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Updated: Mar 25, 2026
Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
[Prognostic factors of sudden sensorineural hearing loss in children]
Insights
Sudden sensorineural hearing loss in children often presents as severe or profound. Early treatment and specific factors like mild initial loss, unilateral cases, and female sex improve recovery chances.
Area of Science:
- Pediatric Otolaryngology
- Audiology
- Neurology
Background:
- Sudden sensorineural hearing loss (SSNHL) in children is a critical condition requiring prompt diagnosis and management.
- Understanding recovery rates and prognostic factors is essential for effective clinical guidance.
Purpose of the Study:
- To analyze the recovery rate of SSNHL in pediatric patients.
- To identify prognostic factors influencing hearing recovery in children with SSNHL.
Main Methods:
- Retrospective review of 101 children (113 ears) diagnosed with SSNHL over a 5-year period.
- Analysis of eight potential prognostic factors and hearing recovery based on predefined criteria.
Main Results:
- The overall recovery rate was 36.3%, with a complete recovery rate of 9.7%.
- Factors significantly associated with better hearing recovery included mild initial hearing loss, earlier treatment initiation, female sex, and unilateral involvement.
- Severe and profound hearing loss were common initial presentations.
Conclusions:
- SSNHL in children, though often severe, can be improved with timely and appropriate treatment.
- Mild hearing loss, early intervention, unilateral cases, and female gender are positive prognostic indicators.
- Tinnitus, vertigo, and audiological test results (ABR, DPOAE) did not significantly impact prognosis.
Objective:
The aim of this retrospective study was to analyze the recovery rate of sudden sensorineural hearing loss in children, and explore the prognostic factors in order to guide the clinical diagnosis and treatment.
Method:
A retrospective review was conducted for the prognosis of children with sudden sensorineural hearing loss during the past 5 years (from November 2010 to May 2015) in Chinese PLA General Hospital. This paper have a complete clinical data of 101 patients (113 ears)with sudden hearing loss, ranging from 0 to 18 years old Patients were divided into four groups according to hearing recovery and eight putative prognostic factors were analyzed.
Result:
Among 101 patients (113 ears), the ratio of male and female was 60:53. Treatment was initiated from 1 to 183 days after disease onset, with an average of (18.5 ± 22.1) d. Bilateral and unilateral hearing loss were 24 ears and 89 ears, respectively. The proportion of mild hearing loss, moderate hearing loss, severe hearing loss and profound hearing loss were 7.1%, 6.2%, 23.9% and 62.8%, respectively. Vertigo and tinnitus occurred in 54.9% and 77.9% of the patients, respectively. After the treatment, the complete recovery rate was 9.7% and the overall recovery rate was 36.3%. The degree of hearing loss, earlier treatment onset, sex and bilateral involvement were significantly associated with hearing recovery (P < 0.05).
Conclusion:
Sudden sensorineural hearing loss in children was generally identified as severe and profound hearing loss, but after positive and timely treatment, it can be improved or even cured. The mild hearing loss, earlier treatment onset, unilateral hearing loss and female were positive prognostic factors. The concurrence of tinnitus or vertigo, the results of ABR and DPOAE had no significant influence on prognosis.
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