Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy

Detalhes bibliográficos
Autor(a) principal: Magalhães, Clara
Data de Publicação: 2014
Outros Autores: Oliveira, Nuno, Lopes, Gustavo, Nakamura, Roberto, Fernandes, Tiago, Rodrigues e Rodrigues, Manuel
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: https://doi.org/10.34631/sporl.435
Resumo: Introduction: The etiopathogenic mechanism of Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) remain unclear. Vascular event or viral infection theories had been suggested. In any case, HBO provides a better cochlear oxygenation and cellular viability after acute lesion.Material and methods: The authors present a retrospective study of the patients with ISSHL who started HBO in Pedro Hispano Hospital (2006-2011). The protocol included 20 sessions with 100% oxygen in hyperbaric chamber at 2,5 atm and for 90 minutes. For analysis we used software SPSS 17.0, with a 0,05 level of significance. We reviewed 347 cases.Results: The average time from complaints until the beginning of HBO was 15,8 days. After failure with corticotherapy and the introduction with HBO we had a hearing recovery of 20 dB, using SRT (Speech Reception Threshold), and the intensity of tinnitus reduced 1,6 points on visual analog scale.Conclusions: This study indicates a statistically significant improvement on audiometric recovery and intensity of tinnitus with use of HBO as salvage therapy.
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spelling Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapySurdez neurossensorial súbita idiopática e acufeno: O papel da oxigenoterapia hiperbáricaHyperbaric Oxygen TherapyIdiopathic Sudden Sensorineural Hearing LossTinnitusOxigenoterapia HiperbáricaSurdez Neurossensorial Súbita IdiopáticaAcufenoIntroduction: The etiopathogenic mechanism of Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) remain unclear. Vascular event or viral infection theories had been suggested. In any case, HBO provides a better cochlear oxygenation and cellular viability after acute lesion.Material and methods: The authors present a retrospective study of the patients with ISSHL who started HBO in Pedro Hispano Hospital (2006-2011). The protocol included 20 sessions with 100% oxygen in hyperbaric chamber at 2,5 atm and for 90 minutes. For analysis we used software SPSS 17.0, with a 0,05 level of significance. We reviewed 347 cases.Results: The average time from complaints until the beginning of HBO was 15,8 days. After failure with corticotherapy and the introduction with HBO we had a hearing recovery of 20 dB, using SRT (Speech Reception Threshold), and the intensity of tinnitus reduced 1,6 points on visual analog scale.Conclusions: This study indicates a statistically significant improvement on audiometric recovery and intensity of tinnitus with use of HBO as salvage therapy.Introdução: A etiopatogenia da Surdez Neurossensorial Súbita Idiopática (SNSSI) é ainda desconhecida, no entanto as teorias mais aceites são a vascular e a vírica. Em qualquer dos casos, a Oxigenoterapia Hiperbárica (OTH) poderá otimizar a viabilidade das células cocleares após lesão aguda.Material e métodos: Os autores apresentam um estudo retrospetivo dos doentes com SNSSI submetidos a OTH na Unidade de Medicina Hiperbárica do Hospital Pedro Hispano (2006-2011). O protocolo de OTH incluiu 20 sessões de Oxigénio a 100% em câmara hiperbárica a 2,5 atmosferas e durante 90 minutos. O trabalho de análise estatística foi realizado com recurso ao software SPSS 17.0, com um nível de significância de 0,05. Foram revistos 347 processos.Resultados: O intervalo de tempo médio entre o aparecimento dos sintomas e o início da OTH foi de 15,8 dias. Os limiares auditivos foram expressos por SRT (Speech Reception Threshold). Nos doentes com falência da terapêutica com corticóide oral e com introdução da OTH como salvage (n = 152) ,verificou-se em média uma melhoria de 20 dB no valor de SRT e diminuição da intensidade do acufeno de 1,6 valores na Escala Visual Analógica (EVA).Conclusão: Este estudo sugere uma melhoria estatisticamente significativa na recuperação auditiva e na intensidade do acufeno com recurso a OTH como tratamento salvage.