Balkan ORL-HNS
Original Articles

Treatment Management of Sudden Sensorineural Hearing Loss Patients: Timing and Efficacy of Hyperbaric Oxygen Intervention

1.

Department of Otolaryngology, Suining Central Hospital, Suining, China

2.

Department of Otolaryngology, The Affiliated Yongchuan Hospital of Chongqing Medical University, Chongqing, China

3.

Department of Otolaryngology, Yongchuan District People’s Hospital, Chongqing, China

Balkan ORL-HNS 2025; 2: 45-49
DOI: 10.5152/bohns.2025.25075
Read: 313 Downloads: 218 Published: 20 June 2025

Abstract

Background: The Chinese guidelines for sudden sensorineural hearing loss (SSNHL) (published 2015) do not recommend hyperbaric oxygen (HBO) as a routine treatment option. Objective: Investigate the timing and efficacy of HBO in the treatment of SSNHL by a retrospective study.

Methods: The 398 patients with unilateral SSNHL were assigned to 6 groups according to the onset symptoms to initial treatment within (14−) or over 14 days (14+), and treatment type (medicine alone or combined with HBO). Using Pure Tone Average (PTA) threshold to evaluate the efficacy of treatment by HBO after 2, 4, and 12 weeks.

Results: The efficacy rate in treatment was statistically different between the single medicine and combined with HBO in the 14− and 14+ groups (respectively, 53.01% and 67.95%, P < .05; 35.37% and 50.35%, P < .05), while the change in PTA of the combined with HBO 14− group or single HBO was significantly more favorable than the 14+ group or Observer group (P < .01, .01).

Conclusions: Early use of HBO alone or in combination with medicines can achieve better therapeutic effects in SSNHL.

Cite this article as: Yang S, Zuo QW, He L, Zhong XS. Treatment management of sudden sensorineural hearing loss patients: Timing and efficacy of hyperbaric oxygen intervention. Balkan ORL-HNS 2025;2(2):45-49.

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