Author/Editor		Spindler, Majda; Rokavec, Alenka
Title		Rezultati zdravljenja akutne naglušnosti v letih 1993-1999
Translated title		Sudden deafness: results of treatment from 1993 to 1999
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 3
Publication year		2000
Volume		str. 341-4
Language		slo
Abstract		Sudden deafness is defined as sensorineural hearing loss of unknown etiology that develops over a period of hours or a few days. The severity of hearing loss may vary from mild impairment to total loss. The loss may be permanent or hearing may spontaneously return to normal or nearly normal. 175 patients with unilateral idiopathic sudden deafness who visited this clinic one to 30 days after the onset of deafness were studied during the period 1993-1999. The patients were treated with an intravenous drip infusion of a corticosteroid, a vasodilator and vitamin B for five days. The majority of them were hospitalised. The relationship between therapy, interval from the onset, age, tinitus, vertigo and prognosis was investigated. No significant difference in prognosis was found between the number of days from the onset of sudden deafness and the age of patients. Poor initial hearing and vertigo are bad prognostic signs. The prospects for recovery were better if the hearing loss was mild. Our findings are similar to most findings reported in previous papers.
Summary		Nenadna naglušnost je zaznavna (senzorinevralna) naglušnost neznanega vzroka, ki nastane v nekaj urah do nekaj dneh. Naglušnost je lahko komaj zaznavna, srednja, lahko pa pride do popolne izgube sluha. Izguba je lahko trajna, sluh pa se lahko tudi spontano povrne na normalo ali skoraj do normale. Pregledali smo 175 bolnikov z enostransko nenadno naglušnostjo, ki so obiskali naš oddelek v letih 1993-1999. Od nastanka naglušnosti do prvega pregleda je minilo od enega do trideset dni. Zdravljeni so bili pet dni z infuzijo kortikosteroida, vazodilatatorja in vitamina B, večina je bila sprejeta v bolnišnico. Primerjali smo napoved poteka naglušnosti glede na zdravljenje, glede na čas, ki je pretekel od nastanka težav, glede na starost, zvonenje v ušesih (tinitusa) in vrtoglavico. Napoved poteka se ni bistveno razlikovala glede na starost in čas, ki je pretekel od začetka zdravljenja. Pri slabšem sluhu in vrtoglavici je bila napoved poteka slabša, pri manjši izgubi sluha pa je bila boljša. Naši rezultati so se ujemali z večino rezultatov drugih avtorjev.
Descriptors		DEAFNESS, SUDDEN SLOVENIA TREATMENT OUTCOME HEARING LOSS, SENSORINEURAL ADRENAL CORTEX HORMONES VITAMIN B COMPLEX PROGNOSIS