title: Methadone induced sensorineural hearing loss.
abstract: Background. Sudden sensorineural hearing loss (SSHL) caused by opiate abuse or overuse has been well documented in the medical literature. Most documented case reports have involved either heroin or hydrocodone/acetaminophen. Recently, case reposts of methadone induced SSHL have been published. Case Report. We present the case of a 31-year-old man who developed SSHL after a methadone overdose induced stupor. He was subsequently restarted on methadone at his regular dose. On follow-up audiometry exams, he displayed persistent moderately severe sensorineural hearing loss bilaterally. Discussion. This case is notable because unlike all but one previously reported case, the patient-who was restated on methadone-did not make a complete recovery. Conclusion. Methadone overuse in rare cases causes SSHL.
authors: Department of Medicine, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA.
authors: Chadi
authors: C
authors: Saifan
authors: Daniel
authors: D
authors: Glass
authors: Iskandar
authors: I
authors: Barakat
authors: Suzanne
authors: S
authors: El-Sayegh
references: J Med Assoc Thai. 1984 Jan;67(1):57-60
references: 6716028
references: Auris Nasus Larynx. 2012 Jun;39(3):305-9
references: 21903349
references: Am J Otol. 2000 Mar;21(2):188-91
references: 10733182
references: J Emerg Med. 2011 Dec;41(6):635-9
references: 21145191
references: Laryngoscope. 2010 May;120(5):1011-21
references: 20422698
references: Ann Otol Rhinol Laryngol. 2004 Jun;113(6):445-9
references: 15224826
references: Neurology. 2000 Jun 27;54(12):2345
references: 10881270
references: J Otolaryngol Head Neck Surg. 2008 Aug;37(4):507-9
references: 19128584
references: J Immunol. 2006 Sep 15;177(6):4203-10
references: 16951386
references: Eur Arch Otorhinolaryngol. 2009 May;266(5):773-4
references: 19263068
references: J Am Acad Audiol. 2008 Jun;19(6):461-4
references: 19253779
references: Am J Audiol. 2010 Dec;19(2):86-90
references: 20966353
references: Eur Arch Otorhinolaryngol. 2008 May;265(5):603-6
references: 17968577
references: Ann Pharmacother. 2010 Jan;44(1):207-10
references: 20028962
references: Pain Physician. 2007 May;10(3):467-72
references: 17525781
references: Int J Clin Pract Suppl. 2005 Apr;(147):128-9
references: 15875650
references: Laryngol Rhinol Otol (Stuttg). 1979 May;58(5):435-7
references: 449504