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Updated: Apr 17, 2026
Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
Multivariate analysis of prognostic factors for idiopathic sudden sensorineural hearing loss in children
Jae Ho Chung1, Seok Hyun Cho1, Jin Hyeok Jeong1
1Departments of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University, Seoul, South Korea.
Insights
Children with idiopathic sudden sensorineural hearing loss (ISSNHL) show higher recovery rates than adults. Factors like no tinnitus and earlier treatment improve outcomes in pediatric ISSNHL cases.
Area of Science:
- Otolaryngology
- Pediatric Audiology
- Neuroscience
Background:
- Idiopathic sudden sensorineural hearing loss (ISSNHL) is a critical condition affecting hearing.
- Pediatric ISSNHL is less common than adult ISSNHL, necessitating specific research.
- Understanding prognostic factors in children is vital for timely intervention.
Purpose of the Study:
- To evaluate clinical characteristics of pediatric ISSNHL.
- To identify factors associated with hearing recovery in children with ISSNHL.
- To compare pediatric ISSNHL outcomes with adult cases.
Main Methods:
- Retrospective case series comparing 37 pediatric ISSNHL patients with 276 adult ISSNHL patients.
- Analysis of clinical data including demographics, symptoms, and initial hearing thresholds.
- Univariate and multivariate analyses to determine prognostic factors.
Main Results:
- Pediatric patients accounted for 6.6% of all ISSNHL cases.
- Pediatric ISSNHL showed higher overall (57.4%) and complete (46.6%) recovery rates compared to adults.
- Absence of tinnitus, later treatment onset, and higher initial hearing threshold predicted poor prognosis in children.
Conclusions:
- Pediatric ISSNHL generally has a better prognosis than adult ISSNHL.
- Early intervention and symptom management (e.g., presence of tinnitus) are crucial for favorable outcomes in pediatric cases.
Objectives/Hypothesis:
To evaluate clinical characteristics and possible associated factors of idiopathic sudden sensorineural hearing loss (ISSNHL) in children using univariate and multivariate analyses.
Study Design:
A retrospective case series with comparisons.
Methods:
From January 2007 to December 2013, medical records of 37 pediatric ISSNHL patients were reviewed to assess hearing recovery rate and examine factors associated with prognosis (gender; side of hearing loss; opposite side hearing loss; treatment onset; presence of vertigo, tinnitus, and ear fullness; initial hearing threshold), using univariate and multivariate analysis, and compare them with 276 adult ISSNHL patients.
Results:
Pediatric patients comprised only 6.6% of pediatric/adult cases of ISSNHL, and those below 10 years old were only 0.7%. The overall recovery rates (complete and partial) of the pediatric and adult patients were 57.4% and 47.2%, respectively. The complete recovery rate of the pediatric group (46.6%) was higher than that of the adult group (30.8%, P = .040). According to multivariate analysis, absence of tinnitus, later onset of treatment, and higher hearing threshold at initial presentation were associated with a poor prognosis in pediatric ISSNHL.
Conclusions:
The recovery rate of ISSNHL in pediatric patients is higher than in adults, and the presence of tinnitus and earlier treatment onset is associated with favorable outcomes.
Level Of Evidence:
4.
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