E-ISSN 2602-4837
The Turkish Journal of Ear Nose and Throat Hyperbaric oxygen therapy: The last remedy for sudden sensorineural hearing loss? [Tr-ENT]
Tr-ENT. 2020; 30(1): 8-13 | DOI: 10.5606/Tr-ENT.2020.76598

Hyperbaric oxygen therapy: The last remedy for sudden sensorineural hearing loss?

Yüksel Olgun1, Fatih Yunus Emre1, Aslı Çakır Çetin1, Günay Kırkım2, Hülya Ellidokuz3, Enis Alpin Güneri1
1Department of Otorhinolaryngology, Dokuz Eylül University, Faculty of Medicine, Izmir, Turkey
2Department of Otorhinolaryngology, Hearing-Speech and Balance Unit Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey
3Department of the Biostatistics and Medical Informatics, Dokuz Eylül University, Faculty of Medicine, Izmir, Turkey

INTRODUCTION: This study aims to evaluate hyperbaric oxygen (HBO) therapy as a salvage treatment option for sudden sensorineural hearing loss (SSNHL) and analyze factors influencing treatment outcomes.
METHODS: Charts of 27 patients (20 males, 7 females; mean age 50.8 years; range, 30 to 74 years) who received HBO therapy as salvage treatment were retrospectively evaluated between January 2007 and December 2017. Patients’ demographics, time between onset of SSNHL to the initiation of steroid and HBO treatments, audiogram curves, tinnitus, vestibular symptoms, and pure tone audiometry results before and after steroid and HBO therapies were evaluated. Siegle’s criteria were used to evaluate treatment outcomes.
RESULTS: According to Siegle’s criteria, while seven patients had slight improvement, partial improvement was seen in two patients. With HBO therapy, a statistically significant improvement was seen at 250, 500, and 8000 Hz frequencies. Diabetes mellitus and patients’ age were related with treatment outcomes.
DISCUSSION AND CONCLUSION: Hyperbaric oxygen therapy may be beneficial as a salvage treatment option in some patients. Better results may be expected particularly in young and non-diabetic patients.

Keywords: Hearing loss, hyperbaric oxygen, sensorineural.

Yüksel Olgun, Fatih Yunus Emre, Aslı Çakır Çetin, Günay Kırkım, Hülya Ellidokuz, Enis Alpin Güneri. Hyperbaric oxygen therapy: The last remedy for sudden sensorineural hearing loss?. Tr-ENT. 2020; 30(1): 8-13

Corresponding Author: Yüksel Olgun, Türkiye
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