Clinical characteristics of delayed endolymphatic hydrops: long-term results of hearing and efficacy of hyperbaric oxygenation therapy.
CONCLUSIONS
Diuretics significantly improved hearing in patients with contralateral-type DEH, whereas they did not inpatients with ipsilateral-type DEH.


OBJECTIVE
We report a review of 26 cases of DEH treated in recent 6 years.


METHODS
The study group comprised 22 contralateral and 4 ipsilateral types of DEH. The efficacy of diuretics on the improvement in hearing was examined quantitatively. The efficacy of hyperbaric oxygenation therapy (HBO) on hearing was examined in six patients.


RESULTS
The general properties of these cases were similar to those reported previously, except for the high proportion of patients with contralateral-type DEH. Diuretics significantly improved the hearing of patients with contralateral-type DEH. In contrast, no significant improvement by diuretics was noted in ipsilateral-type DEH.
Fujino
Kiyohiro
K
Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan. fujino@ent.kuhp.kyoto-u.ac.jp
Naito
Yasushi
Y
Endo
Tsuyoshi
T
Kanemaru
Shin-Ichi
S
Hiraumi
Harukazu
H
Tsuji
Jun
J
Ito
Juichi
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001301:Audiometry, Pure-Tone / Q000379:methods; D002648:Child; D018159:Endolymphatic Hydrops / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*; D005260:Female; D006311:Hearing Disorders / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome