title: Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis.
abstract: Sudden sensorineural hearing loss (SSNHL) is commonly encountered in audiologic and otolaryngologic practice. SSNHL is most commonly defined as sensorineural hearing loss of 30 dB or greater over at least three contiguous audiometric frequencies occurring within a 72-hr period. Although the differential for SSNHL is vast, for the majority of patients an etiologic factor is not identified. Treatment for SSNHL of known etiology is directed toward that agent, with poor hearing outcomes characteristic for discoverable etiologies that cause inner ear hair cell loss. Steroid therapy is the current mainstay of treatment of idiopathic SSNHL in the United States. The prognosis for hearing recovery for idiopathic SSNHL is dependent on a number of factors including the severity of hearing loss, age, presence of vertigo, and shape of the audiogram.
authors: New York University School of Medicine, New York, USA.
authors: Maggie
authors: M
authors: Kuhn
authors: Selena E
authors: SE
authors: Heman-Ackah
authors: Jamil A
authors: JA
authors: Shaikh
authors: Pamela C
authors: PC
authors: Roehm
references: Laryngoscope. 2004 Oct;114(10):1686-92
references: 15454755
references: Laryngoscope. 1973 Aug;83(8):1221-7
references: 4758124
references: Otolaryngol Head Neck Surg. 1986 Jan;94(1):15-22
references: 3081851
references: Arch Otolaryngol. 1968 Jul;88(1):41-8
references: 5660028
references: Laryngoscope. 1992 Nov;102(11):1255-9
references: 1307698
references: Am J Otolaryngol. 1999 May-Jun;20(3):157-60
references: 10326750
references: Arch Neurol. 2000 Nov;57(11):1631-4
references: 11074796
references: J Laryngol Otol. 2006 Sep;120(9):718-24
references: 16854244
references: Laryngoscope. 2004 Jul;114(7):1184-9
references: 15235345
references: Am J Otol. 1989 May;10(3):242-7
references: 2665512
references: J Rheumatol. 1998 Dec;25(12):2476-7
references: 9858454
references: Otolaryngol Head Neck Surg. 2010 Feb;142(2):266-71
references: 20115986
references: Ear Nose Throat J. 1997 Aug;76(8):508-10, 512 514, passim
references: 9282459
references: Laryngoscope. 2003 Feb;113(2):312-5
references: 12567088
references: Laryngoscope. 1979 Nov;89(11):1867-8
references: 228139
references: Int J STD AIDS. 2008 May;19(5):355-6
references: 18482972
references: Laryngoscope. 1965 Apr;75:662-8
references: 14283786
references: Ann Otol Rhinol Laryngol. 1977 Jul-Aug;86(4 Pt 1):463-80
references: 889223
references: Otolaryngol Head Neck Surg. 2006 Dec;135(6):995-6
references: 17141109
references: J Otolaryngol. 2005 Dec;34(6):395-401
references: 16343399
references: Otol Neurotol. 2010 Jan;31(1):25-30
references: 19940792
references: Acta Otolaryngol. 1997 Jul;117(4):501-4
references: 9288203
references: Eur Arch Otorhinolaryngol. 1997;254(2):91-4
references: 9065663
references: Otolaryngol Head Neck Surg. 1998 May;118(5):737-8
references: 9591888
references: J Laryngol Otol. 1990 Jul;104(7):562-4
references: 1974585
references: Laryngoscope. 1976 Mar;86(3):389-98
references: 1256213
references: Am J Otolaryngol. 1983 May-Jun;4(3):161-4
references: 6881459
references: Laryngoscope. 2007 Mar;117(3):547-51
references: 17334320
