Geriatric sudden deafness
| Autor: | Yi-Ho Young, Bang-Yan Zhang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Population ageing Pediatrics medicine.medical_specialty Hearing Loss Sensorineural Presbycusis Caloric test Hydroxyethyl Starch Derivatives 03 medical and health sciences 0302 clinical medicine Audiometry Adrenal Cortex Hormones Caloric Tests Medicine Humans 030223 otorhinolaryngology Aged Diagnostic Techniques Otological medicine.diagnostic_test business.industry Age Factors Caloric theory Hearing Loss Sudden Middle Aged medicine.disease Acetylcysteine Treatment Outcome Otorhinolaryngology Hearing level 030220 oncology & carcinogenesis Improvement rate Sudden sensorineural hearing loss Evoked Potentials Auditory Female Vestibule Labyrinth business |
| Zdroj: | American journal of otolaryngology. 42(4) |
| ISSN: | 1532-818X |
| Popis: | Purpose Sudden sensorineural hearing loss, briefly sudden deafness (SD), in the elderly remains less investigated despite rapidly aging population in most countries around the world. This study investigated whether aging process affects the treatment outcome of SD in the elderly. Patients and methods Eighty patients with SD, comprising 40 geriatric patients aged >65 years and 40 non-geriatric patients aged 55–64 years, were enrolled in this study. All patients underwent an inner ear test battery including audiometry, and cervical vestibular-evoked myogenic potential (cVEMP), ocular VEMP (oVEMP), and caloric tests. Results Pre-treatment mean hearing level in the geriatric group (94 ± 16 dB) did not significantly differ from non-geriatric group (89 ± 20 dB). After treatment for 3 months, mean hearing gain in the geriatric group (22 ± 18 dB) with an improvement rate of 65%, did not significantly differ from non-geriatric group (21 ± 28 dB) with 58% improvement rate. Both inter-subject and intra-subject analyses revealed that the aging process greatly influenced the cVEMP and oVEMP responses, while less influenced the caloric responses. Conclusion The treatment outcome of SD in geriatric patients aged >65 years did not significantly differ from that in non-geriatric patients aged 55–64 years, indicating that aging process did not affect treatment outcome of SD. Unlike treatment outcome for the presbycusis is unsatisfactory, treatment outcome for the elderly with SD could be favorable. |
| Databáze: | OpenAIRE |
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