Abdulhalim AYSEL, Abdullah DALGIÇ, Togay MÜDERRİS, Fatih YILMAZ, Görkem ATSAL, Hayal BOYACIOĞLU, Enver ALTAŞ

Pediatric sudden sensorineural hearing loss: etiology, prognostic factors and treatment

Aim: Sudden sensorineural hearing loss (SSNHL) may have a negative impact on the language and psychological development of children, especially if it is not diagnosed early and treated promptly. This study were aimed to determine and compare the etiological factors, treatment outcomes and prognostic factors in the pediatric patients who were followed up with the diagnosis of SSNHL. Materials and Methods: The files of 28 children were analyzed retrospectively. In pure tone audiometry, the average of pure tone thresholds of 500 Hz, 1000 Hz, 2000 Hz and 4000 Hz were accepted as pure tone averages (PTAV). Patients' recovery status was determined according to Siegel criteria. Audiometric curve types were evaluated as ascending, descending, and flat. Results: The ages of patients with SSNHL was mean ± SD 14.89 ± 3.24 (min-max: 7 and 18). The pre-treatment PTAV was mean ± SD 55.27 ± 12.39 dB HL (min-max: 38.5 and 85.25 dB HL) and the PTAV after treatment was mean ± SD 23.13 ± 18.22 dB HL (min-max: 5 and 72.5 dB HL). Audiometric curve types were detected as descending curve (n: 11, 39.2%), ascending curve (n: 5, 17.9%), flat curve (n: 12, 44.9%). Eighteen (64.3%) patients had complete recovery, 8 (28.6%) patients had partial recovery, and 2 (7.1%) patients had no recovery after the treatment. Conclusion: The response to treatment was found to be high. Descending audiometric curve type was found as a positive prognostic factor. Although the presence of tinnitus was a better prognostic factor than the presence of vertigo.

Çocuklarda ani sensörinöral işitme kaybı: etiyoloji, prognostik faktörler ve tedavi sonuçları

Amaç: Geç teşhis edilen ve tedavi ile düzelmeyen ani sensörinöral işitme kaybı (ASNİK) çocukların dil ve psikolojik gelişimi üzerinde olumsuz bir etkiye sahip olabilir, bu nedenle tanı konur konulmaz tedaviye başlanmalıdır. Bu çalışmanın amacı ASNİK ile takip ve tedavi edilen çocuk hastalarda etiyoloji, prognostik faktörlerin belirlenmesi ve tedavi sonuçlarının karşılaştırılmasıdır. Gereç ve Yöntem: ASNİK tanısı ile tedavi ve takip edilen 28 hasta çocuğun dosyaları retrospektif olarak incelendi. Pür ton odyometrisinde (PTO), 500 Hz, 1000 Hz, 2000 Hz ve 4000 Hz saf ton eşiklerinin ortalaması saf ses ortalaması (SSO) olarak kabul edildi. Hastaların iyileşme durumları Siegel kriterlerine göre belirlendi. Odyometrik eğri türleri artan, azalan ve düz tip olarak gruplara ayrıldı. Bulgular: ASNİK'li hastaların yaşları 7 ile 18 arasında değişmekteydi (ortalama 14,89 ± 3,24). Tedavi öncesi SSO 55,27 ± 12,39 dB (min-maks: 38,5 ila 85,25 dB), tedavi sonrası SSO 23,13 ± 18,22 dB (min-maks: 5 ila 72,5 dB) idi. Odyometrik eğri türleri: azalan grup (n: 11, %39,2), yükselen grup (n: 5, %17,9), düz grup (n: 12, %44,9) şeklinde idi. Tedavi sonrası 18 (%64,3) hastada tam iyileşme, 8 (%28,6) hastada kısmi iyileşme saptanırken 2 (%7,1) hastada iyileşme olmadı. Sonuç: Çalışmamızda sistemik steroid ile tedaviye yanıt oranı yüksek saptandı. Kulak çınlaması varlığı ve tedavi öncesi inen tip odyometrik eğri iyi prognoz faktörleri olarak saptandı.

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