Improvement in word recognition following treatment failure for sudden sensorineural hearing loss

Objectives: Patients with sudden sensorineural hearing loss (SSNHL) may have word recognition scores (WRS) that correlate with pure tone average (PTA). We hypothesize that there is a subset of patients with SSNHL who have improved WRS despite stable PTA. Methods: Retrospective case review at a terti...

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Autores principales: Taha A. Jan, Elliott D. Kozin, Vivek V. Kanumuri, Rosh K. Sethi, David H. Jung
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2016
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Acceso en línea:https://doaj.org/article/c0976bfa6c644752a06547e217bd373a
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spelling oai:doaj.org-article:c0976bfa6c644752a06547e217bd373a2021-12-02T13:33:57ZImprovement in word recognition following treatment failure for sudden sensorineural hearing loss2095-881110.1016/j.wjorl.2016.06.002https://doaj.org/article/c0976bfa6c644752a06547e217bd373a2016-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881116300348https://doaj.org/toc/2095-8811Objectives: Patients with sudden sensorineural hearing loss (SSNHL) may have word recognition scores (WRS) that correlate with pure tone average (PTA). We hypothesize that there is a subset of patients with SSNHL who have improved WRS despite stable PTA. Methods: Retrospective case review at a tertiary otolaryngology practice. Results: We identified 13 of 113 patients with SSNHL whose WRS increased despite overall stable pure tone averages. There was an observed average improvement in WRS by 23.8 points in this patient cohort at follow-up, with mean initial PTA in the affected ear at 48.7 dB. Conclusions: We identify a novel cohort of SSNHL patients that have failed treatment as measured by PTA, but who have increased WRS over time. These data have implications for patient counseling and lend insight into the pathophysiology of SSNHL. Keywords: Sensorineural hearing loss, Sudden sensorineural hearing loss, Word recognition score, Pure tone averageTaha A. JanElliott D. KozinVivek V. KanumuriRosh K. SethiDavid H. JungKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 2, Iss 3, Pp 168-174 (2016)
institution DOAJ
collection DOAJ
language EN
topic Otorhinolaryngology
RF1-547
Surgery
RD1-811
spellingShingle Otorhinolaryngology
RF1-547
Surgery
RD1-811
Taha A. Jan
Elliott D. Kozin
Vivek V. Kanumuri
Rosh K. Sethi
David H. Jung
Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
description Objectives: Patients with sudden sensorineural hearing loss (SSNHL) may have word recognition scores (WRS) that correlate with pure tone average (PTA). We hypothesize that there is a subset of patients with SSNHL who have improved WRS despite stable PTA. Methods: Retrospective case review at a tertiary otolaryngology practice. Results: We identified 13 of 113 patients with SSNHL whose WRS increased despite overall stable pure tone averages. There was an observed average improvement in WRS by 23.8 points in this patient cohort at follow-up, with mean initial PTA in the affected ear at 48.7 dB. Conclusions: We identify a novel cohort of SSNHL patients that have failed treatment as measured by PTA, but who have increased WRS over time. These data have implications for patient counseling and lend insight into the pathophysiology of SSNHL. Keywords: Sensorineural hearing loss, Sudden sensorineural hearing loss, Word recognition score, Pure tone average
format article
author Taha A. Jan
Elliott D. Kozin
Vivek V. Kanumuri
Rosh K. Sethi
David H. Jung
author_facet Taha A. Jan
Elliott D. Kozin
Vivek V. Kanumuri
Rosh K. Sethi
David H. Jung
author_sort Taha A. Jan
title Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_short Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_full Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_fullStr Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_full_unstemmed Improvement in word recognition following treatment failure for sudden sensorineural hearing loss
title_sort improvement in word recognition following treatment failure for sudden sensorineural hearing loss
publisher KeAi Communications Co., Ltd.
publishDate 2016
url https://doaj.org/article/c0976bfa6c644752a06547e217bd373a
work_keys_str_mv AT tahaajan improvementinwordrecognitionfollowingtreatmentfailureforsuddensensorineuralhearingloss
AT elliottdkozin improvementinwordrecognitionfollowingtreatmentfailureforsuddensensorineuralhearingloss
AT vivekvkanumuri improvementinwordrecognitionfollowingtreatmentfailureforsuddensensorineuralhearingloss
AT roshksethi improvementinwordrecognitionfollowingtreatmentfailureforsuddensensorineuralhearingloss
AT davidhjung improvementinwordrecognitionfollowingtreatmentfailureforsuddensensorineuralhearingloss
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