The concept of sudden deafness, how to treat it and the timing of treatment?

1. What is sudden deafness?
Sudden deafness (sudden deafness) is a kind of sudden sensorineural deafness of unknown cause, also known as violent deafness. Guofang Guan, Department of Otolaryngology, Head and Neck Surgery, Second Hospital of Jilin University
It has an acute onset and rapid progression, and the treatment effect is directly related to the time of consultation, so it should be considered as an otologic emergency. At present, acute vascular obstruction and viral infection are mostly considered as the common causes of this disease. Deafness may appear instantaneously or may peak rapidly within hours or days, mostly unilaterally, but also in both ears, with tinnitus, and in some cases with vertigo. Early treatment can lead to better results.
The age of onset is 50-60 years. However, along with the development of technology, the possibility of sudden deafness occurring in young people due to high work pressure and short rest time is also very high, and the age of onset of sudden deafness is now trending younger.
 
Treatment.
(i) General treatment Patients should be hospitalized as much as possible, with bed rest and limited water and salt intake. (b) Nutritional neurological drugs should be administered early with vitamin B1, vitamin B12, and energy synergists (ATP, coenzyme A, cytochrome C). (C) vasodilators. (D) early application of hormonal drugs is more effective, including dexamethasone, etc. (v) Hyperbaric oxygen therapy (vi) The role of physiotherapy microwave therapy to improve microcirculation in the inner ear.
(vii) With acupuncture point injection
 
 
 
2. What is the best time to treat sudden deafness?
The onset of deafness is rapid, the progress is fast, and the treatment effect is directly related to the time of consultation, so it should be regarded as an otologic emergency. The time of treatment is the earlier the better. It is best to treat it within two weeks. Treatment beyond one month is extremely ineffective and can be considered almost ineffective. Delayed treatment will result in permanent hearing loss.
Therefore, once deafness and tinnitus appear, you should immediately draw your attention to it and go to the hospital to receive specialized examination, so as not to delay the effective period of treatment and regret it for the rest of your life.