Patient: She was wearing a hearing aid, and two days ago she had a bad stomach and was vomiting. Is there a better way to treat her? Is a quick return possible? Yin Shankai, Department of Otolaryngology, Shanghai Sixth People’s Hospital: Sudden deafness is a common disease in otology, and the incidence in children under 12 years of age is rarely reported. It requires routine otologic examination and related tests to exclude deafness caused by external ear, middle ear, central nerve and trauma. The onset of the disease is usually preceded by a significant history of colds, mumps, fatigue, noise exposure, or may be of unknown origin. Viral infections may be the main cause of deafness, since children and adolescents are less likely to suffer directly from blood circulation disorders. It may be accompanied by vertigo and tinnitus. There are various treatment options, such as hormones, antiviral drugs, Dongling enzyme, hyperbaric oxygen therapy, low-molecular dextrose, and nerve-nourishing drugs. The selection of the specific plan varies according to the patient’s own condition and the specialized examination. Since the possible causes and triggers cannot be identified in many cases, treatment is often blind, and sudden deafness has a high tendency to heal on its own, so the efficacy is difficult to evaluate. The outcome and prognosis are extremely dependent on the time from onset to the initial diagnosis (duration of the disease), the degree of hearing loss (starting hearing level before treatment), whether the onset is accompanied by vertigo, and the pre-treatment audiogram pattern. Since hearing is particularly important for the child’s life, treatment should not be given up easily and should be extended appropriately to improve or restore the child’s hearing as much as possible. Each hospital’s has its own advantages and treatment experience. You can review the hearing after one week of treatment to observe the efficacy. Patient: I saw a report about neurological deafness on the Internet a few days ago, saying that it can be cured with microwave therapy. Yin Shankai, Department of Otolaryngology, Shanghai Sixth People’s Hospital: Microwave radiation heats up quickly and has strong penetration into human tissues. As mentioned in the previous answer, the efficacy and prognosis of various treatment methods are extremely dependent on the time from onset to initial diagnosis (duration of disease), the degree of hearing loss (pre-treatment starting hearing level), whether the onset is accompanied by vertigo, and the pre-treatment audiogram pattern. The choice of a treatment plan is based on the patient’s condition and a comprehensive assessment of the patient’s symptoms. The effectiveness of any treatment is determined by the patient’s condition. Patient: My child has recovered almost as much as before. Thank you. Can nerve deafness be treated and cured? Does your hospital have a better way? Yin Shankai, Department of Otolaryngology, Shanghai Sixth People’s Hospital: Have you done brainstem threshold, otoacoustic emission, MRI examination, etc. to clarify the nature and degree of hearing loss and whether there are organic lesions? What tests were done to determine the nature and degree of hearing loss? Is neurological deafness unilateral or bilateral? What is the effect of hearing aids? How is the child’s speech development? Nerve deafness can be improved by hearing aids or cochlear implants, and then the child’s residual hearing function or artificial hearing function can be fully developed through auditory and speech training. However, the original auditory conduction pathway abnormality still exists and cannot be restored to normal levels. The patient: NGT brainstem auditory evoked potential test report Bilateral 110dbspl short sound stimulation, only the right ear V-wave differentiation, latency delay; left ear no response wave differentiation bilateral vestibular aqueduct mild edema is the brain CT examination with hearing aids should not be a problem, but the sound is a little non-standard Shanghai Sixth People’s Hospital, Department of Otolaryngology Yin Shankai: neurological deafness can be achieved by wearing The child’s residual hearing function or artificial hearing function can be brought into full play through hearing aids and speech training. Considering that the child’s pronunciation is not standard, if the parents need it, they can be examined and evaluated by professionals in the relevant field to see if they need auditory and speech training.