実地医家における急性低音障害型感音難聴の対応 To Cope with Acute Low-Tone Sensorineural Hearing Loss at a Private Clinic
This study was performed on 73 patients (58 females and 15 males) with acute low-tone sensorineural hearing loss (ALHL) without vertigo, who visited my clinic from 2002 to 2004.<br>These patients were investigated and under long-term observation for more than 2 years to study their condition, prognosis, treatment, and background.<br>The increase in ALHL patients (especially female) in the last 3 years was remarkable. This increase maybe caused by stress, depression, or autonomic disorder.<br>Outpatients with ALHL were administered 15mg of predonisolone per day for 5 days in my clinic, and then the dose was gradually reduced. Eighty-six percent of patients responded well to the treatment.<br>However, a recurrence of hearing loss occurred in 20 patients (27.4%), with 5 of these patients (5.5%) later developing Meniere's disease.<br>Recently, the ALHL patients were sent questionnaires with SRQ-D by post. Our results (69.1% response rate) shed light on the problems concerning the level of satisfaction after treatment and the quality of life (QOL).<br>These findings suggested that long-term follow up and assertive psychosomatic approaches are necessary in the future to evaluate the clinical progress and prognosis of patients with ALHL.
耳鼻咽喉科臨床 100(2), 87-96, 2007-02-01
The Society of Practical Otolaryngology