The management of sudden sensorineural hearing loss during COVID-19 pandemic

Paweł Rozbicki1, Jacek Usowski1, Jacek Siewiera2

  • 1Department of Otolaryngology and Laryngological Oncology with Clinical Department of Cranio-Maxillofacial Surgery, Military Institute of Medicine - National Research Institute, Warsaw.

Insights

The COVID-19 pandemic delayed treatment for Sudden Sensorineural Hearing Loss (SSNHL) and altered patient symptoms. This study highlights significant changes in SSNHL care and presentation during the pandemic.

Area of Science:

  • Otolaryngology
  • Epidemiology
  • Public Health

Background:

  • The COVID-19 pandemic presented challenges to healthcare systems globally.
  • Epidemiological restrictions impacted healthcare access and patient-reported symptoms for Sudden Sensorineural Hearing Loss (SSNHL).

Purpose of the Study:

  • To compare the timing of treatment initiation for SSNHL.
  • To analyze differences in reported symptoms among SSNHL patients before and during the COVID-19 pandemic.

Main Methods:

  • A survey was conducted with 34 SSNHL patients treated between October 1, 2021, and December 31, 2021.
  • Data collected included symptom presentation, comorbidities, and time to pharmacotherapy and hyperbaric oxygen therapy.
  • Results were compared with historical data from January 2017 to December 2019.

Main Results:

  • Patients during the pandemic experienced significantly longer delays in receiving pharmacotherapy (12.08 days) and hyperbaric oxygen therapy (17.5 days) compared to pre-pandemic (5.41 and 8.29 days, respectively).
  • A notable difference in the number and type of symptoms reported by SSNHL patients was observed between the two periods.

Conclusions:

  • The COVID-19 pandemic significantly impacted the management and clinical presentation of SSNHL.
  • Delayed treatment and altered symptomatology suggest potential links between SARS-CoV-2 and SSNHL, possibly exacerbated by pandemic-related healthcare access issues.

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