title: Evidence-based practice: management of adult sensorineural hearing loss.
abstract: Sensorineural hearing loss is a complex disease state influenced by genetics, age, noise, and many other factors. This article reviews our current knowledge regarding the causes of sensorineural hearing loss and reviews the more challenging clinical presentations of sensorineural hearing loss. We have reviewed the latest medical literature in an attempt to provide an evidence-based strategy for the assessment and management of sudden sensorineural hearing loss, rapidly progressive sensorineural hearing loss, and asymmetric/unilateral sensorineural hearing loss.
authors.affiliation: Section of Otolaryngology, Department of Surgery, University of Calgary, 1403 29th Street NW, Calgary, Alberta T2N 2T9, Canada. justin.chau@gmail.com
authors.forename: Justin K
authors.initials: JK
authors.lastname: Chau
authors.forename: John J W
authors.initials: JJ
authors.lastname: Cho
authors.forename: Dieter K
authors.initials: DK
authors.lastname: Fritz
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000328:Adult; D000367:Age Factors; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D018906:Antineoplastic Agents, Alkylating / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use*; D001301:Audiometry, Pure-Tone / Q000379:methods*; D001327:Autoimmune Diseases / Q000150:complications; D019468:Disease Management; D004333:Drug Administration Routes; D055317:Evidence-Based Practice; D005072:Evoked Potentials, Auditory; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000379:methods; D040582:Inheritance Patterns; D009464:Neuroma, Acoustic / Q000150:complications; D009622:Noise / Q000009:adverse effects; D010956:Plasmapheresis / Q000379:methods*; D013063:Speech Discrimination Tests / Q000379:methods*; D061665:Time-to-Treatment; D014057:Tomography, X-Ray Computed / Q000379:methods; D014777:Virus Diseases / Q000150:complications
chemical_list: D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents; D018906:Antineoplastic Agents, Alkylating; D000998:Antiviral Agents