Sudden hearing loss treatment steroids

Treatment
Treatment of sudden hearing loss varies, depending on the suspected cause. The patient may be given medicine to increase circulation of the inner ear and to reduce excessive fluid buildup in the middle or inner ear. Carbogen therapy, which increases the amount of oxygen to the inner ear, may be started if there is a suspected circulation problem of the inner ear. A specific regimen is indicated if there is fluid buildup in the middle or inner ear and surgery may be required for an inner ear tumor or a leak of inner ear fluid. The patient may be advised to stop the use of birth control pills, smoking, drugs, alcohol, caffeine, or to restrict the amount of strenuous activity, as well as to watch his intake of fats and cholesterol.

There are also many inherited causes of hearing loss . Much research has focused on the detection of genetic causes of hearing loss, and many of them can now be diagnosed at an early age (Blanchard et al 2012, Dror & Avraham 2009, Kochhar et al 2007, Kokotas et al 2007, Robin et al 2005, Xing et al 2007). Treatments are mainly aimed at preventing further damage and making do with what is left. If the loss is minor, then avoidance of noise and ototoxic medications may be an appropriate treatment. If the loss is significant, then a trial of a hearing aid is often worthwhile. Occasionally, persons with acquired deafness can be treated surgically with a surgically implanted device, a cochlear implant.

Some medications cause irreversible damage to the ear, and are limited in their use for this reason. The most important group is the aminoglycosides (main member gentamicin ). A rare mitochondrial mutation, >G, can increase an individual's susceptibility to the ototoxic effect of aminoglycosides. Long term hydrocodone (Vicodin) abuse is known to cause rapidly progressing sensorineural hearing loss, usually without vestibular symptoms. Methotrexate , a chemotherapy agent, is also known to cause hearing loss. In most cases hearing loss does not recover when the drug is stopped. Paradoxically, methotrexate is also used in the treatment of autoimmune-induced inflammatory hearing loss.

Other treatments are used selectively, depending on the findings and suspected cause of the hearing loss. Anti-oxidants have been shown to promote healing of the inner ear. Antivirals have also been used, but two well-controlled studies, one in the . and one in Europe, have failed to show any benefit. Stroke or ischemia can be treated with blood thinners. Inner-ear membrane rupture is treated with bedrest; in certain cases, surgical exploration of the ear may be recommended to patch the inner ear membranes (round and oval windows) with fat from the earlobe (a minor procedure with low risk but uncertain benefit). Specific causes have specific treatments: AIED is treated with steroids or immune suppressants, Meniere’s disease with diuretics and low-salt diet, acoustic neuroma with surgery or radiotherapy.

Sudden hearing loss treatment steroids

sudden hearing loss treatment steroids

Other treatments are used selectively, depending on the findings and suspected cause of the hearing loss. Anti-oxidants have been shown to promote healing of the inner ear. Antivirals have also been used, but two well-controlled studies, one in the . and one in Europe, have failed to show any benefit. Stroke or ischemia can be treated with blood thinners. Inner-ear membrane rupture is treated with bedrest; in certain cases, surgical exploration of the ear may be recommended to patch the inner ear membranes (round and oval windows) with fat from the earlobe (a minor procedure with low risk but uncertain benefit). Specific causes have specific treatments: AIED is treated with steroids or immune suppressants, Meniere’s disease with diuretics and low-salt diet, acoustic neuroma with surgery or radiotherapy.

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