Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-21T11:51:34.640Z Has data issue: false hasContentIssue false
  • English
  • Français

Effectiveness of hyperbaric oxygen therapy in management of sudden hearing loss

Published online by Cambridge University Press:  13 January 2009

E Çekin ,
H Cincik ,
S A Ulubil  and
A Gungor
E Çekin*
Affiliation:
Department of Otolaryngology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, Istanbul, Turkey
H Cincik
Affiliation:
Department of Otolaryngology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, Istanbul, Turkey
S A Ulubil
Affiliation:
Department of Otolaryngology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, Istanbul, Turkey
A Gungor
Affiliation:
Department of Otolaryngology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, Istanbul, Turkey
*
Address for correspondence: Dr Engin Çekin, GATA Haydarpaşa Egitim Hastanesi, KBB Klinigi, 34668 Kadikoy, Istanbul, Turkey. Fax: +90 216 348 78 80 E-mail: iecekin@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate the effectiveness of hyperbaric oxygen therapy in the management of sudden hearing loss.

Study design:

Patients with sudden hearing loss were divided into study and control groups. The 36 patients in the study group were treated with hyperbaric oxygen therapy in addition to standard medical therapy, whereas the 21 patients in the control group were treated with only standard medical therapy.

Subjects and methods:

Both groups were treated with standard therapy, comprising prednisolone starting at a dose of 1 mg/kg and reducing over three weeks. Patients in the study group received hyperbaric oxygen therapy in addition to standard drug therapy.

Results:

Success rates were 78.95 per cent in the study group and 71.30 per cent in the control group. However, this difference was not statistically significant (p > 0.05).

Conclusions:

Considering the cost of hyperbaric oxygen therapy and its inconvenience to patients, this treatment should only be considered in patients suffering sudden hearing loss if there are contraindications to standard medical treatment.

Keywords

Sudden hearing lossInner EarHyperbaric Oxygenation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 6 , June 2009 , pp. 609 - 612
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as a preliminary report at the 2006 AAO-HNSF Annual Meeting and OTO Expo, 17–20 September, Toronto, Ontario, Canada.

References

1 Nomura, Y, Hiraide, F. Sudden deafness. A histopathological study. J Laryngol Otol 1976;90:1121–42CrossRefGoogle ScholarPubMed
2 Davis, JC, Hunt, TK. Hyperbaric oxygen therapy, preface and background. Bethesda: Undersea Medical Society, 1977Google Scholar
3 Trump, BF, Berezesky, JK, Cowley, RA. The cellular and subcellular characteristics of acute and chronic injury with emphasis on the role of calcium. In: Cowley, RA, Trump, BF, eds. Pathophysiology of Shock, Anoxia and Ischemia. Baltimore: Williams & Wilkins, 1982;6–11Google Scholar
4 Wilson, WR, Byl, FM, Laird, N. The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Arch Otolaryngol 1980;106:772–6CrossRefGoogle ScholarPubMed
5 Gandin, EP. Oxygen treatment of inner ear disorders. J Laryngol Otol 1972;86:721–3Google Scholar
6 Mattox, DE, Simmons, FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977;86:463–80CrossRefGoogle ScholarPubMed
7 Donaldson, JA. Heparin therapy for sudden sensorineural hearing loss. Arch Otolaryngol 1979;105:351–4CrossRefGoogle ScholarPubMed
8 Snow, JB, Telian, SA. Sudden deafness. In: Paparella, MM, ed. Otolaryngology. Philadelphia: Saunders, 1991;1619–26Google Scholar
9 Moskowitz, D, Lee, KJ, Smith, HW. Steroid use in idiopathic sudden sensorineural hearing loss. Laryngoscope 1984;94:664–6CrossRefGoogle ScholarPubMed
10 Bahgat, MS, Shenoi, PM. Sudden sensori-neural hearing loss treated by carbon dioxide and oxygen inhalation: a preliminary study. J Laryngol Otol 1982;96:73–81CrossRefGoogle ScholarPubMed
11 Byl, FM Jr. Sudden hearing loss: eight years experience and suggested prognostic table. Laryngoscope 1984;94:647–61CrossRefGoogle ScholarPubMed
12 Matsuaka, A, Shitara, T, Okamata, M, Sano, H. Transient deafness with iopamidol following angiography. Acta Otolaryngol Suppl 1994;514:78–80CrossRefGoogle Scholar
13 Oriani, G. Acute indications of hyperbaric therapy – final report. In: Oriani, G, Marroni, A, Wattel, F, eds. Handbook on Hyperbaric Medicine. Milan: Springer Verlag, 1996;106–13CrossRefGoogle Scholar
14 Pilgramm, M, Lamm, H, Schumann, K. Hyperbaric oxygen therapy in sudden deafness. Laryngol Rhinol Otol 1985;64:351–4CrossRefGoogle ScholarPubMed
15 Hoffmann, G, Bohmer, D, Desloovere, C. Hyperbaric oxygenation as a treatment for sudden deafness and acute tinnitus. In: Cramer, F, ed. Proceedings of 11th International Congress on Hyperbaric Medicine, Fuzhou, China. Flagstaff, Arizona: Best Publishing, 1995;146–52Google Scholar
16 Aslan, I, Oysu, C, Veyseller, B, Baserer, N. Does the addition of hyperbaric oxygen therapy to the conventional treatment modalities influence the outcome of sudden deafness? Otolaryngol Head Neck Surg 2002;126:121–6CrossRefGoogle Scholar
17 Kestler, M, Strutz, J, Heiden, C. Hyperbaric oxygenation in early treatment of sudden deafness [in German]. HNO 2001;49:719–23CrossRefGoogle ScholarPubMed
18 Lamm, K, Lamm, H, Arnold, W. Effect of hyperbaric oxygen therapy in comparison to conventional or placebo therapy or no treatment in idiopathic sudden hearing loss, acoustic trauma, noise-induced hearing loss and tinnitus. A literature survey. Adv Otorhinolaryngol 1998;54:86–99Google ScholarPubMed
19 Satar, B, Hidir, Y, Yetiser, S. Effectiveness of hyperbaric oxygen therapy in idiopathic sudden hearing loss. J Laryngol Otol 2006;120:665–9CrossRefGoogle ScholarPubMed