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Sudden deafness: a comparison between age groups.

Wei-Chen Hung1, Kuei-You Lin2,3, Po-Wen Cheng1

  • 1Department of Otolaryngology, Far Eastern Memorial Hospital, New Taipei, Taiwan.

International Journal of Audiology
|March 23, 2021
PubMed
Summary
This summary is machine-generated.

Sudden deafness (SD) affects all ages, but older adults (40-79 years) show better treatment outcomes than younger individuals (0-39 years). Audiographic patterns and causes vary significantly by age group, impacting recovery from sudden deafness.

Keywords:
Sudden deafnessage bandelderlyvestibular-evoked myogenic potential

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Area of Science:

  • Otolaryngology
  • Neurotology
  • Audiology

Background:

  • Sudden deafness (SD) is a complex condition affecting individuals across all age groups.
  • Understanding age-specific etiological factors and treatment responses is crucial for effective management of SD.
  • Previous research has not extensively compared SD across distinct age demographics.

Purpose of the Study:

  • To compare the causes and treatment outcomes of sudden deafness (SD) across different 20-year age bands.
  • To investigate potential differences in audiographic patterns and etiological factors among age groups.
  • To determine if age influences the effectiveness of treatments for sudden deafness.

Main Methods:

  • A retrospective study design was employed.
  • 178 patients with unilateral sudden deafness were categorized into four age groups: 0-19, 20-39, 40-59, and 60-79 years.
  • Inner ear test batteries and serology assays were utilized to assess patients.

Main Results:

  • The incidence of SD relative to overall neurotological cases did not significantly differ across the age groups.
  • Younger groups (0-19 and 20-39 years) exhibited fewer audiographic patterns, suggesting a common etiology, while older groups (40-59 and 60-79 years) displayed more patterns, indicating diverse causes.
  • Hearing improvement rates were significantly higher in the 40-59 (62%) and 60-79 (62%) age groups compared to the 0-19 (16%) and 20-39 (33%) groups.

Conclusions:

  • Sudden deafness impacts all age demographics, with varying audiographic presentations and underlying causes.
  • Age-related differences in etiology and audiographic patterns contribute to disparate treatment outcomes in sudden deafness.
  • Patients aged 40-79 years demonstrated significantly better treatment outcomes for sudden deafness compared to those aged 0-39 years.