Sudden Sensorineural Hearing Loss: Primary Care Update

Marcia A. Leung, Anna Flaherty, Julia A. Zhang, Jared Hara, Wayne Barber, Lawrence Burgess

Research output: Contribution to journalReview articlepeer-review

26 Scopus citations

Abstract

The primary care physician's role in recognizing sudden sensorineural hearing (SSNHL) loss and delivering initial treatment is critical in the management of the syndrome. This role involves recognizing its clinical symptoms, distinguishing it from conductive hearing loss with the Weber tuning fork or the Rauch hum test, and urgent administration of high dose oral corticosteroids. Diagnosis and treatment should not be delayed for audiometric testing or referral to otolaryngology. This paper provides an update on the initial evaluation and treatment of this syndrome based on the literature and clinical guideline recommendations.

Original languageEnglish (US)
Pages (from-to)172-174
Number of pages3
JournalHawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health
Volume75
Issue number6
StatePublished - Jun 1 2016
Externally publishedYes

Keywords

  • Corticosteroid
  • Dexamethasone
  • Glucocorticoid
  • Intratympanic steroid infiltration
  • Mineralocorticoid
  • Prednisone
  • Primary care
  • Steroid
  • Sudden sensorineural hearing loss

ASJC Scopus subject areas

  • General Medicine

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