Oral steroid regimens for idiopathic sudden sensorineural hearing loss

被引：68

作者：

Slattery, WH ^{[1
]}

Fisher, LM ^{[1
]}

Iqbal, Z ^{[1
]}

Liu, N ^{[1
]}

机构：

[1] House Ear Res Inst, House Clin, Los Angeles, CA 90057 USA

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2005年 / 132卷 / 01期

关键词：

D O I：

10.1016/j.otohns.2004.09.072

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

OBJECTIVE: To determine hearing recovery in patients with idiopathic sudden hearing loss treated with varying amounts of oral steroids. STUDY DESIGN AND SETTING: A retrospective chart review (n = 75) in a tertiary care clinic examined sudden hearing loss patients treated with 1 60-mg prednisone taper, 1 course of steroid less than a 60-mg taper, or any 2 courses of oral steroid. RESULTS: Overall, 35% of the patients recovered a clinically significant amount of hearing. Recovery was associated with immediate treatment (within 2 weeks from onset), better hearing at the onset of treatment, and treatment with the higher dose of prednisone in patients with just 1 additional symptom (dizziness or tinnitus). Patients tended to continue to experience some recovery in hearing up to 4 months after treatment. CONCLUSION: Immediate treatment of patients with unilateral idiopathic sudden hearing loss and additional symptoms (dizziness or tinnitus) with a 14-day course of 60 mg prednisone (with taper) is recommended.

引用

页码：5 / 10

页数：6

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