references: AIDS Patient Care STDS. 2008 Mar;22(3):213-9
references: 18290755
references: J Otolaryngol Head Neck Surg. 2010 Oct;39(5):486-90
references: 20828509
references: Laryngorhinootologie. 2003 Apr;82(4):249-57
references: 12717599
references: Otolaryngol Head Neck Surg. 2002 Oct;127(4):253-9
references: 12402001
references: Arch Otolaryngol. 1981 Oct;107(10):598-600
references: 7283822
references: Acta Otolaryngol. 1962 Sep;55:231-6
references: 13998066
references: Clin Otolaryngol Allied Sci. 1989 Oct;14(5):451-6
references: 2582643
references: Arch Otolaryngol. 1962 Jun;75:502-5
references: 14456277
references: Laryngoscope. 1971 Sep;81(9):1462-74
references: 5098107
references: Otolaryngol Head Neck Surg. 2007 Jan;136(1):67-71
references: 17210336
references: Arch Otolaryngol. 1980 Dec;106(12):772-6
references: 7002129
references: Ann Otol Rhinol Laryngol. 1978 Nov-Dec;87(6 Pt 1):761-71
references: 736419
references: Clin Infect Dis. 2008 Jul 15;47(2):188-95
references: 18532885
references: Clin Infect Dis. 2006 Nov 1;43(9):1089-134
references: 17029130
references: Otolaryngol Head Neck Surg. 1997 Jun;116(6):567-574
references: 29389268
references: Laryngoscope. 2009 Feb;119(2):341-6
references: 19160386
references: J Med Virol. 2004 Apr;72(4):625-9
references: 14981765
references: Laryngoscope. 1997 Nov;107(11 Pt 1):1457-63
references: 9369390
references: Otolaryngol Head Neck Surg. 2003 Jan;128(1):92-8
references: 12574765
references: Acta Otolaryngol. 2010 Mar;130(3):384-91
references: 19688620
references: Laryngoscope. 2010 May;120(5):1011-21
references: 20422698
references: Otolaryngol Clin North Am. 1996 Jun;29(3):393-405
references: 8743339
references: Otolaryngol Head Neck Surg. 1983 Dec;91(6):653-8
references: 6420747
references: Curr Infect Dis Rep. 2009 Mar;11(2):127-34
references: 19239803
references: Arch Otolaryngol Head Neck Surg. 2000 Aug;126(8):963-6
references: 10922228
references: J Rheumatol. 1987 Apr;14(2):384-5
references: 3599012
references: Eur Arch Otorhinolaryngol. 2001 Nov;258(9):477-80
references: 11769996
references: Laryngoscope. 1970 May;80(5):788-801
references: 5452517
references: Audiol Neurootol. 2010;15(2):111-5
references: 19657186
references: Otolaryngol Head Neck Surg. 2005 Aug;133(2):251-9
references: 16087024
references: Acta Otolaryngol. 2009 Nov;129(11):1160-5
references: 19863304
references: Int Tinnitus J. 2003;9(2):119-23
references: 15106287
references: Laryngoscope. 1969 Dec;79(12):2172-80
references: 5362685
references: ORL J Otorhinolaryngol Relat Spec. 2008;70(1):52-60; discussion 60-2
references: 18235206
references: Ann Otol Rhinol Laryngol. 1976 Jan-Feb;85(1 Pt 1):94-100
references: 1259320
references: Audiol Neurootol. 2005 Sep-Oct;10(5):274-90
references: 15925862
references: J Otolaryngol. 1997 Apr;26(2):88-91
references: 9106082
references: Laryngoscope. 2009 Feb;119(2):359-69
references: 19172627
references: Arch Otolaryngol Head Neck Surg. 1994 May;120(5):536-40
references: 8172705
references: Am J Otol. 1984 Oct;5(6):484-7
references: 6334996
references: ORL J Otorhinolaryngol Relat Spec. 1994;56(1):1-4
references: 8121677
references: Laryngoscope. 2010 Sep;120(9):1832-6
references: 20661936
