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. 2020 Mar;277(3):953-954.
doi: 10.1007/s00405-019-05771-4. Epub 2019 Dec 23.

SCORE risk scale as a prognostic factor after sudden sensorineural hearing loss

Matteo Cavaliere  1 , Pietro De Luca  2 , Alfonso Scarpa  2 , Massimo Ralli  3 , Pompea Bottiglieri  4 , Ettore Cassandro  2 , Maurizio Iemma  2
Affiliations

SCORE risk scale as a prognostic factor after sudden sensorineural hearing loss

Matteo Cavaliere et al. Eur Arch Otorhinolaryngol. 2020 Mar.

Abstract

Menezes et al. recently published an interesting study on cardiovascular prognostic factors for sudden sensorineural hearing loss (SSNHL), analyzing therapeutic strategies with intravenous and intratympanic corticosteroids and evaluating the application of the Systematic Coronary Risk Evaluation risk scale to classify risk in patients with SSNHL. In addition to intravenous and intratympanic corticosteroids, we would like to stress the role of hyperbaric oxygen therapy (HBOT). The new guidelines on SSNHL and the most recent scientific evidence emphasize the therapeutic role of HBOT. In a previous study, we recommended the use of HBOT in addition to intravenous steroid for patients with idiopathic SSNHL. For the best outcomes, we also recommended starting treatment within 14 days from the onset of SSNHL. In the same article, we discussed potential risk factors for SSNHL. Among cardiovascular risk factors, we suggest the possible association between patent foramen ovale (PFO) and SSNHL. The higher prevalence of PFO in our patients (50%) compared to controls suggests that SSNHL may be attributable to a paradoxical embolism, such as a venous embolism as a result of PFO.

Keywords: Hyperbaric oxygen therapy; Patent foramen oval; Right-to-left shunt; Sudden sensorineural hearing loss.

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References

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