Sudden hearing loss accompanied by tinnitus, be careful of deafness!

"These two days did not rest well, in the middle of the night when turned over feel the eyes of the world.
"" ears buzz and can't hear when you answer the phone.
"" at first tinnitus did not care, and then began to affect hearing.
" encounter such a scene, many people feel that is too tired in the near future, more rest will be good.
, however, don't take it lightly - sudden hearing loss, especially with symptoms such as tinnitus, ear tightness, dizziness or dizziness, can be sudden deafness.
many people do not pay much attention to the oncology of the disease, resulting in delays in treatment, resulting in deafness and other serious consequences.
in the clinical diagnosis and treatment of otolaryngology, sudden deafness is a common disease, but it has a significant negative impact on the quality of life and mental mood of patients.
1, 40 years of age and older are prone to sudden onset deafness, also known as idynaeic sudden deafness, refers to the sudden appearance of 72 hours, unexplained hearing loss.
, the annual incidence of sudden deafness has gradually increased, to about 5-30 per 100,000 people.
most sudden deafness is one-sided deafness, and the incidence of two-sided deafness is only 2%.
patients who fail to pay attention to hearing abnormalities and see a doctor in a timely manner, the loss of hearing is not only difficult to recover, the condition may continue to deteriorate, developing into severe hearing loss or deafness.
from the outpatient treatment situation, sudden deaf patients to 40 to 60 years old middle-aged and elderly, mostly accompanied by high blood pressure, diabetes and other chronic diseases.
modern working stress, lack of sleep and poor eating habits have also led to a younger age for the disease, and we've even seen teenage high school students.
present, 90% of sudden deafness has not yet been identified, but through many years of clinical research, considering the incidence is closely related to the following factors: psychosocial factors, endotol vascular lesions, viral infections and so on.
generally believe that mental stress, mood swings, sleep disorders, irregular life, etc. may be the main causes of sudden deafness.
patients with hypertension, diabetes, hyperlipidemia and other diseases, the risk of sudden deafness will be relatively high.
2, why deafness can be accompanied by tinnitus and vertigo sudden deafness in addition to hearing loss, may also be accompanied by tinnitus, dizziness, nausea and other symptoms.
tinnitus can sometimes appear as the first symptom because sudden deafness is a sensory neurone deafness whose lesions occur in neural pathways associated with the perception of sound.
, deafness are important manifestations of hearing nerve abnormalities, so they often appear with each other.
some patients may be confused, why is deafness accompanied by dizziness? In fact, our ears are not only organs that listen to sound, but also sensors that control the body's balance.
, when the ear is sick, it not only causes hearing loss, but also causes a feeling disorder in balance, which can lead to dizziness.
, deafness and tinnitus and vertigo symptoms are often closely linked.
3, it is important to distinguish it from the following common diseases, it is important to note that sudden deafness does not exhibit vertigo specificity, that is, it may be confused with some diseases with similar symptoms.
is also the reason why we remind patients to visit in a timely manner, through professional medical methods to check, so as not to delay diagnosis and treatment.
, sudden deafness accompanied by vertigo can easily be confused with the following diseases.
brain diseases such as cerebral infarction, cerebral hemorrhage and other brain lesions, can be manifested as nausea, vomiting, visual rotation and other symptoms of sudden deafness, such deadly diseases need to be treated in a race against time.
, patients with the above symptoms, especially those with chronic diseases such as hypertension and diabetes, should give priority to neurology and exclude brain disease.
is a benign tumor that grows on the hearing nerve between the ear and the brain.
as the tumor grows, it gradually compresses the surrounding important structure, which can lead to hearing loss on the same side, which can be accompanied by tinnitus or dizziness.
that their symptoms are easily confused with sudden deafness, an MRI examination of the ear is needed to make a clear diagnosis.
otolaryngology and Meniere diseases are the most common vertigo-causing diseases in the otolaryngology, and when sudden deafness is combined with both, complex clinical symptoms can be shown, leading to difficult identification.
, also known as benign vertigo, manifests itself as a brief rotation of the visual object and is associated with a change in the position of the head, usually when you turn around, get up, or bow your head.
test is the "gold standard" for diagnosing ear stone disease, and reset therapy is the most effective treatment.
symptoms of Meniere's disease are recurrent dizziness accompanied by a loss of volatile hearing, which means that hearing decreases during the onset of the disease and can be partially or completely restored during the interval.
for patients with sudden deafness combined with vertigo symptoms, doctors usually rule out the above-mentioned diseases before making a diagnosis.
4, 7 days after the treatment effect significantly decreased in daily life, once the sudden loss of hearing, should be treated as soon as possible, screening the cause.
sudden deafness is not irreversible, it is possible to cure, the efficacy and treatment time, age of onset, hearing loss and other factors are closely related.
"time window" for the treatment of sudden deafness, the medical profession is divided.
the more consistent view is that the earlier you intervene, the better.
most studies have concluded that the effectiveness of treatment > 7 days after the onset of treatment is significantly reduced.
we have encountered some patients due to work abroad, outbreaks and other reasons, six months after the onset of illness to seek help, after active rescue treatment, hearing recovery is limited.
, even if you think that a week of treatment is the best, because of individual differences, does not mean that more than this time is completely useless, or recommend active treatment.
general, patients need to improve the following examination items after the visit.
Ear examination: the aim is to eliminate otitis media, perforation of the tyrannosaur and other ear diseases that may lead to hearing loss; hearing examination: to clarify the extent and type of hearing loss; imaging examination: mainly for internal hearing magnetic resonance or cranial CT examination to rule out hearing neuroma and cranial encephalopathy;
5, the preferred hormone drug treatment clinically, for sudden deafness commonly used treatment methods have many, the preferred drug treatment.
hormone therapy: glucoticoids as a first-line drug for the treatment of sudden deafness, the effect has been internationally recognized, can be administered by oral, intravenous or drum chamber injections.
, but the use of hormones in diabetics can lead to elevated blood sugar, which should be closely monitored and controlled during treatment.
Nutritional neuropritical drug therapy: Jinnado (Ginkgo biloba extract injection), methylcobalamin, neurotrophic factors, antioxidants and other drugs, mainly used in the brain, end nerve blood supply disorders, with the effect of improving blood microcirculation and nutrient nerves.
, blood hemodiotherapy and hyperbaric oxygen therapy are also performed.
Blood hemorrhage therapy for some patients with sudden deafness with endotolary vascular lesions (vascular spasms or thrombosis), baroenzyme this drug has the effect of inhibiting thrombosis, dissolving thrombosis, but in the application process may have a risk of bleeding, so it is necessary to monitor blood clotting function.
hyperbaric oxygen therapy usually needs to be used in a joint application with other treatments, and hyperbaric oxygen therapy has its strict adaptive and taboo conditions, which need to be evaluated by a professional before starting treatment.
treatment process, if the hearing can be fully restored can consider stopping the drug, for the ineffective person can be appropriately extended treatment time.
who are not satisfied with the final treatment results can choose to have hearing aids or cochlear implants depending on the degree of hearing loss.
, the earlier the treatment was started, the younger the onset of the disease, and the less deafness, the better the prognosmation.
Sometimes, sudden deafness is only one of the clinical manifestations of many systemic diseases, the treatment of deafness alone may not cure the disease, but also need to pay attention to change the bad lifestyle, maintain relaxed mood, as well as high blood pressure, diabetes and other diseases to regulate the management.
(Otolaryngologist, Chaoyang Hospital, Beijing)