Penatalaksanaan Acute Low-tone Sensorineural Hearing Loss

Jenny Tri Yuspita Sari✉, Jacky Munilson, Rossy Rosalinda
DOI: https://doi.org/10.25077/mka.v42.i1.p22-30.2019

Abstract

Acute Low-tone Sensorineural Hearing Loss (ALHL) merupakan ketulian mendadak sensorineural pada nada rendah dengan penyebab yang tidak diketahui secara jelas (idiopatik) dan tidak disertai dengan keluhan vertigo. Tujuan: Melaporkan ALHL sebagai salah satu kegawatdaruratan di bagian telinga hidung tenggorok bedah kepala dan leher (THT-KL) yang memerlukan tindakan penanganan yang cepat. Diagnosis dini dan penatalaksanaan segera pada kasus ALHL dapat meningkatkan angka kesembuhan dan menurunkan risiko ketulian permanen pada pasien. Kasus: Dilaporkan seorang  pasien perempuan 22 tahun dengan diagnosis Acute Low-tone Sensorineural Hearing Loss telinga kanan. Pasien datang dengan keluhan telinga berdengung, telinga terasa penuh, penurunan pendengaran tanpa disertai dengan pusing berputar. Pasien diberikan terapi kombinasi kortikosteroid dengan terapi tambahan lainnya dan menunjukkan perbaikan komplit dalam 2 minggu terapi. Simpulan: Pemberian terapi yang cepat dan tepat (terapi inisial) dapat memberikan perbaikan yang maksimal pada pasien dengan ALHL. Evaluasi  terapi awal sangat berpengaruh terhadap prognosis jangka panjang pasien  ALHL, terutama evaluasi pada satu bulan pertama.

Keywords

acute low-tone sensorineural hearing loss; idiopatik; vertigo; kortikosteroid; terapi inisial

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References

Hong SK, Nam SW, Lee H, Koo JW, Kim DH, Kim DR, et al. Clinical Observation on Acute Low-Frequency Hearing Loss Without Vertigo: The Role of Cochlear Hydrops Analysis Masking Procedure as Initial Prognostic Parameter. Ear Hear. 2013; 34:229-35. doi: 10.1097/AUD.0b013e31826a1cae.

Noguchi Y, Nishida H, Kawashima Y, Tokano H, Kitamura K. Comparison of acute low-tone sensorineural hearing loss versus meniere’s disease by electrocochleography. Ann Otol Rhinol Laryngol. 2004; 113(3 Pt 1):1-5. doi: 10.1177/000348940411300304.

Shimono M, Teranishi M, Yoshida T, Kato M, Sano R, Otake H, et al. Endolymphatic Hydrops Revealed by Magnetic Resonance Imaging in Patients With Acute Low-Tone Sensorineural Hearing Loss. Otol Neurotol. 2013; 34:1241-6. doi: 10.1097/MAO.0b013e3182990e81.

Sato H, Kuwashima S, Nishio S, Kitoh R, Fukuda S, Hara A, et al. Epidemiological survey of acute low-tone sensorineural hearing loss. Acta Otolaryngol. 2017; 137(sup565):S34-S37. doi: 10.1080/00016489.2017.1297538.

Oishi N, Inoue Y, Saito H, Kanzaki S, Kohno N, Ogawa K. Long term prognosis of low frequency hearing loss and predictive factors for the 10 years outcome. Otolaryngol Neck Surg. 2010; 142(4):565-9. doi: 10.1016/j.otohns.2009.12.006.

Fushiki H, Junicho M, Aso S, Watanabe Y. Recurrence Rate of Idiopathic Sudden Low-Tone Sensorineural Hearing Loss Without Vertigo: A Long-Term Follow-Up Study. Otol Neurotol. 2009; 30(6):295-8.

Yoshida T, Sone M, Kitoh R, Nishio SY, Ogawa K, Kanzaki S, et al. Idiopathic sudden sensorineural hearing loss and acute low-tone sensorineural hearing loss : a comparison of the results of a nationwide epidemiological survey in Japan. Acta Otolaryngol. 2017; 137(sup565):S38-S43. doi: 10.1080/00016489.2017.1297539.

Choi HG, Park KH, Seo JH, Kim DK, Yeo SW, Park SN. Clinical and Audiologic Characteristics of Acute Low-Tone Sensorineural Hearing Loss: Therapeutic Response and Prognosis. Korean J Audiol. 2011; 15(1):8-13.

Morita S, Suzuki M, Iizuka K. A Comparison of the Short-Term Outcome in Patients with Acute Low-Tone Sensorineural Hearing Loss. ORL J Otorhinolaryngol Relat Spec. 2010; 72(6):295-9. doi: 10.1159/000314695.

Roh KJ, Lee EJ, Park AY, Choi B Il, Son EJ. Long-Term Outcomes of Acute Low-Tone Hearing Loss. J Audiol Otol. 2015; 19(2):74-8. doi: 10.7874/jao.2015.19.2.74.

Fuse T, Hayashi T, Oota N, Fukase S, Asano S, Kato T, Aoyagi M. Immunological responses in acute low-tone sensorineural hearing loss and Ménière's disease. Acta Otolaryngol. 2003; 123(1):26-31.

Chang J, Yum G, Im H, Jung JY, Rah YC, Choi J. Short-Term Outcomes of Acute Low-Tone Sensorineural Hearing Loss According to Treatment Modality. J Audiol Otol. 2016; 20(1):47-52. doi: 10.7874/jao.2016.20.1.47.

Jung AR, Kim MG, Kim SS, Kim SH, Yeo SG. Clinical characteristics and prognosis of low frequency sensorineural hearing loss without vertigo. Acta Otolaryngol. 2016; 136(2):159-63. doi: 10.3109/00016489.2015.1094824.

Fuse T, Aoyagi M, Funakubo T, Sakakibara A, Yoshida S. Short-Term Outcome and Prognosis of Acute Low-Tone Sensorineural Hearing Loss by Administration of Steroid. ORL J Otorhinolaryngol Relat Spec. 2002; 64(1):6-10. doi: 10.1159/000049079.



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