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Updated: Jan 23, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
09:44

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss

Published on: January 25, 2016

19.8K

SCORE risk scale as a prognostic factor after sudden sensorineural hearing loss

Ana Sousa Menezes1, Daniela Ribeiro2, António Lima2

  • 1Department Of Otorhinolaryngology-Head and Neck Surgery, Hospital De Braga, Sete Fontes, São Victor, 4710-243, Braga, Portugal. ana4644@gmail.com.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|June 22, 2019
PubMed

Insights

Cardiovascular risk factors (CVRF) may influence sudden sensorineural hearing loss (SSHL) outcomes. This study found no significant link between the SCORE risk scale and hearing recovery in SSHL patients with CVRF.

Area of Science:

  • Otolaryngology
  • Cardiology
  • Public Health

Background:

  • Sudden sensorineural hearing loss (SSHL) is an urgent condition with unknown etiology and challenging prognosis.
  • Cardiovascular risk factors (CVRF) are suspected contributors to SSHL pathogenesis.

Purpose of the Study:

  • To apply the Systematic Coronary Risk Evaluation (SCORE) scale in SSHL patients.
  • To assess the prognostic value of the SCORE scale for hearing recovery in SSHL patients with CVRF.

Main Methods:

  • Prospective analysis of SSHL patients receiving protocol treatment (IV corticosteroids and intratympanic injections).
  • Assessment of demographic, audiometric, clinical, and imaging data.
  • Application of the SCORE scale and comparison of audiometric recovery across risk groups.

Main Results:

  • Overall complete and partial recovery rates were 35.9% and 26%, respectively.
  • Over half of patients had at least one CVRF (most common: overweight/obesity, hyperlipidemia, hypertension).
  • Patients with CVRF and higher SCORE risk showed higher initial hearing loss and worse outcomes, though not statistically significant.

Conclusions:

  • The SCORE scale's validity for predicting hearing recovery in SSHL patients with comorbidities could not be confirmed in this preliminary study.
  • Larger studies are needed to clarify SSHL etiology and the role of CVRF in its pathophysiology.
Abstract

Keywords:
Cardiovascular risk factorsSCORE risk scaleSudden sensorineural hearing loss

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