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  1. Home
  3. The Effect Of Aging On Hearing Outcomes After Sudden Sensorineural Hearing Loss (ssnhl): A Retrospective Study.
  1. Home
  3. The Effect Of Aging On Hearing Outcomes After Sudden Sensorineural Hearing Loss (ssnhl): A Retrospective Study.

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The effect of aging on hearing outcomes after sudden sensorineural hearing loss (SSNHL): A retrospective study.

Jelena Vukelic1, Diana Marzic1, Anja Liovic2

  • 1Department of Audiology and Phoniatrics, Clinical Hospital Center Rijeka, Kresimirova 42, 51000, Rijeka, Croatia; University of Rijeka Faculty of Medicine, Brace Branchetta 20, 51000, Rijeka, Croatia.

Archives of Gerontology and Geriatrics
|June 13, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Age impacts hearing recovery in sudden sensorineural hearing loss (SSNHL). While not a significant independent factor, younger patients generally experience better outcomes, emphasizing early treatment for improved hearing gain.

Keywords:
AgingContralateral ear thresholdHearing outcomeSudden sensorineural hearing loss

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Area of Science:

  • Otolaryngology
  • Audiology
  • Gerontology

Background:

  • Sudden sensorineural hearing loss (SSNHL) is an otologic emergency requiring prompt management.
  • The influence of patient age on hearing recovery following SSNHL treatment remains an area of interest.

Purpose of the Study:

  • To investigate the effect of aging on hearing outcomes in patients treated for SSNHL.
  • To identify factors influencing hearing recovery in SSNHL patients across different age groups.

Main Methods:

  • Retrospective analysis of 106 SSNHL patients, divided into younger (<65 years) and older (≥65 years) cohorts.
  • Evaluation of hearing outcomes, including absolute hearing gain, and correlation with age, sex, treatment timing, Hyperbaric Oxygen Therapy (HBOT), audiogram type, and contralateral ear thresholds.
  • Development of a multivariate logistic regression model to predict hearing outcomes.

    • Main Results:

    • No statistically significant difference in treatment outcomes between age groups (p = 0.053), yet younger age correlated with better recovery.
    • A significant negative correlation was found between age and absolute hearing gain (r = -0.296, p < 0.05).
    • Early treatment (p < 0.01), normal contralateral ear threshold (p < 0.05), symptom duration (p < 0.05), and intratympanic therapy (p < 0.05) were significant predictors of hearing outcomes.

    Conclusions:

    • Early treatment initiation is a critical predictor of successful hearing recovery in SSNHL.
    • While age did not reach statistical significance as an independent predictor, its association with better outcomes and contribution to model fit underscore its clinical relevance.
    • Personalized treatment strategies considering age and emphasizing timely intervention are crucial for managing SSNHL.