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[Sudden deafness in the elderly]

I Kawabata1, M Yagi, T Kawashima

  • 1Department of Otolaryngology, Saitama Medical Center, Saitama Medical School.

Nihon Jibiinkoka Gakkai Kaiho
|February 1, 1994
PubMed
Summary
This summary is machine-generated.

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Sudden deafness in older adults often involves profound hearing loss and co-existing presbycusis. Steroid treatment can improve hearing in over half of cases, but outcomes are best judged against the unaffected ear's hearing level.

Area of Science:

  • Otolaryngology
  • Geriatrics
  • Audiology

Context:

  • Sudden deafness (SD) is a critical condition affecting the elderly, often with pre-existing hearing loss.
  • Investigating clinical features and treatment outcomes in patients over 60 is crucial for geriatric audiology.
  • Presbycusis is a common comorbidity impacting the assessment of sudden deafness treatment efficacy.

Purpose:

  • To analyze the clinical characteristics of sudden deafness in patients aged 60 and above.
  • To evaluate the effectiveness of medical treatments, including steroids, for sudden deafness in the elderly.
  • To determine the influence of the unaffected ear's hearing status on treatment outcomes for sudden deafness.

Summary:

  • This study examined 64 elderly patients with sudden deafness, revealing 75% had profound hearing loss.

Related Experiment Videos

  • Audiograms showed varied patterns, with most patients experiencing hearing impairment in the unaffected ear, often presbycusis.
  • Medical treatment, primarily steroids, improved or cured hearing in 55% of cases, though outcomes were often limited by the unaffected ear's hearing threshold.

    • Impact:

    • Highlights the high prevalence of profound hearing loss and presbycusis in elderly patients with sudden deafness.
    • Demonstrates the potential benefit of steroid treatment for sudden deafness in older adults, with careful consideration for comorbidities like diabetes.
    • Emphasizes the importance of assessing the unaffected ear's hearing status to accurately judge treatment effectiveness in elderly patients with sudden deafness.