The Silent World of Sudden Onset Sensorineural Hearing Loss Treatment with Volume Expanders and Intravenous Steroid: 5 Years Experience

Authors

  • Khairul Naimah Abdul Rashid Department of Otorhinolaryngology–Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia
  • Khairul Bariah Noh Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia
  • Saidatul Akmaliah Amir Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia
  • Nor Syazwani Zulkefli Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Malaysia
  • Rosdan Salim Department of Otorhinolaryngology–Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian, Kelantan, Malaysia

DOI:

https://doi.org/10.31344/ijhhs.v8i20.684

Keywords:

sudden sensorineural hearing loss, intratympanic, dexamethasone

Abstract

Objectives: Sudden onset sensorineural hearing loss is one of the ORL emergencies causing the patient's fear of the risk of permanent hearing loss if not intervened promptly. This study aims to determine the efficacy of volume expanders and intravenous dexamethasone in the treatment of sudden onset sensorineural hearing loss. Methods: We conducted a retrospective study of patients presented to our tertiary centre from January 2015 until June 2023. A total of 62 patients with sudden onset hearing loss of more than 30dB in three consecutive hearing levels. The patient’s age, co-morbids, disease history, the severity of hearing loss and the onset of treatment were studied to correlate with the patient’s recovery. Treatment protocol with a volume expander (Tetraspan) and intravenous dexamethasone was followed. Audiogram pretreatment and post-treatment were analysed. Results: Improvement in overall audiogram level was seen in 31 patients (50%) who received volume expander and intravenous dexamethasone. Early intervention in patients who presented with a history of hearing loss of less than 4 days showed 90% improvement in audiogram. Patients without chronic medical diseases such as diabetes mellitus, hypertension, chronic kidney disease and dyslipidemia showed 78% improvement in audiogram irrespective of onset of treatment. Conclusion: Early detection and intervention with volume expander and intravenous dexamethasone overall help in hearing recovery in patients with sudden onset sensorineural hearing loss.

International Journal of Human and Health Sciences Supplementary Issue 01: 2024 Page: S40

Downloads

Published

2024-05-19

How to Cite

Abdul Rashid, K. N., Noh, K. B., Amir, S. A., Zulkefli, N. S., & Salim, R. (2024). The Silent World of Sudden Onset Sensorineural Hearing Loss Treatment with Volume Expanders and Intravenous Steroid: 5 Years Experience. International Journal of Human and Health Sciences (IJHHS), 8(20), S40. https://doi.org/10.31344/ijhhs.v8i20.684

Issue

Supplementary Issue-1: 2024

Section

Oral Presentation

License

Copyright (c) 2024 Khairul Naimah Abdul Rashid, Khairul Bariah Noh, Saidatul Akmaliah Amir, Nor Syazwani Zulkefli, Rosdan Salim

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish in the International Journal of Human and Health Sciences agree to the following terms that:

  1. Authors retain copyright and grant International Journal of Human and Health Sciences the right of first publication of the work.

  2. Creative Commons Licence
    Articles in International Journal of Human and Health Sciences are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.