돌발성 난청에서 스테로이드 초치료군과 재치료군의 성적 비교 (Comparison of the Results between the First Steroid Treatment Group and the Retreatment Group with Idiopathic Sudden Sensorineural Hearing Loss)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 62권 / 12호 / 681 ~ 685페이지
· 저자명 : 고재범, 김창회, 조기헌, 이환호, 권재환

초록

Background and Objectives Sudden sensoryneural hearing loss (SSNHL) is an otologicalemergency disease of a non-specific cause. If there is no improvement or if the degree of hearingloss is severe, patients are often referred to other medical institution. Many papers havereported regarding the treatment results of SSNHL, however, most of them failed to mentionthe fact that patients were referred from other clinics after steroid treatment. This paper wouldlike to compare the treatment results between patient groups who had been referred followingsteroid treatment and those who received steroid treatment for the first time.
Subjects and Method We retrospectively analyzed 127 patients from January 2015 to August2017. Patients who received steroid treatment for the first time were classified as group 1;those who had received steroid treatment at another hospital and those who were re-treatedwere classified as group 2. The treatment results of each group were evaluated.
Results According to the results of this study, the recovery rates for group 1 and 2 were66.7% and 31.4%, respectively.
Conclusion Most of the previous studies on the treatment results of sudden hearing losswere performed in tertiary medical institutions. It is likely that the treatment results of patientswho recovered after treatment in the primary and secondary medical institutions weremissed, which means that the results of steroid therapy may be better than those reported previously.

영어초록

Background and Objectives Sudden sensoryneural hearing loss (SSNHL) is an otologicalemergency disease of a non-specific cause. If there is no improvement or if the degree of hearingloss is severe, patients are often referred to other medical institution. Many papers havereported regarding the treatment results of SSNHL, however, most of them failed to mentionthe fact that patients were referred from other clinics after steroid treatment. This paper wouldlike to compare the treatment results between patient groups who had been referred followingsteroid treatment and those who received steroid treatment for the first time.
Subjects and Method We retrospectively analyzed 127 patients from January 2015 to August2017. Patients who received steroid treatment for the first time were classified as group 1;those who had received steroid treatment at another hospital and those who were re-treatedwere classified as group 2. The treatment results of each group were evaluated.
Results According to the results of this study, the recovery rates for group 1 and 2 were66.7% and 31.4%, respectively.
Conclusion Most of the previous studies on the treatment results of sudden hearing losswere performed in tertiary medical institutions. It is likely that the treatment results of patientswho recovered after treatment in the primary and secondary medical institutions weremissed, which means that the results of steroid therapy may be better than those reported previously.

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