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Updated: Jun 5, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
[A systematic review of vasodilators for sudden sensorineural hearing loss]
Meiqun Wang1, Yuehui Liu, Zhaowen Du
1Department of Otolaryngology, Second Affiliated Hospital, Nanchang University, Nanchang 330006, China.
Insights
Current evidence does not support using vasodilators for sudden sensorineural hearing loss (SSNHL). More high-quality trials are needed to determine their true efficacy and safety in treating SSNHL.
Area of Science:
- Otolaryngology
- Pharmacology
- Evidence-Based Medicine
Background:
- Sudden sensorineural hearing loss (SSNHL) is an otologic emergency.
- Vasodilators are sometimes used to treat SSNHL, but their effectiveness is debated.
Purpose of the Study:
- To systematically review and meta-analyze the efficacy and safety of vasodilators for treating SSNHL.
Main Methods:
- A comprehensive literature search was conducted across multiple databases.
- Included randomized controlled trials (RCTs) comparing vasodilators to placebo or other drugs.
- Meta-analysis was performed on homogeneous study data using RevMan software.
Main Results:
- Twenty-eight RCTs met the inclusion criteria.
- Seven studies indicated vasodilators were not more effective than placebo.
- Comparisons between different vasodilators or vasodilators and other drugs yielded no definitive conclusions.
Conclusions:
- Existing evidence does not support the use of vasodilators for SSNHL treatment.
- Further rigorous, randomized, double-blind, placebo-controlled trials are necessary to establish efficacy and safety.
Objective:
To evaluate the efficacy and safety of vasodilators for sudden sensorineural hearing loss.
Method:
Based on the principles and methods of Cocharne Systematic Reviews, we searched the cochrane central register of controlled trials, PubMed, Embase, ISI, the China biological medicine datebase, VIP, CNKI and Wangfang database. Randomized controlled trials about using vasodilators to treat sudden sensorineural hearing loss were included. Meta-analysis was performed for the results of homogeneous studies using RevMan software.
Result:
Twenty eight randomized control trials met the inclusion criteria. Seven studies showed vasodilators was not more effective than placebo. From 14 studies comparing vasodilators with vasodilators and 9 studies comparing vasodilators with other drugs, no definite conclusion could be drawn.
Conclusion:
The evidence currently available does not support the use of vasodilators in the treatment of sudden sensorineural hearing loss. Further randomized, double-blind, placebo-controlled trials are needed in order to define the efficacy and acceptability of vasodilators in the treatment of sudden sensorineural hearing loss.
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