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2014-12-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.435https://doi.org/10.34631/sporl.435Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 52 No. 4 (2014): Dezembro; 205-210Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 52 Núm. 4 (2014): Dezembro; 205-210Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 52 N.º 4 (2014): Dezembro; 205-2102184-6499reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2727https://journalsporl.com/index.php/sporl/article/view/2727/731Magalhães, ClaraOliveira, NunoLopes, GustavoNakamura, RobertoFernandes, TiagoRodrigues e Rodrigues, Manuelinfo:eu-repo/semantics/openAccess2024-06-06T12:59:56Zoai:journalsporl.com:article/2727Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:54:00.386802Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy
Surdez neurossensorial súbita idiopática e acufeno: O papel da oxigenoterapia hiperbárica
title Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy
spellingShingle Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy
Magalhães, Clara
Hyperbaric Oxygen Therapy
Idiopathic Sudden Sensorineural Hearing Loss
Tinnitus
Oxigenoterapia Hiperbárica
Surdez Neurossensorial Súbita Idiopática
Acufeno
title_short Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy
title_full Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy
title_fullStr Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy
title_full_unstemmed Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy
title_sort Idiopathic sudden sensorineural hearing loss and tinnitus: The role of hyperbaric oxygen therapy
author Magalhães, Clara
author_facet Magalhães, Clara
Oliveira, Nuno
Lopes, Gustavo
Nakamura, Roberto
Fernandes, Tiago
Rodrigues e Rodrigues, Manuel
author_role author
author2 Oliveira, Nuno
Lopes, Gustavo
Nakamura, Roberto
Fernandes, Tiago
Rodrigues e Rodrigues, Manuel
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Magalhães, Clara
Oliveira, Nuno
Lopes, Gustavo
Nakamura, Roberto
Fernandes, Tiago
Rodrigues e Rodrigues, Manuel
dc.subject.por.fl_str_mv Hyperbaric Oxygen Therapy
Idiopathic Sudden Sensorineural Hearing Loss
Tinnitus
Oxigenoterapia Hiperbárica
Surdez Neurossensorial Súbita Idiopática
Acufeno
topic Hyperbaric Oxygen Therapy
Idiopathic Sudden Sensorineural Hearing Loss
Tinnitus
Oxigenoterapia Hiperbárica
Surdez Neurossensorial Súbita Idiopática
Acufeno
description Introduction: The etiopathogenic mechanism of Idiopathic Sudden Sensorineural Hearing Loss (ISSHL) remain unclear. Vascular event or viral infection theories had been suggested. In any case, HBO provides a better cochlear oxygenation and cellular viability after acute lesion.Material and methods: The authors present a retrospective study of the patients with ISSHL who started HBO in Pedro Hispano Hospital (2006-2011). The protocol included 20 sessions with 100% oxygen in hyperbaric chamber at 2,5 atm and for 90 minutes. For analysis we used software SPSS 17.0, with a 0,05 level of significance. We reviewed 347 cases.Results: The average time from complaints until the beginning of HBO was 15,8 days. After failure with corticotherapy and the introduction with HBO we had a hearing recovery of 20 dB, using SRT (Speech Reception Threshold), and the intensity of tinnitus reduced 1,6 points on visual analog scale.Conclusions: This study indicates a statistically significant improvement on audiometric recovery and intensity of tinnitus with use of HBO as salvage therapy.
publishDate 2014
dc.date.none.fl_str_mv 2014-12-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.435
https://doi.org/10.34631/sporl.435
url https://doi.org/10.34631/sporl.435
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2727
https://journalsporl.com/index.php/sporl/article/view/2727/731
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 52 No. 4 (2014): Dezembro; 205-210
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 52 Núm. 4 (2014): Dezembro; 205-210
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 52 N.º 4 (2014): Dezembro; 205-210
2184-6499
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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