – subtotal petrosectomy – blind sac closure
{"title":"Can residual cholesteatoma be detected by early postoperative DWI?","authors":"Mária Homolová, K. Sláviková, M. Profant","doi":"10.48095/ccorl202291","DOIUrl":"https://doi.org/10.48095/ccorl202291","url":null,"abstract":"Residual cholesteatoma results from an incomplete surgical removal of the cholesteatoma matrix. A variety of surgical procedures are used to remove cholesteatomas with varying success rates. In extensive cholesteatomas with minimal possibility of conductive system reconstruction, subtotal petrosectomy with blind sac closure is an effective surgical procedure. Diffusion-weighted magnetic resonance imaging (DWI) and ADC maps are used in the diagnosis of recurrent cholesteatoma. We present the case of a 40-year-old man, who repeatedly underwent revision surgeries for extensive cholesteatoma recidivism. An early postoperative DWI in the first days after the revision intervention did not show residual cholesteatoma. Surprisingly, a follow-up DWI detected the presence of cholesteatoma a few months later. The goal of this paper is to open the discussion on early postoperative DW MRI. Key words recidivism – residual and recurrent cholesteatoma – DWI – ADC map – subtotal petrosectomy – blind sac closure","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128448164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zuzana Mateášiková, Filip Campsie, M. Stašek, P. Jakubec, R. Salzman
Cyanoacrylate adhesives (“superglues”) are mainly used in households. They undergo a rapid anionic polymerisation after application and form a hard solid mass. We report a case of a 4-year-old girl who applied a random cyanoacrylate glue to her nose. The glue was successfully removed under general anaesthesia by gentle dissection using Freer raspatory without causing any damage to the nasal mucosa. To the best of our knowledge, only 3 cases of cyanoacrylate intranasal instillation have been published in the literature so far. The case study suggests an algorithm to guide ENT and paediatric clinicians in the future management of this type of unusual “superglue” injury in the ENT region. Key words cyanoacrylate glue – foreign body – superglue removal – management algorithm
{"title":"Rare case of random cyanoacrylate glue application to the nose of a 4-year-old girl – management proposal","authors":"Zuzana Mateášiková, Filip Campsie, M. Stašek, P. Jakubec, R. Salzman","doi":"10.48095/ccorl202297","DOIUrl":"https://doi.org/10.48095/ccorl202297","url":null,"abstract":"Cyanoacrylate adhesives (“superglues”) are mainly used in households. They undergo a rapid anionic polymerisation after application and form a hard solid mass. We report a case of a 4-year-old girl who applied a random cyanoacrylate glue to her nose. The glue was successfully removed under general anaesthesia by gentle dissection using Freer raspatory without causing any damage to the nasal mucosa. To the best of our knowledge, only 3 cases of cyanoacrylate intranasal instillation have been published in the literature so far. The case study suggests an algorithm to guide ENT and paediatric clinicians in the future management of this type of unusual “superglue” injury in the ENT region. Key words cyanoacrylate glue – foreign body – superglue removal – management algorithm","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125094394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Maléřová, A. Kesner, V. Kratochvíl, D. Kalfeřt, J. Plzák
Sinonasal teratocarcinosarcoma is a rare and locally aggressive malignant tumour of the nose and paranasal sinuses, which has histological features of teratoma and carcinosarcoma. It is more common in men without age predilection. It often relapses locally. Due to the rarity, the exact therapeutic procedure is not defined. In our case, we provide a case report of a 56-year-old man patient with sinonasal teratocarcinosarcoma affecting the left nasal cavity. The symptomatology, diagnostic and therapeutic procedure of this rare tumour are discussed. Key words sinonasal teratocarcinosarcoma – proton therapy – tumours of the nose and paranasal sinuses
