Hyperbaric Oxygen Therapy as a Treatment for Sudden Deafness
Literature Review
DOI:
https://doi.org/10.55175/cdk.v52i11.1312Keywords:
Hyperbaric oxygen therapy, sudden deafness, sensorineural deafnessAbstract
Sudden deafness or sudden sensorineural hearing loss is sensorineural deafness which is an ENT emergency because it can become permanent if not treated immediately. Sudden deafness is characterized by a sensorineural hearing loss of at least 30 dB within less than 72 hours. Most causes of sudden deafness are unknown (idiopathic) so treatment is empirical. The principles of managing sudden deafness are early detection, early diagnosis, and early treatment. The main treatment for sudden deafness is oral steroids, intratympanic, or a combination of both. Hyperbaric oxygen therapy (HBOT) has become a promising adjuvant therapy, working by increasing oxygenation in the perilymph and ischemic cochlear tissue. Several studies have shown that combining HBOT with steroids provides superior results compared to steroid monotherapy, especially in cases of severe deafness and if started within two weeks of symptom onset. Further research is still needed to confirm the effectiveness of hyperbaric oxygen therapy as a treatment for sudden deafness.
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Tripathi P, Deshmukh P. Sudden sensorineural hearing loss: a review. Cureus. 2022;14(9):e29458. doi: 10.7759/cureus.29458.
Lin W, Xiong G, Yan K, Yu W, Xie X, Xiang Z, et al. Clinical features and influencing factors for the prognosis of patients with sudden deafness. Front Neurol. 2022;13:905069. doi: 10.3389/fneur.2022.905069.
Jung WW, Hoegerl C. Sudden sensorineural hearing loss and why it’s an emergency. Cureus. 2022;14(1):e21418. doi: 10.7759/cureus.21418.
You D, You Q, Liu Y. Analysis of clinical prognosis of totally deaf idiopathic sudden sensorineural hearing loss in different. Altern Ther Health Med. 2023;29(8):506–11. PMID: 37652422.
Xie W, Karpeta N, Tong B, Liu J, Peng H, Li C, et al. Etiological analysis of patients with sudden sensorineural hearing loss: a prospective case–control study. Sci Rep. 2023;13(1):5221. doi: 10.1038/s41598-023-32085-7.
Flint PW, Haughey BH, Lund VJ, Niparko JK, Robbins KT, Thomas JR, et al. Sudden sensorineural hearing loss. Cummings otolaryngology head & neck surgery. 6th ed. Elsevier; 2015.
Aldajani NF, Aloufi AM, Binhudayb NA, Yahya BJ, Alkarni AF. Approach to sudden hearing loss among primary care physicians in Riyadh, Saudi Arabia. Cureus. 2024;16(3):e55849. doi: 10.7759/cureus.55849.
Jonas T Johnson. Sudden sensory hearing loss. In: Bailey BJ, editor. Otolaryngology head & neck surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2014. p. 2589–94.
Bayoumy AB, de Ru JA. Sudden deafness and tuning fork tests: towards optimal utilisation. Pract Neurol. 2020;20(1):66–8. doi: 10.1136/practneurol-2019-002350.
Hauk L. AAO-HNS releases guideline on sudden hearing loss. Am Fam Physician. 2013;87(5):377–80.
Feng X, Chang Y. The clinical effects of hyperbaric oxygen in the treatment of sudden deafness. J Clin Nurs Res. 2021;5(4):242–5.doi:10.26689/jcnr.v5i4.2247
Singh A, Irugu DVK. Sudden sensorineural hearing loss – a contemporary review of management issues. J Otol. 2020 Jun;15(2):67–73.doi: 10.1016/j.joto.2019.07.001.
Skarzynski PH, Kolodziejak A, Gos E, Skarzynska MB, Czajka N, Skarzynski H. Hyperbaric oxygen therapy as an adjunct to corticosteroid treatment in sudden sensorineural hearing loss: a retrospective study. Front Neurol. 2023 Jul 5:14:1225135. doi:10.3389/fneur.2023.1225135.
