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Speciality Spotlight
Ear- Hearing Loss
- Haberkamp TJ, Tanyeri HM (Rush Med College, Chicago)
Management of Idiopathic Sudden Sensorineural Hearing Loss
Am J Otol 20: 587-595, 1999
Treatment of increase circulation to the inner ear in cases of idiopathic sudden SNHL appears to produce good clinical result. In this context the literature from 1966 was reviewed for randomized prospective controlled studies of single treatment.
This study revealed effective treatment appears to be in administration of systemic steroids.
There is still no universally accepted treatment for, which shows response clearly better than those expected for spontaneous recovery. Steroids have the maximum scientific support but requires further study.
MM Paparella who thinks clinically, perhaps empirical steroids are efficacious by way of allaying inflammatory changes occurring of viral endolymphatic labyrinthitis or interactions of the middle ear and inner ear sometimes presenting as perilymphatic fistula or perilymphatic hypertension.
