What is the treatment for sudden deafness?

Regarding the problem of sudden deafness, in daily treatment, the treatment methods are generally different depending on the patient's condition. The most common ones are medication or other methods to achieve a treatment effect, and then judge the patient's symptoms and choose appropriate methods for care.

Treatment strategy

Currently, comprehensive treatment methods are often used, with early treatment as soon as possible within 7 to 10 days after onset of the disease.

Drug treatment

1. Glucocorticoids: They have anti-inflammatory, antiviral and immunosuppressive effects, can relieve endothelial edema, and increase blood supply to the inner ear. They are currently an important treatment for sudden deafness. 2. Thrombolytic and anticoagulant drugs: The plasma fibrinogen level of patients with sudden deafness is significantly higher than that of normal people, and the red blood cell aggregation and plasma viscosity are also significantly increased, indicating that blood viscosity plays an important role in the onset of sudden deafness. 3. Neurotrophic drugs: Commonly used neurotrophic drugs include adenosine triphosphate (ATP) and vitamins. ATP is a coenzyme and the main source of energy for the body. Because of its ability to improve the body's metabolism, it has become one of the main drugs for the treatment of sudden deafness.

Other treatments

Hyperbaric oxygen therapy can reduce inner ear edema and ischemic and hypoxic damage, improve inner ear circulation, and significantly increase the oxygen partial pressure of blood and tissue cells, the blood volume in plasma, and the diffusion radius in tissues, accelerate the repair of inner ear hair cells and vestibular nerve fibers, and reduce platelet aggregation and blood viscosity. Therefore, it can be used to treat sudden deafness. The therapeutic effect is related to the duration of illness. With the accumulation of treatment experience, the efficacy of hyperbaric oxygen combined with drugs and other treatment methods is better than that of single hyperbaric oxygen therapy.

Prognosis

Sudden deafness tends to heal itself, and some patients can recover to varying degrees on their own. Severe hearing loss before treatment and vertigo are factors that predict poor prognosis. Children and the elderly have poorer hearing recovery than other age groups. The time when treatment starts also affects the prognosis. Generally, the effect is better if treatment is started within 7 to 10 days.