Hearing impairment natural history, complications and prognosis
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Overview
Different factors contribute to prognosis of hearing loss and psychological complications associated with deafness are a big concern for physicians.
Natural History, Complications and Prognosis
Natural History
65% of patients with sudden idiopathic sensorineural hearing loss recover completely within 14 days, independent of any type of medical or surgical treatment. There is a fundamental difference in the behavior of apical and basal cochlea losses recovery and hearing recovery is always better at low than at high frequencies.
Complications
Age-related hearing loss has been associated with[1][2]
- Worse quality of life
- Depression
- Social isolation
- Functional decline
- Fall risk
- Increased hospitalization
- Increase Health care use
- Accelerated Cognitive decline
- Dementia
Prognosis
The prognosis for hearing recovery for idiopathic SSNHL depends on a variety of things including the severity of hearing loss, the shape of the audiogram, age of onset, presence of vertigo, and presence or absence of other risk factors.[3][4]
Prognosis can be predicted according to the slope of the audiogram taken at the start of hearing difficulty (low-frequency losses do better than high-frequency losses), Inflammatory markers, erythrocyte sedimentation rates, hearing at 8 kHz, in some cases, it depends on speech discrimination scores and spatial disorientation symptoms.[5]
References
- ↑ Nieman CL, Oh ES (2020). "Hearing Loss". Ann Intern Med. 173 (11): ITC81–ITC96. doi:10.7326/AITC202012010. PMID 33253610 Check
|pmid=value (help). - ↑ Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E; et al. (2013). "Hearing loss and cognitive decline in older adults". JAMA Intern Med. 173 (4): 293–9. doi:10.1001/jamainternmed.2013.1868. PMC 3869227. PMID 23337978. Review in: Evid Based Nurs. 2014 Apr;17(2):60-1
- ↑ Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC (2011). "Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis". Trends Amplif. 15 (3): 91–105. doi:10.1177/1084713811408349. PMC 4040829. PMID 21606048.
- ↑ Huafeng Y, Hongqin W, Wenna Z, Yuan L, Peng X (2019). "Clinical characteristics and prognosis of elderly patients with idiopathic sudden sensorineural hearing loss". Acta Otolaryngol. 139 (10): 866–869. doi:10.1080/00016489.2019.1641218. PMID 31452421.
- ↑ Mattox DE, Simmons FB (1977). "Natural history of sudden sensorineural hearing loss". Ann Otol Rhinol Laryngol. 86 (4 Pt 1): 463–80. doi:10.1177/000348947708600406. PMID 889223.