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Updated: Mar 28, 2026
Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
[Clinical comparison of idiopathic sudden deafness in children and the elderly]
Insights
Children with idiopathic sudden hearing loss show higher recovery rates than elderly patients. Tinnitus aids recovery in the elderly, while dizziness indicates poor outcomes in this group.
Area of Science:
- Otolaryngology
- Audiology
- Internal Medicine
Background:
- Idiopathic sudden hearing loss (ISHL) is a common otologic emergency.
- Understanding demographic differences in ISHL presentation and outcomes is crucial for targeted treatment.
Purpose of the Study:
- To compare the clinical manifestations and recovery rates of ISHL in pediatric and elderly populations.
- To identify factors influencing hearing recovery in these distinct age groups.
Main Methods:
- Retrospective analysis of 44 pediatric and 76 elderly patients diagnosed with ISHL.
- Comparison of clinical parameters including hearing loss severity, audiogram patterns, and associated symptoms.
Main Results:
- Profound hearing loss was most common in both groups; recovery rates were higher in children (61.4%) than in the elderly (42.1%).
- In children, descending audiogram patterns showed the highest recovery, while profound patterns had the lowest.
- Tinnitus correlated with favorable outcomes in the elderly, whereas dizziness indicated poor outcomes in this group.
Conclusions:
- Clinical manifestations of ISHL differ significantly between children and the elderly.
- Age is a critical factor influencing ISHL prognosis and treatment response.
Objective:
This retrospective study compared clinical manifestations of idiopathic sudden hearing loss between children and the elderly.
Method:
44 pediatric patients and 76 elderly patients diagnosed with idiopathic sudden deafness in our clinic from December 2009 to September 2014 were enrolled. Different clinical parameters were compared.
Result:
The incidence of initially profound hearing loss was highest and mild hearing loss was lowest in both groups (P < 0.05). There were no differences in the proportion with initially mild, moderate, severe, and profound hearing loss between both groups (P > 0.05). The number of patients was the most in initially profound type of audiogram pattern and the fewest in ascending type in both groups (P < 0.05). Hearing recovery rates in children (27/44, 61.4%) was higher than that in elderly patients (32/76, 42.1%) (P < 0.05). There were no differences in hearing recovery rates of the patients with initially level of hearing loss in both groups (P > 0.05). The highest recovery rate in children was in those with descending type and the lowest was in those with profound type (P < 0.05). There were no differences in hearing recovery rates in elderly patients with initially different types of audiogram pattern (P > 0.05). Hearing recovery rates of descending type in children were higher than that in elderly patients. Presence of tinnitus in pediatric patients was not relavent to the outcome (P > 0.05). Presence of tinnitus in elderly patients was associated with favorable outcomes. (P < 0.05). Presence of dizziness in pediatric patients was not relavent to the outcome (P > 0.05). Presence of dizziness in elderly patients was associated with poor outcomes (P < 0.05). Presence of initially different degrees of opposite side hearing loss in elderly patients was not relavent to the outcome (P > 0.05). Presence of chronic diseases in elderly patients was not associated with the outcome (P > 0.05).
Conclusion:
The clinical manifestion of idiopathic sudden deafness is respective in Children and in elderly patients.
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