{"title":"Sinonasal teratocarcinosarcoma","authors":"S. Maléřová, A. Kesner, V. Kratochvíl, D. Kalfeřt, J. Plzák","doi":"10.48095/ccorl202282","DOIUrl":"https://doi.org/10.48095/ccorl202282","url":null,"abstract":"Sinonasal teratocarcinosarcoma is a rare and locally aggressive malignant tumour of the nose and paranasal sinuses, which has histological features of teratoma and carcinosarcoma. It is more common in men without age predilection. It often relapses locally. Due to the rarity, the exact therapeutic procedure is not defined. In our case, we provide a case report of a 56-year-old man patient with sinonasal teratocarcinosarcoma affecting the left nasal cavity. The symptomatology, diagnostic and therapeutic procedure of this rare tumour are discussed. Key words sinonasal teratocarcinosarcoma – proton therapy – tumours of the nose and paranasal sinuses","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131502745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Sudden sensorineural hearing loss (SSHL) is an acute condition in children. Universal guidelines for treatment and diagnosis are not defined. Use of objective diagnostic methods in hearing threshold level verification is necessary. Standardized follow-up care is essential for adequate correction of hearing impairment. Methods and material: This retrospective study analysed 14 patients suffering from SSHL, hospitalized between 2016 and 2019 in a tertiary centre. Age, gender, affected side, hearing threshold level, symptoms, cause and treatment were compared. Hearing loss was classified according to the WHO methodology. The recovery rate was assessed by Siegel’s criteria. Results: All children were treated with an initial dose of 5 mg/kg/day of methylprednisolone intravenously. A complete recovery in our group was achieved in 6 cases (43%). The rate of treatment failure was 75% for the left side and 16.7% for right side SSHL. Patients with the presence of tinnitus have a 54.5% chance of hearing restitution, as compared to 35.3% in patients without tinnitus. The risk of treatment failure for children aged 5–10 years, 10–15 years and 15–18 years is 33%, 83% and 20% respectively. We did not observe any effect on hearing recovery for the other analysed parameters. Conclusions: Better hearing recovery was observed in children with tinnitus, the right affected side and a higher severity of initial hearing loss. At the age of 10–15 years, the chance of hearing recovery was three times lower than in other age groups. Key words sudden sensorineural hearing loss – children – correction of hearing impairment
{"title":"Sudden sensorineural hearing loss in children: a review of diagnosis, treatment, and prognosis","authors":"Vít Kruntorád, M. Urík, S. Šikolová","doi":"10.48095/ccorl202268","DOIUrl":"https://doi.org/10.48095/ccorl202268","url":null,"abstract":"Introduction: Sudden sensorineural hearing loss (SSHL) is an acute condition in children. Universal guidelines for treatment and diagnosis are not defined. Use of objective diagnostic methods in hearing threshold level verification is necessary. Standardized follow-up care is essential for adequate correction of hearing impairment. Methods and material: This retrospective study analysed 14 patients suffering from SSHL, hospitalized between 2016 and 2019 in a tertiary centre. Age, gender, affected side, hearing threshold level, symptoms, cause and treatment were compared. Hearing loss was classified according to the WHO methodology. The recovery rate was assessed by Siegel’s criteria. Results: All children were treated with an initial dose of 5 mg/kg/day of methylprednisolone intravenously. A complete recovery in our group was achieved in 6 cases (43%). The rate of treatment failure was 75% for the left side and 16.7% for right side SSHL. Patients with the presence of tinnitus have a 54.5% chance of hearing restitution, as compared to 35.3% in patients without tinnitus. The risk of treatment failure for children aged 5–10 years, 10–15 years and 15–18 years is 33%, 83% and 20% respectively. We did not observe any effect on hearing recovery for the other analysed parameters. Conclusions: Better hearing recovery was observed in children with tinnitus, the right affected side and a higher severity of initial hearing loss. At the age of 10–15 years, the chance of hearing recovery was three times lower than in other age groups. Key words sudden sensorineural hearing loss – children – correction of hearing impairment","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126930552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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