지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.6
- 수록면
- 76 - 83 (8page)
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초록· 키워드
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most commonly accepted treatment. Recently, intratympanic steroid injection has been proposed as a safe and an effective in the salvage therapy. However, treatment protocol for severe to profound SSNHL has not been established. As there has been little discussion about the efficacy of combined method, this study aims to evaluate the effects of combined intratympanic and oral steroid treatment compared with oral steroid therapy alone for severe to profound SSNHL. Methods：We reviewed the medical records of patients with severe to profound SSNHL between January 2009 and February 2012, and 34 patients were categorized into the oral steroid treatment alone group (PO group). And 33 patients of combined intratympanic and oral steroid treatment group (CT group) were evaluated from March 2012 to June 2015. We compared demographics, clinical findings, audiological results, and treatment outcomes between two groups. Results：Significant difference of hearing recovery was identified between PO group and CT group. The mean PTA gain was 23.5±18.3 dB in PO group and 31.6±13.2 dB in CT group (p=0.048). When Siegel’s criteria was used, more patients showed significant hearing improvement in CT group than in PO group (p=0.0204). Conclusions：This study concluded that the combined intratympanic and oral steroid treatment might lead to favorable hearing outcomes when compared with the oral steroid treatment alone. We recommend that the combined treatment could be considered as primary management for patients with severe to profound SSNHL.
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참고문헌 (25)
참고문헌 신청
Stew BT / 2012 / Sudden sensorineural hearing loss / Br J Hosp Med (Lond) 73(2):86~89
Wilson WR / 1980 / The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study / Arch Otolaryngol 106(12):772~776
Stachler RJ / 2012 / Clinical practice guideline: sudden hearing loss / Otolaryngol Head Neck Surg 146(3 Suppl):S1~S35
Rauch SD / 2011 / Oral vs. intratympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss: a randomized trial / JAMA 305(20):2071~2079
강우석 / 2011 / 돌발성 난청의 치료 원칙 / 대한이비인후과학회지 두경부외과학 54(10):675~682
Wilson WR / 1980 / The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study / Arch Otolaryngol 106(12):772~776
Stachler RJ / 2012 / Clinical practice guideline: sudden hearing loss / Otolaryngol Head Neck Surg 146(3 Suppl):S1~S35
Rauch SD / 2011 / Oral vs. intratympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss: a randomized trial / JAMA 305(20):2071~2079
강우석 / 2011 / 돌발성 난청의 치료 원칙 / 대한이비인후과학회지 두경부외과학 54(10):675~682
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