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. 2023 Jun 1;44(5):432-437.
doi: 10.1097/MAO.0000000000003853. Epub 2023 Mar 14.

Clinical Factors Associated With Prognosis of Tinnitus and Aural Fullness After Sudden Sensorineural Hearing Loss

Ji Hyuk Han  1 , SeungMin Kwak, Jeonggum Lee, Yujin Lee, Dachan Kim, Seong Hoon Bae
Affiliations

Clinical Factors Associated With Prognosis of Tinnitus and Aural Fullness After Sudden Sensorineural Hearing Loss

Ji Hyuk Han et al. Otol Neurotol. .

Abstract

Objectives: We evaluated the long-term prognosis and risk factors associated with tinnitus and aural fullness, which occurred with sudden sensorineural hearing loss.

Study design: Retrospective cross-sectional review.

Setting: Tertiary referral center.

Patients: Those who visited our clinic for sudden hearing loss from January 2016 to May 2020, diagnosed with sudden sensorineural hearing loss based on pure-tone audiometry, and underwent magnetic resonance imaging to rule out other cause of hearing loss. In total, 106 patients were enrolled in this study.

Intervention: All patients were treated with oral glucocorticoids. Salvage intratympanic dexamethasone injection therapy was performed for the patients whose hearing was not fully recovered.

Main outcome and measures: We scored the loudness of tinnitus and the intensity of aural fullness using the numerical rating scale. We used a mixed-effects model for repeatedly measured tinnitus and aural fullness scores.

Results: The time after the onset of sudden sensorineural hearing loss (SSNHL; β = -0.07; 95% confidence interval, -0.09 to -0.05; p < 0.001) and hearing outcome after treatment (overall p = 0.003) were significant factors associated with the prognosis of tinnitus. Concerning aural fullness, the time after the onset of SSNHL was a significant prognosis factor ( β = -0.08; 95% confidence interval, -0.09 to -0.06; p < 0.001), unlike hearing outcome (overall p = 0.261). Pretreatment pure-tone audiometry average threshold and mainly affected frequencies were not significant factors for tinnitus and aural fullness recovery, respectively.

Conclusion: The persistence of tinnitus with SSNHL was significantly affected by hearing recovery after treatment, whereas aural fullness was not associated with hearing recovery. However, both symptoms were improved over time after SSNHL.

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Conflict of interest statement

The authors disclose no conflicts of interest.

References

    1. National Institute on Deafness and Other Communication Disorders. NIDCD Fact Sheet: Sudden Deafness . Washington, DC: US Department of Health and Human Services; 2018.
    1. Chandrasekhar SS, Tsai Do BS, Schwartz SR, et al. Clinical practice guideline: Sudden hearing loss (update). Otolaryngol Head Neck Surg 2019;161:S1–S45.
    1. Hughes GB, Freedman MA, Haberkamp TJ, et al. Sudden sensorineural hearing loss. Otolaryngol Clin North Am 1996;29:393–405.
    1. Mattox DE, Simmons FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977;86:463–80.
    1. Rauch SD, Halpin CF, Antonelli PJ, et al. Oral vs intratympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss: A randomized trial. JAMA 2011;305:2071–9.

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