J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (5): 41-44.doi: 10.6040/j.issn.1673-3770.0.2018.019

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Clinical characteristics and prognostic factors for sudden idiopathic sensorineural hearing loss in children

XU Ming, LUO Xinggu, TANG Hongbo, JIANG Qingshan   

  1. Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Nanhua University, Hengyang 421000, Hunan, China
  • Received:2018-01-10 Online:2018-09-20 Published:2018-09-20

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Abstract: Objective To analyze the clinical characteristics and prognostic factors for sudden idiopathic sensorineural hearing loss in children, and provide guidance for clinical practice and prognosis assessment. Methods We retrospectively analyzed clinical data from 67 pediatric sudden sensorineural hearing loss patients treated in our department from January 2010 to October 2017. The 67 patients were divided into two groups(recovery group and no-recovery group)on the basis of recovery of hearing. Univariate and multivariate analysis were used to examine factors associated with prognosis(sex, age, treatment onset, initial hearing threshold, presence of tinnitus and vertigo, history of viral infection, season, and audiogram configuration)for the recovery group and no-recovery group. Results 64.18% of pediatric patients showed onset of hearing loss in spring or winter. The average hearing threshold at initial presentation was 70.79±10.13 dB HL. As accompanying symptoms, 47 ears(70.15%)exhibited tinnitus, 41 ears(61.19%)exhibited vertigo, and the rate of viral infection was 19.40%. The audiogram configuration before hyperbaric oxygen therapy was ascending in 10.44%, descending in 2.99%, flat in 34.33%, and showed total deafness in 52.24% of cases. The average hearing threshold was 60.41±31.52 dB HL after treatment; the overall recovery rate was 53.73%; the complete recovery, marked recovery and recovery rates were 20.90%, 16.42% and 16.42%, respectively. According to the multivariate analysis, initial hearing threshold, total deafness and presence of viral infection had significant influences on prognosis(P<0.05). Conclusion Most pediatric patients experienced sudden sensorineural hearing loss in spring or winter, with a high rate of viral infections. The hearing loss was identified as severe, with high levels of tinnitus and vertigo, and most audiogram configurations either were flat or showed total deafness. Multivariate analysis revealed that lower initial hearing loss threshold, non-total deafness and history of viral infection were associated with a better prognosis.

Key words: Sudden sensorineural hearing loss, Clinical characteristics, Multivariate analysis, Children

CLC Number: 

  • R764.43
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