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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1988;31(1): 5-12. |
Clinical Observation of Sudden Deafness |
Kwon Soo Lim, MD, Ip Jin Chung, MD, Young Bum Cho, MD, Woong Hur, MD, Jung Kyu Kim, MD, and In Won Chang, MD |
Department of Otolaryngology, College of Medicine, Chonnam National University, Korea |
돌발성난청의 임상적 고찰 |
임권수 · 정입진 · 조용범 · 허 웅 · 김정규 · 장인원 |
전남대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
Sudden deafness is defined as an abrupt onset of sensorineural hearing loss which develops over a period of hours or a few days without definitive cause. The etiology, pathogenesis and treatment of sudden deafness have not been fully determined. Authors observed eighteen patients of sudden deafness admitted in Chonnam National University Hospital from July 1984 to July 1987. To evaluate the incidence and recovery, age, sex, affected side and recovery related to initial hearing loss, severe vertigo and tinnitus initial audiogram pattern as well as the time of initial visit were analyzed. The obtained results were as follows. 1) The incidence : 50%(9 patients) in 3rd decade, 55.56%(10 patients) in male, and 38.9%(7 patients) in left side. 2) Recovery evaluated in 24 cases : 8 cases(33.33%) of complete recovery, 4 cases(16.67%) partial recovery, 1 case(4.17%) slight recovery, and 11 cases(45.83%) no response. 3) In evaluation of prognosis. a) Patients treated within 2 weeks after onset showed better recovery(60%) than those treated 2 weeks or later(25%). b) Flat and ascending type hearing loss had a higher recovery(81.8%) than descending and profound loss(30.8%). c) Patients with mild hearing loss showed better recovery(100%) than those with severe and profound loss(44.44%). d) Patients with severe vertigo showed poorer recovery(16.67%) than those without severe vertigo(66.67%).
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