Talk:Sensorineural hearing loss

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I'm not a doctor. But from what I've read on pubmed, it is not true, that SSHL has to be treated with steroids. We don't know how many different forms of SSHL exist, what their main causes are and what really is effective. Shah et al 2004 Steroid-treating is common practice Ahmed et al 2004, to say that SSHL has to be treated like this does not seem to be based on seriously controlled studies. Wei et al 2006 SSHL is not regarded by some authors as an "emergency". Charrier et al 2005 The spontanous healing rate of SSHL without any treatment is very high Zadeh et al 2003, which might make statistics and controlling difficult as you need many patients to prove any effect. There is one study that claimed that even Magnesium had a better effect than steroids Nageris et al 2004. There are still a couple of studies that find a link between high dose steroid treatment Slattery et al 2005, Narozny et al 2004 Chen et al 2003 or early referral to treatment Rassin et al 2005 and recovery after SSHL.

Have a look at the page at the NIDCD to get a resume of this.

Indeed, there is no scientific evidence for the effectiveness of steroids against sudden sensorineural hearing loss: http://dx.doi.org/10.1002/14651858.CD003998.pub2 --84.134.235.171 05:40, 18 July 2006 (UTC)

Shouldn't this information be mentioned in the article (tnat steroid use has been attempted and there is a lack of scientific evidence for its effectiveness), rather than having all mention of steroids deleted? —Pengo 06:58, 18 July 2006 (UTC)

I agree. --Abgeknallter Problembaer 11:46, 19 July 2006 (UTC)

According to Japanese baseball magazine "Shuukan（Weekly） Baseball", when So debuted, his manager, Shozo Doi instructed him so hard that he became neurosis when throwing, and sensorineural hearing loss from stress. However, because he had a strong arm, he moved to play outfield. - 11:29, 26 October 2007 (ET) —Preceding unsigned comment added by 69.120.7.24 (talk)

[edit] A few issues

I have a few issues with this article:

The article states that noise damage will occur at high levels (>90dB) and begins at 4kHz. I don't think these points are clear or particularly accurate. Later on it seems to clarify these points more precisely (and very well), but may leave the reader feeling there is a contradiction.

It states that presbyacusis affects the hearing in the 4-8kHz region, this is not true, it typically affects this region first, but will very often go on to affect all of the speech frequencies.

It states that Menieres Disease affects the low frequencies (250-1kHz) - this is typically the most affected frequencies, but the loss is often not restricted to these frequencies, especially in the later stages.

It mentions adenoid enlargement, this does not cause a sensorineural HL; it does say this, to be fair, but it should be in the conductive HL section.

It also mentions otosclerosis, but this again is primarily a conductive HL, and the explanation of a "hardening" of the stapes is, I think, wrong; it is due to a bony growth on the stapes causing a fixation of the stapes onto the oval window. —Preceding unsigned comment added by 81.159.138.215 (talk) 01:05, 30 January 2008 (UTC)

Thanks for the comments. If you have any references to back these comments up it would be good (WP:V). Pgr94 (talk) 10:34, 30 January 2008 (UTC)

On further research, these points are expounded,and hopefully referenced, in the Wiki articles on otosclerosis, menieres disease and noise induced hearing loss. --86.148.60.22 (talk) 23:33, 3 February 2008 (UTC)