Wei-Chen Hung1, Kuei-You Lin2,3, Po-Wen Cheng1, Yi-Ho Young4. 1. Department of Otolaryngology, Far Eastern Memorial Hospital, New Taipei, Taiwan. 2. Institute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taipei, Taiwan. 3. Department of Otolaryngology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan. 4. Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
Abstract
OBJECTIVES: This study compared sudden deafness (SD) cases in 20-year age bands to investigate their causes and treatment outcome. DESIGN: Retrospective study. STUDY SAMPLES: 178 unilateral SD patients were divided into four 20-year age-groups, namely Groups I (aged 0-19 years, n = 6), II (aged 20-39 years, n = 33), III (aged 40-59 years, n = 63), and IV (aged 60-79 years, n = 76). METHODS: An inner ear test battery and/or serology assay were performed. RESULTS: Incidence of SD in relation to overall neurotological cases did not significantly differ among the four groups. Groups I and II showed two or three audiographic patterns, while Groups III and IV had six audiographic patterns indicating that the aetiology of Groups I and II may be of the same origin, while Groups III and IV had multiple aetiologies. The hearing improvement rate was significantly higher in Groups III (62%) and IV (62%) than in Groups I (16%) and II (33%). CONCLUSION: SD inevitably affects individuals of all ages. Significant differences in the audiographic patterns and speculative causes may account for various outcomes of treatment in each 20-year age band. Those SD patients aged 40-59 and 60-79 years showed significantly better treatment outcomes than those aged 0-19 and 20-39 years.
OBJECTIVES: This study compared sudden deafness (SD) cases in 20-year age bands to investigate their causes and treatment outcome. DESIGN: Retrospective study. STUDY SAMPLES: 178 unilateral SD patients were divided into four 20-year age-groups, namely Groups I (aged 0-19 years, n = 6), II (aged 20-39 years, n = 33), III (aged 40-59 years, n = 63), and IV (aged 60-79 years, n = 76). METHODS: An inner ear test battery and/or serology assay were performed. RESULTS: Incidence of SD in relation to overall neurotological cases did not significantly differ among the four groups. Groups I and II showed two or three audiographic patterns, while Groups III and IV had six audiographic patterns indicating that the aetiology of Groups I and II may be of the same origin, while Groups III and IV had multiple aetiologies. The hearing improvement rate was significantly higher in Groups III (62%) and IV (62%) than in Groups I (16%) and II (33%). CONCLUSION: SD inevitably affects individuals of all ages. Significant differences in the audiographic patterns and speculative causes may account for various outcomes of treatment in each 20-year age band. Those SD patients aged 40-59 and 60-79 years showed significantly better treatment outcomes than those aged 0-19 and 20-39 years.
Entities:
Keywords:
Sudden deafness; age band; elderly; vestibular-evoked myogenic potential