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Second steroid dose for hearing loss unnecessary. (Sympton of Multiple Diseases).
SAN DIEGO - If a patient with sudden sensorineural hearing loss does not respond to an initial course of oral steroids, additional treatment may not be justified, Dr. William Slattery III reported at the annual meeting of the American Academy of Otolaryngology-Head and Neck Surgery.
"My personal belief is that idiopathic sudden hearing loss is a symptom of multiple diseases," said Dr. Slattery, an otolaryngologist with the House Ear Institute, Los Angeles. "Whatever is causing the loss may not be steroid responsive."
He based his comments on a retrospective chart review of 145 patients with an average age of 51 years who were treated at the institute for unilateral sudden sensorineural hearing loss between December 2000 and September 2002. Patients were included in the study if there was documentation of a course of oral steroids within 3 days of hearing loss onset.
If a patient did not recover his or her hearing after initial treatment, the type of secondary treatment was recorded, and the level of hearing was noted. The treatment of choice at the House Ear Institute is prednisone 1 mg/kg ...