Sudden Sensorineural Hearing Loss: Primary Care UpdateA shortcut review was carried out to establish whether steroids deca durabolin 300 steroids of winstrol gains in sudden onset sensorineural deafness. Altogether papers were found using the reported search, of which five presented the sensorineural hearing loss steroids evidence to answer the clinical question. The author, date, and country of publication, patient group studied, study hezring, relevant outcomes, results, and study weaknesses of these best papers are tabulated table 4. It is concluded that there is steroiids good evidence to recommend early steroid treatment in this condition. A 35 year old man presents to the emergency sensorineural hearing loss steroids with an 18 hour history of a right sided sudden hearing loss. Examination does not reveal a cause.
Sudden Sensorineural Hearing Loss and Steroids | Audiology
A sudden onset of hearing loss due to disease of the hearing organs is a medical emergency and requires prompt recognition and treatment. In addition to the hearing impairment, patients may also suffer from symptoms of tinnitus background ringing noise , a sensation of ear fullness and dizziness. In many instances medical specialists are able to find the cause and treat the hearing impairment.
However, in a large proportion of patients, no known cause of the sudden hearing loss can be found. Steroids are commonly used to treat patients with sudden hearing loss of an unknown origin. The specific action of the steroids in the hearing apparatus is uncertain. It is possible that the steroid treatment improves hearing because of its ability to reduce inflammation and oedema swelling in the hearing organs.
The review of the trials showed a lack of good-quality evidence for the effectiveness of steroids in the treatment of sudden hearing loss of an unknown origin. The quality of the trials was generally low and more research is needed. The value of steroids in the treatment of idiopathic sudden sensorineural hearing loss remains unclear since the evidence obtained from randomised controlled trials is contradictory in outcome , in part because the studies are based upon too small a number of patients.
This is an update of a Cochrane review first published in The Cochrane Library in Issue 1, and previously updated in Idiopathic sudden sensorineural hearing loss ISSHL is a clinical diagnosis characterised by a sudden deafness of cochlear or retrocochlear origin in the absence of a clear precipitating cause.
Steroids are commonly prescribed to treat this condition. There is no consensus on their effectiveness. To determine whether steroids in the treatment of ISSHL a improve hearing primary and b reduce tinnitus secondary. The date of the most recent search was 22 April We identified all randomised controlled trials with or without blinding in which steroids were evaluated in comparison with either no treatment or a placebo.
We considered trials including the use of steroids in combination with another treatment if the comparison control group also received the same other treatment. The two authors reviewed the full-text articles of all the retrieved trials of possible relevance and applied the inclusion criteria independently.
We graded trials for risk of bias using the Cochrane approach. The data extraction was performed in a standardised manner by one author and rechecked by the other author.
Where necessary we contacted investigators to obtain the missing information. Meta- analysis was neither possible nor considered appropriate because of the heterogeneity of the populations studied and the differences in steroid formulations, dosages and duration of treatment. We analysed and reported the quality of the results of each study individually. A narrative overview of the results is presented. Only three trials, involving participants, satisfied the inclusion criteria and all three studies were at high risk of bias.
One trial showed a lack of effect of oral steroids in improving hearing compared with the placebo control group. The third trial also showed a lack of effect of oral steroids in improving hearing compared with the placebo control. However, this trial did not follow strict inclusion criteria for participant selection and analysis of data was limited by significant exclusion of participants from the final analysis and lack of participant compliance to the treatment protocol.
No clear evidence was presented in two trials about any harmful side effects of the steroids. Only one study declared that no patients suffered from adverse effects of the steroid treatment.
Steroids for the treatment of sudden hearing loss with unknown cause A sudden onset of hearing loss due to disease of the hearing organs is a medical emergency and requires prompt recognition and treatment. To determine the incidence of significant side effects from the medication. Data collection and analysis: You may also be interested in: Hyperbaric oxygen for sudden hearing loss and tinnitus ringing in the ears of unknown cause Antiviral drugs for sudden hearing loss without known cause Vasodilators and vasoactive substances for idiopathic sudden sensorineural hearing loss Interventions for recurrent nosebleeds of unknown cause in children Hearing aids for mild to moderate hearing loss in adults.