A Case of Idiopathic Sequential Profound Bilateral Sudden Sensorineural Hearing Loss Occurring 37 Days After Unilateral Presentation
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Sudden sensorineural hearing loss (SSNHL) is a common disorder; however, sequential, bilateral presentation of the disease is rarer than unilateral presentation. Clinical otologists usually focus on treating the side with impaired hearing when patients first present with unilateral SSNHL, and therefore, may not warn patients of the possibility of subsequent hearing impairment in the contralateral ear. Furthermore, it is professionally discouraging when a patient presents with profound, sequential SSNHL after initial treatment. This may adversely impact the doctor-patient relationship, even if the patient is offered the best possible care from their first visit. Herein, we report the case of a patient with profound, idiopathic, bilateral SSNHL with a time interval of 37 days between involvement of both ears. Even though high-dose steroids were administered intraorally and intratympanically, the patient’s hearing was not restored, and the patient eventually required bilateral cochlear implant surgery. Our report demonstrates that sequential, profound, bilateral SSNHL may manifest without any specific signs.
Abstract
Sudden sensorineural hearing loss (SSNHL) is a common disorder; however, sequential, bilateral presentation of the disease is rarer than unilateral presentation. Clinical otologists usually focus on treating the side with impaired hearing when patients first present with unilateral SSNHL, and therefore, may not warn patients of the possibility of subsequent hearing impairment in the contralateral ear. Furthermore, it is professionally discouraging when a patient presents with profound, sequential SSNHL after initial treatment. This may adversely impact the doctor-patient relationship, even if the patient is offered the best possible care from their first visit. Herein, we report the case of a patient with profound, idiopathic, bilateral SSNHL with a time interval of 37 days between involvement of both ears. Even though high-dose steroids were administered intraorally and intratympanically, the patient’s hearing was not restored, and the patient eventually required bilateral cochlear implant surgery. Our report demonstrates that sequential, profound, bilateral SSNHL may manifest without any specific signs.
참고문헌 (11)
- Schreiber BE, "Sudden sensorineural hearing loss", Lancet, 375, pp.1203~1211 (2010)
- Xenellis J, "Simultaneous and sequential bilateral sudden sensorineural hearing loss : are they different from unilateral sudden sensorineural hearing loss", ORL J Otorhinolaryngol Relat Spec, 69, pp.306~310 (2007)
- Wang Y, "The clinical analysis of bilateral successive sudden sensorineural hearing loss", Eur Arch Otorhinolaryngol, 273, pp.3679~3684 (2016)
- Zhang X, "Selected blood inflammatory and metabolic parameters predicted successive bilateral sudden sensorineural hearing loss", Dis Markers, 2019, pp.7165257~ (2019)
- Oh YM, "Sequential bilateral hearing loss in multiple sclerosis", Ann Otol Rhinol Laryngol, 117, pp.186~191 (2008)
- Sara SA, "Bilateral sudden sensorineural hearing loss : review", J Laryngol Otol, 128(Suppl 1), pp.S8~S15 (2014)
- Bing D, "Comparison between bilateral and unilateral sudden sensorineural hearing loss", Chin Med J(Engl), 131, pp.307~315 (2018)
- Fetterman BL, "Sudden bilateral sensorineural hearing loss", Laryngoscope, 106, pp.1347~1350 (1996)
- Oh JH, "Bilateral versus unilateral sudden sensorineural hearing loss", Otolaryngol Head Neck Surg, 136, pp.87~91 (2007)
- Merchant SN, "Sudden deafness : is it viral", ORL J Otorhinolaryngol Relat Spec, 70, pp.52~60 (2008)
- Gao G, "The analysis of the effect of psychointervention combined with diazepam on patients with sudden sensorineural hearing loss and anxiety", J Clin Otorhinolaryngol Head Neck Surg, 32, pp.753~757 (2018)