You had no problem going to bed the night before, but when you woke up, you realized you couldn't hear in one ear. And even a sound that you have difficulty describing cannot go away from your ears. You say, 'Should I say noise or ringing?' What should we do, is there any need to panic, should we go to a doctor immediately, or should we wait a while for it to go away? Let's take a look at what we know about 'Sudden hearing loss', which we call 'Idiopathic sudden sensorineural hearing loss' in medical language.
Sudden hearing loss, by definition, develops suddenly or progressively within three days. It is a health problem characterized by hearing loss of 30 dB or more in at least three consecutive frequencies in audiological examination (hearing test). We call it a health problem because this disorder is not a disease in itself, but rather a condition that can occur as the first symptom of many different diseases. Although many researchers, including me, have published hundreds of clinical and experimental studies on this subject since it was first described more than 70 years ago, there is still no consensus on the exact cause, course of the disease and treatment. The fact that more than 50 treatment methods have been described in the literature so far must be an objective indicator of this confusion. why not. Some of the information we have gives us peace of mind. The first of these is that approximately half of these patients recover spontaneously, without the need for any treatment. Secondly, with appropriate treatment methods, hearing can be returned to previous levels in the majority of patients who do not recover spontaneously. maya. The point that needs to be underlined is that it is necessary to know that sudden loss of hearing is an emergency situation. In the words of our former teachers, 'Sudden hearing loss is an infarction of the ear.' Therefore, it would be appropriate to contact an Ear, Nose and Throat Specialist as soon as it is noticed. Symptoms of sudden hearing loss felt by the patient are: ringing in the ears, decreased hearing, feeling of fullness or fullness in the ear, There may be >dizziness or a feeling of imbalance. Of course, these symptoms may also occur due to much more common and simpler pathologies such as external ear canal inflammation or the accumulation of ear secretions in the external auditory canal (earwax, wax, plug). When 'Sudden Hearing Loss' is detected through a hearing test in a patient presenting with one or more of these symptoms, studies on diagnosis and treatment methods are started immediately. Although today we have advanced, detailed examination opportunities such as inner ear tomography and magnetic resonance imaging, no cause can be determined in 90% of these patients. It has been shown in various experimental studies that such hearing losses, the cause of which cannot be found, are due to previous viral upper respiratory tract infections, vascular problems or pathologies affecting the immune system. From this point on, patients are hospitalized to be treated with a group of drugs, especially steroids (cortisone). While steroid treatment can be administered systemically, intra-ear applications can also be performed successfully. The current main treatment approach is the systemic and intra-aural administration of steroids. Contains the ace. Combined use of blood thinning drugs, blood enhancing drugs and immune system strengthening drugs may also be possible.
I wish you all healthy hearing…
Prof.Dr. This article, written by Haldun OĞUZ, was published in the February 2007 issue of Volume magazine and was edited for the haldunoguz.com website in August 2015.
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