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Sudden Sensorineural Hearing Loss: Diagnosis, Causes, and Treatment

Sudden Sensorineural Hearing Loss: Diagnosis, Causes, and Treatment

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Sudden Sensorineural Hearing Loss (SSNHL) is a condition where hearing loss suddenly occurs usually in just one ear without any obvious triggering event. With sudden sensorineural hearing loss, it is hypothesized that the hearing nerve becomes infected, usually by a virus, which causes the nerve to become inflamed. With inflammation, the nerve swells. Unfortunately, because the hearing nerve goes through a tiny bone covered tunnel through the skull, the nerve becomes compressed leading to nerve dysfunction.

Symptoms include not just hearing loss, but also tinnitus as well as a full or clogged sensation of the ear. This condition is diagnosed by history and ruling out other causes of hearing loss such as earwax or ear fluid. A hearing test confirms a nerve hearing loss is present.

At this point, treatment requires a prolonged course of high dose oral steroids followed by a steroid injection into the middle ear if the hearing loss persists. Hyperbaric oxygen may also be recommended.

Treatment is most successful if started within a few weeks of hearing loss onset. Once a month or more has passed, medical interventions are unlikely to work. That said, even without treatment, 50% of patients recover some hearing. But those who undergo treatment have a much higher chance for recovery of about 80%.

For more info and treatment protocols on sudden sensorineural hearing loss:
https://www.FauquierENT.net/audiosudden.htm

Free online hearing test: https://www.CheckHearing.org

Video created by Dr. Christopher Chang:
https://www.FauquierENT.net

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