| H01704 | |
| H番号 | H01704 |
| 名称 | 突発性難聴 |
| 概要 | Sudden sensorineural hearing loss (SSNHL) is defined as a loss of hearing of 30 dB or more over at least three contiguous frequencies. Usually, symptoms present unilaterally and suddenly within 24-72 h. As the majority of patients (30-65 %) with unilateral sudden SNHL report spontaneous recovery within 2 weeks, unilateral disease is mostly regarded as a benign condition. Prognosis for recovery is dependent on a number of factors, including patient age, presence of vertigo at onset, degree of hearing loss, and time between onset of hearing loss and treatment. The pathology of sudden SNHL remains unclear. However, a series of factors, including viral infections, microcirculatory disorders, autoimmune disorders, and labyrinthine hemorrhage, have been proposed as causative factors. Different treatment regimens like antioxidants, corticosteroids, vasodilators, hyperbaric oxygen (HBO), or carbogen therapy have been described. Among these approaches, steroid treatment is the most common. |
| カテゴリ | 神経系疾患 |
| ネットワーク | - |
| 病因遺伝子 | - |
| 病原体 | - |
| 環境要因 | - |
| 発癌物質 | - |
| 治療薬 | バトロキソビン [DR:D03352] |
| コメント | - |
| リンク | ICD-11: AB51.1 ICD-10: H91.2 MeSH: D003639 |
| 文献 | PMID:27460341 著者 Ergun Tasdoven G, Derin AT, Yaprak N, Ozcaglar HU タイトル The place of hyperbaric oxygen therapy and ozone therapy in sudden hearing loss. 雑誌 Braz J Otorhinolaryngol 83:457-463 (2017) DOI:10.1016/j.bjorl.2016.06.002 PMID:27014454 著者 Lamm H, Muller-Kortkamp C, Warnecke A, Pohl F, Paasche G, Lenarz T, Stolle SR タイトル Concurrent hyperbaric oxygen therapy and intratympanic steroid application as salvage therapy after severe sudden sensorineural hearing loss. 雑誌 Clin Case Rep 4:287-93 (2016) DOI:10.1002/ccr3.510 PMID:26568939 著者 Arjun D, Neha G, Surinder K S, Ravi K タイトル Sudden Sensorineural Hearing Loss; Prognostic Factors. 雑誌 Iran J Otorhinolaryngol 27:355-9 (2015) DOI:10.22038/IJORL.2015.4782 PMID:27064040 著者 Li FJ, Wang DY, Wang HY, Wang L, Yang FB, Lan L, Guan J, Yin ZF, Rosenhall U, Yu L, Hellstrom S, Xue XJ, Duan ML, Wang QJ タイトル Clinical Study on 136 Children with Sudden Sensorineural Hearing Loss. 雑誌 Chin Med J (Engl) 129:946-52 (2016) DOI:10.4103/0366-6999.179791 |