references: Laryngoscope. 1984 May;94(5 Pt 1):647-61
references: 6325838
references: Acta Otorhinolaryngol Belg. 1996;50(1):69-76
references: 8669276
references: JAMA. 1969 Sep 1;209(9):1364-5
references: 4979452
references: Br Med J. 1979 Jan 6;1(6155):14-5
references: 760934
references: Ann Otol Rhinol Laryngol. 1992 Jun;101(6):459-64
references: 1610062
references: Scand Audiol. 1982;11(4):277-8
references: 7163772
references: Otol Neurotol. 2002 May;23(3):301-8
references: 11981385
references: Otolaryngol Head Neck Surg. 2005 Dec;133(6):916-22
references: 16360514
references: Otolaryngol Head Neck Surg. 2003 Jun;128(6):823-8
references: 12825033
references: Otolaryngol Head Neck Surg. 2000 Apr;122(4):521-8
references: 10740171
references: Acta Otolaryngol. 2007 Nov;127(11):1168-75
references: 17851927
references: Cochrane Database Syst Rev. 2006 Jan 25;(1):CD003998
references: 16437471
references: Acta Otolaryngol. 2006 Jul;126(7):679-84
references: 16803704
references: Postgrad Med J. 1999 May;75(883):262-4
references: 10533627
references: Ann Otol Rhinol Laryngol. 1959 Sep;68:830-7
references: 14441966
references: Arch Otorhinolaryngol. 1986;243(1):1-15
references: 3707419
references: Arch Otolaryngol Head Neck Surg. 1990 Nov;116(11):1317-9
references: 2242263
references: Int Tinnitus J. 2002;8(2):127-8
references: 14763225
references: Otol Neurotol. 2005 Sep;26(5):896-902
references: 16151335
references: Otolaryngol Head Neck Surg. 2009 Nov;141(5):579-83
references: 19861194
references: Laryngol Rhinol Otol (Stuttg). 1979 Dec;58(12):954-61
references: 537445
references: Otolaryngol Head Neck Surg. 1981 Mar-Apr;89(2):283-7
references: 6787527
references: Am J Otol. 1996 Jul;17(4):529-36
references: 8841697
references: Am J Otol. 2000 Sep;21(5):636-40
references: 10993450
references: Ann Otol Rhinol Laryngol. 2003 May;112(5):395-7
references: 12784975
references: Health Technol Assess. 2009 Mar;13(18):iii-iv, ix-xi, 1-154
references: 19358774
references: J Laryngol Otol. 2009 Aug;123(8):840-4
references: 19296863
references: Laryngoscope. 1990 Jul;100(7):707-15
references: 2362530
references: Clin Chem. 1999 Aug;45(8 Pt 2):1377-83
references: 10430821
references: Otolaryngol Head Neck Surg. 1998 Oct;119(4):364-9
references: 9781992
references: Audiol Neurootol. 2009;14(3):139-45
references: 19005247
references: Otolaryngol Head Neck Surg. 2009 Jan;140(1):86-91
references: 19130968
references: Radiol Clin North Am. 2009 Sep;47(5):871-5, vii
references: 19744601
references: Am J Otol. 1984 Oct;5(6):488-91
references: 6440439
references: Laryngoscope. 1962 Sep;72:1142-57
references: 13909443
references: Am J Otolaryngol. 1984 Nov-Dec;5(6):394-6
references: 6336353
references: Arch Otolaryngol Head Neck Surg. 2007 Jun;133(6):573-81
references: 17576908
references: Am J Otol. 1987 Jul;8(4):355-63
references: 3631245
references: Am J Otol. 1998 Jul;19(4):447-52
references: 9661753
references: Eur Arch Otorhinolaryngol. 1998;255(9):433-6
references: 9833208
references: Laryngoscope. 1995 Mar;105(3 Pt 1):289-93; discussion 293-4
references: 7877418
references: Laryngoscope. 1973 May;83(5):633-8
references: 4702466
references: J Laryngol Otol. 1979 Oct;93(10):955-68
references: 512467