Diagnosis, differential diagnosis, and treatment for sudden sensorineural hearing loss: Current otolaryngology practices in China

被引：5
|
作者：
Chen, Nishan [1 ]
Karpeta, Niki [2 ]
Ma, Xin [1 ]
Ning, Xianhui [3 ]
Liu, Xiaoling [4 ]
Song, Jijun [5 ]
Jiang, Zigang [6 ]
Ma, Xiulan [7 ]
Liu, Xiuli [8 ]
Zhong, Shixun [9 ]
Sun, Qing [10 ]
Liu, Jun [11 ]
Chen, Ganggang [12 ]
Duan, Maoli [13 ]
Yu, Lisheng [1 ]
机构：
[1] Peking Univ, Peoples Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China
[2] Karolinska Univ, Dept Otolaryngol Head & Neck Surg, Solna, Sweden
[3] Zhongshan Hosp, Dept Otolaryngol Head & Neck Surg, Shanghai, Peoples R China
[4] Inner Mongolia Peoples Hosp, Dept Otolaryngol, Hohhot, Inner Mongolia, Peoples R China
[5] Zhoukou Cent Hosp, Dept Otolaryngol, Zhoukou, Peoples R China
[6] First Hosp Qinhuangdao, Dept Otolaryngol, Qinhuangdao, Peoples R China
[7] Sheng Jing Hosp, Dept Otolaryngol Head & Neck Surg, Shenyang, Peoples R China
[8] Dalian Med Univ, Affiliated Hosp 1, Dept Otolaryngol, Dalian, Peoples R China
[9] Chongqing Med Univ, Affiliated Hosp 1, Dept Otolaryngol, Chongqing, Peoples R China
[10] Peoples Liberat Army Gen Hosp, Med Ctr 3, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China
[11] Chinese Peoples Liberat Army Gen Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China
[12] Shanxi Med Univ, Hosp 1, Dept Otolaryngol Head & Neck Surg, Taiyuan, Peoples R China
[13] Karolinska Inst, Dept Clin Sci Intervent & Technol, Stockholm, Sweden
来源：
FRONTIERS IN NEUROLOGY | 2023年 / 14卷
关键词：
sudden sensorineural hearing loss (SSNHL); otolaryngologists; corticosteroids (CS); survey questionnaire; hospital grade; differential diagnosis; INTRATYMPANIC STEROID-THERAPY; INNER-EAR; TRIPLE-BLIND; INJECTION;
D O I：
10.3389/fneur.2023.1121324
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
IntroductionAlthough sudden sensorineural hearing loss (SSNHL) has been attempted to be understood for 70 years, diagnosis and treatment strategies still have strong heterogeneity worldwide, which are reflected in the guidelines issued by countries and the clinical practice of otolaryngologists. MethodsQuestionnaires were sent to registered otolaryngologists nationwide via an online questionnaire system. We investigated the current views and clinical practices of otolaryngologists in mainland China about the diagnosis, examination, and treatment strategies of SSNHL. ResultsMost otolaryngologists supported diagnostic classification via audiograms. Regional economic situation and hospital grade affected application strategies for differential diagnosis. Regarding corticosteroid therapy, 54.9% of respondents opted to discontinue the drug 5 days after systemic administration. Both intratympanic therapy and post-auricular injections were selected by more than half of the respondents as initial and salvage treatments. DiscussionChinese otolaryngologists exhibit heterogeneity in clinical practices for SSNHL, including distinct approaches to combination therapy and local application of steroids. This study pointed out Chinese doctors' similarities, differences, and unique strategies in diagnosing and treating SSNHL and analyzed the possible reasons to help the world understand the current otolaryngology practices in China.
引用
收藏
页数：11
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