Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (1): 16-22.doi: 10.6040/j.issn.1673-3770.0.2024.183

• Original Article • Previous Articles    

Analysis of the efficacy and prognostic factors of hospitalized cases of children with sudden sensorineural hearing loss for ten years

CHEN Danping, HE Zijian, YU Youjun, ZHOU Xiaowei   

  1. Department of Otorhinolaryngology, Foshan First People's Hospital(Guangdong Hearing and Balance Medical Engineering Technology Research and Development Center), Foshan 528000, Guangdong, China
  • Published:2025-01-17

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Abstract: Objective To explore the efficacy and prognostic factors of hospitalized cases of children with sudden sensorineural hearing loss over the ten years. Methods A retrospective analysis was performed for 98 children with sudden sensorineural hearing loss hospitalized, and the relationship between the efficacy and age, gender, side, time of consultation, degree of hearing loss, type of hearing curve, tinnitus, vertigo, ear stuffiness and its prognosis, compared with 255 cases(257 ears)of adult hospitalized. Results The pediatric group: the recovery rate of ascending audiometric curve was 75.86%, flat audiometric curve 75.86%, profound audiometric curve 68.42%, and descending audiometric curve 23.08%. The results of ordered logistic regression analysis suggested that DPOAE elicitation, intratympanic injection, and descending audiometric curve were correlated with the efficacy. The overall recovery rate was 68.37% in the pediatric group and 54.86% in the adult group(P=0.050). Conclusion Within 14 days of the onset of sudden deafness in children was the golden treatment time, and the efficacy of patients with ascending and flat audiometric curves were better than that of profound and descending audiometric curves. DPOAE elicitation and intratympanic injection were the positive prognostic factors, while high-frequency hearing curves was the risk factor. The efficacy was better in the pediatric group than the adult group.

Key words: Children, Sudden sensorineural hearing loss, Audiometric curves, Distortion product otoacoustic emissions, Intratympanic injection

CLC Number: 

  • R764.35
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