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Updated: May 4, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
[Clinical features of sudden hearing loss in children]
Xiaoya Wang1, Renzhong Luo1, Yanqiu Chen1
1Deparrment of Otolaryngology, Guangzhou Women and Children's Medical Center, Guang-zhou, 510623, China.
Insights
Sudden hearing loss in children often has a clear cause and severe presentation, with most cases showing poor prognosis despite treatment. CT scans are recommended to rule out inner ear malformations.
Area of Science:
- Pediatric Otolaryngology
- Auditory Medicine
- Diagnostic Imaging
Context:
- Sudden hearing loss (SHL) in children is a critical condition requiring prompt evaluation.
- Etiologies and prognostic factors in pediatric SHL are not fully elucidated.
- This study focuses on the clinical characteristics and outcomes of SHL in hospitalized children.
Purpose:
- To investigate the clinical features and prognosis of sudden hearing loss in children.
- To guide clinical diagnosis and treatment strategies for pediatric SHL.
- To identify potential underlying causes and associated symptoms.
Summary:
- A retrospective review of 12 children (21 ears) with SHL revealed a mean age of 6.28 years, with 75% experiencing bilateral hearing loss.
- Common etiologies included upper respiratory infections (6 cases), mumps (2 cases), trauma (1 case), ototoxic drug use (1 case), and large vestibular aqueduct syndrome (5 cases).
- Profound hearing loss was prevalent (14 ears), and the overall effective treatment rate was low (33.3%), indicating a generally poor prognosis.
Impact:
- Highlights the need for comprehensive evaluation, including CT scans, to detect inner ear malformations in children with SHL.
- Emphasizes the severe nature of pediatric SHL and its often unfavorable outcomes.
- Informs clinical practice regarding the diagnosis and management of sudden hearing loss in pediatric populations.
Objective:
To investigate the clinical features and prognosis of sudden hearing loss in children, so that to guide clinical diagnosis and treatment.
Method:
A retrospective review of medical records of 12 hospitalized children (21 ears) suffering from sudden hearing loss was conducted.
Result:
The study comprised 8 males and 4 females with a mean age of 6.28 years old, among which 25% had a unilateral hearing loss and 75% exhibited bilateral hearing loss. The mean onset time was 5.42 days. Four children had tinnitus and 3 patients showed dizziness. For the possible etiology. 2 cases had mumps. 6 cases had definite upper respiratory infections history, one experienced trauma, and another one took ototoxic drugs. Five patients were proved to come down with the large vestibular aqua duct syndrome by the CT scan. Among the 21 ears. 7 ears were diagnosed severe hearing loss and 14 ears were diagnosed profound hearing loss. After the treatment of 7 days, 6 ears were cured, one car showed effective change. and 14 cars came out to be ineffective, with the total effective rate of 33.3%. After the 14 days' treatment, there was no improvement for 5 patients.
Conclusion:
CT scan should he performed on all of the children with hearing loss to exclude the inner ear malformation. Most of the children with sudden hearing loss underwent some clear etiology, showing more severe hearing loss and had a poorer prognosis.
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