IJFANS International Journal of Food and Nutritional Sciences

ISSN PRINT 2319 1775 Online 2320-7876

Comparison Study Of Treatment Modalities In Sudden Onset Sensorineural Hearing Loss

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Dr. Abhay Kumar Singh , Dr.Mansi Sharma, Dr.Abhinav Raj ,Dr.Tarun Malhotra, Dr.Sushil Gaur

Abstract

Objective - In this study 2 modalities of treatment- Injection Dexamethasone and Oral Glycerol Versus Injection Dexamethasone Alone are compared in case of sudden sensorineural hearing loss. Methods- it is a randomized clinical study conducted in western U.P. on 100 patients with a history of fewer than 10 days and with no known cause. The patient is divided into 2 groups – 1. We administered systemic steroids (injection Dexamethasone) for 3 days, followed by oral deflazacort for 6 days with liquid glycerol, and 2. we administer systemic steroids alone, injection Dexamethasone 3 days, followed by oral deflazacort for 6 days. The study duration is 7 days and post-treatment was assessed by pure tone Audiometry and speech discrimination test at 0, 3, and 5,7 days. Result- There were 51 males and 49 females. Vertigo (P value < .00) and diabetes mellitus (P value < .001) had a negative prognostic influence on the recovery rate in both groups. The comparison revealed that group I in which patients received injection dexamethasone with oral glycerol had a higher recovery rate of 66% as compared to group II patients, in which patients received injection dexamethasone alone (recovery rate of 52% ). Conclusion- Vertigo and diabetes mellitus play a negative role in the recovery of SSNHL. The novel treatment protocol we used in group I patients that is liquid glycerol and systemic steroids was significantly better and more effective in treating SSNHL as compared to the group II treatment protocol of systemic steroids alone. Hence, we concluded that SSNHL is treatable too with a good recovery rate.

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