篇名 | 高壓氧合併耳内注射類固醇治療突發性耳聾的成效 |
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卷期 | 22:2 |
並列篇名 | The Effect of Concurrent Hyperbaric Oxygen Therapy with Intratympanic Steroid Injection in Idiopathic Sudden Sensorineural Hearing Loss |
作者 | 蔡凱喻 、 王家弘 |
頁次 | 132-138 |
關鍵字 | 突發性耳聾 、 高壓氧 、 耳内注射類固醇 、 idiopathic sudden sensorineural hearing loss 、 sudden hearing loss 、 sudden deafness 、 hyperbaric oxygen therapy 、 intratympanic steroid injection 、 TSCI |
出刊日期 | 201803 |
DOI | 10.6320/FJM.201803_22(2).0003 |
突發性耳聾(idiopathic sudden sensorineural hearing loss)指的是3天之内,連續3個聲音頻率,大於 30分貝感音神經性聽力喪失。突發性耳聾的治療主要有3大類型:口服或靜脈注射類固醇、耳内注射類 固醇與高壓氧治療。本病例報告為2017年一至五月連續八位突發性耳聾的患者,在本院接受耳内注射類 固醇合併高壓氧治療,顯示四位在發病兩週内就接受合併治療的病人聽力可恢復81-100°% ;另四位超過 兩週以上再接受合併治療病人聽力的改善只有0-60°%,三位有聽力改善皆在低音頻。其中有一例右耳五 年前失聰患者,再發生左耳突發性耳聾,病發後五天後經左耳耳内注射類固醇合併10次高壓氧治療後, 左耳聽力恢復正常,右耳聽力也有44%的改善。本案例報告顯示耳内注射類固醇合併高壓氧治療對突發 性耳聾值得進一步的研究。
The criteria of Idiopathic sudden sensorineural hearing loss (ISSNHL) is a decrease of hearing larger than 30 decibels (dB), affecting at least 3 consecutive frequencies, occurring within a 72-hour period. The current treatment options include oral or systemic steroid, intratympanic steroid injection (ITS), and hyperbaric oxygen therapy (HBOT). We reported 8 consecutive cases of ISSNHL treated with concurrent HBOT and ITS from January to May 2017. Four cases treated within 2 weeks after the onset of ISSNHL had 81-100% gain of hearing in all frequencies of audiogram. The other four cases treated 2 weeks after the onset of ISSNHL had 0-60% gain in low frequencies of audiogram in three cases. A case with right hearing loss 5 years ago received concurrent left ITS and HBOT 5 days after the onset of left ISSNHL. After 10 sessions of HBOT there were complete recovery of hearing of left ear and 44% gain in low frequencies of audiogram of right ear. The findings of the present study encourage further research on the treatment of ISNHL with concurrent use of HBOT and ITS.