ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Comorbid Diabetes Mellitus Type II, Hypercholesterolemia May Predict Pure-Tone Average Improvements in ISSNHL Patients

by Amy Hamaker • January 12, 2016

  • Tweet
  • Email
Print-Friendly Version

Do comorbid diseases significantly affect the prognosis of idiopathic sudden sensorineural hearing loss (ISSNHL)?

Background: ISSNHL is usually defined as a loss of greater than 30 dB of hearing sensitivity in three contiguous frequencies in less than three days. Several studies have discussed the presumed prognostic factors of ISSNHL, and many ISSNHL medical risk factors have been proposed. Reports on the effect of these major comorbidities on ISSNHL prognosis contain contradictions, however.

You Might Also Like

  • Type 1 Diabetes Can Impact Auditory Dysfunction
  • Eosinophilic Esophagitis, CRS Show Associations as Comorbid Conditions
  • ESS Provides Better QOL for CRS Patients with Comorbid Migraine
  • Geometric Variables Can Help Predict Subglottic Stenosis Patients Who Need Surgical Intervention
Explore This Issue
January 2016

Study design: Retrospective cohort study of 781 patients newly diagnosed with ISSNHL and treated with the steroid prednisolone in a tertiary referral center between January 2003 and December 2013.

Setting: Chi Mei Medical Center, Yongkang District, Tainan City, Taiwan.

Synopsis: Seven comorbid major diseases (diabetes mellitus type II [DM], hypertension [HTN], coronary artery disease [CAD], hypercholesterolemia [Hch], cerebrovascular disease [CVD], chronic kidney disease [CKD], and anemia) were examined. The initial pure-tone average (PTA) of the affected ear at ISSNHL onset was calculated for all 781 patients. Major PTA improvements occurred in 345 patients, moderate improvements in 139, and minor improvements in 297. Major word recognition score (WRS) improvements occurred in 460 patients, moderate improvements in 248, and minor improvements in 83. The pretreatment PTA was significantly different for patients of different ages and with different comorbidities. The pretreatment PTA mean was significantly higher in patients older than 65 years old than in those from 12 to 64 years old and in patients with comorbid HTN and Hch. There was a significantly higher probability of a major PTA improvement for better pretreatment hearing, less treatment delay time, and no comorbid DM, and a significantly higher probability of a major to moderate PTA improvement for better pretreatment hearing, less treatment delay time and no comorbid Hch. We found no significant effect of the comorbid diseases on the probability of a major or moderate WRS improvement. One limitation was a varied follow-up period after the initiation of ISSNHL treatment.

Bottom line: Comorbid DM or Hch may indicate a smaller probability of major or moderate PTA improvement for patients with ISSNHL.

Citation: Lin CF, Lee KJ, Yu SS, Lin YS. Effect of comorbid diabetes and hypercholesterolemia on the prognosis of idiopathic sudden sensorineural hearing loss. Laryngoscope. 2016;126:142-149.

Filed Under: Literature Reviews, Otology/Neurotology Tagged With: clinical, comorbid diseases, diabetes mellitus type II, hypercholesterolemia, ISSNHL, Otology, outcome, PTAIssue: January 2016

You Might Also Like:

  • Type 1 Diabetes Can Impact Auditory Dysfunction
  • Eosinophilic Esophagitis, CRS Show Associations as Comorbid Conditions
  • ESS Provides Better QOL for CRS Patients with Comorbid Migraine
  • Geometric Variables Can Help Predict Subglottic Stenosis Patients Who Need Surgical Intervention

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Vertigo in the Elderly: What Does It Mean?
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.