Rozbicki P, Usowski J, Krzywdzinska S, Jurkiewicz D, Siewiera J. Assessing the effectiveness of different hyperbaric oxygen treatment methods in patients with sudden sensorineural hearing loss. Audiol Res. 2024 Mar 29;14(2):333–41. doi: 10.3390/audiolres14020029.
Psillas G. Hyperbaric oxygen therapy in the treatment of sudden sensorineural hearing loss. J Clin Med. 2023;12(4):1515. doi: 10.3390/
jcm12041515.
Yamada N, Toyoda I, Ogura S. Hyperbaric oxygen therapy in the management of severe soft tissue injuries. In: Shinomiya N, Asai Y, editors. Hyperbaric oxygenation therapy: molecular mechanisms and clinical applications. Singapore: Springer; 2020. p. 81–103
Wang HH, Chen YT, Chou SF, Lee LC, Wang JH, Lai YH, et al. Effect of the timing of hyperbaric oxygen therapy on the prognosis of patients with idiopathic sudden sensorineural hearing loss. Biomedicines. 2023;11(10):2670. doi: 10.3390/biomedicines11102670.
Skarzynska MB, Kołodziejak A, Gos E, Sanfis MD, Skarzynski PH. Effectiveness of various treatments for sudden sensorineural hearing loss—a retrospective study. Life (Basel). 2022 Jan 10;12(1):96. doi: 10.3390/life12010096.
Chandrasekhar SS, Tsai Do BS, Schwartz SR, Bontempo LJ, Faucett EA, Finestone SA, et al. Clinical practice guideline: sudden hearing loss (update). Otolaryngol Neck Surg. 2019;161:S1–45. doi: 10.1177/0194599819859885.
Mathieu D, Marroni A, Kot J. Tenth European consensus conference on hyperbaric medicine: recommendations for accepted and non-accepted clinical indications and practice of hyperbaric oxygen treatment. Diving Hyperb Med. 2017;47(1):24–32. doi: 10.28920/dhm47.1.24-32.
Chin CS, Lee TY, Chen YW, Wu MF. Idiopathic sudden sensorineural hearing loss: is hyperbaric oxygen treatment the sooner and longer, the better? J Pers Med. 2022;12(10):1652. doi: 10.3390/jpm12101652.
Ohira S, Komori M, Tsuna Y, Nakamura M, Yamaguchi Y, Matsuura K, et al. Indications of effective hyperbaric oxygen therapy combined with steroid therapy for sudden hearing loss. Otol Neurotol. 2023;44(10):983–7. doi: 10.1097/MAO.0000000000004035.
Weng SF, Chen YS, Hsu CJ, Tseng FY. Clinical features of sudden sensorineural hearing loss in diabetic patients. Laryngoscope. 2005;115(9):1676–80. doi: 10.1097/01.mlg.0000184790.91675.e3.
Choi Y, Han SJ, Kim SK, Hong SM. The therapeutic effect of hyperbaric oxygen therapy in patients with severe to profound idiopathic sudden sensorineural hearing loss. Sci Rep Nat Publ Group. 2024;14(1):3321. doi: 10.1038/s41598-024-53978-1.
Conlin AE, Parnes LS. Treatment of sudden sensorineural hearing loss - I: a systematic review. Arch Otolaryngol Head Neck Surg. 2007;133(6):573-81. doi: 10.1001/archotol.133.6.573.
Eryigit B, Ziylan F, Yaz F, Thomeer HGXM. The effectiveness of hyperbaric oxygen in patients with idiopathic sudden sensorineural hearing loss: a systematic review. Eur Arch Otorhinolaryngol. 2018;275(12):2893–904. doi: 10.1007/s00405-018-5162-6.
Yucel A, Ozbugday Y. Comparison of steroid treatment with and without hyperbaric oxygen therapy for idiopathic sudden sensorineural hearing loss. J Audiol Otol. 2020;24(3):127–32. doi: 10.7874/jao.2019.00486.
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