Sunday, 6 April 2014

Sudden Sensorineural Hearing Loss (SSHL) By Victoria Gresty



We are all used to seeing people wearing hearing aids. However, until very recently I had absolutely no idea about the medical process behind diagnosing deafness. Although the particular cause of deafness I have researched is actually exceedingly rare, the basic principles of hearing tests and bone conduction are relevant to many causes of deafness. SSHL is so rare in fact that not only had I not even heard of it until I started to do my presentation research but found it very difficult to find information from credible sources about it. One fact that came up time and time again though is that quicker a diagnosis is made and treatment begins more chance a patient has of recovering with limited emotional and medical impact. That is why I feel it is important to raise awareness of this condition.


SSHL is condition where an individual suddenly loses their hearing over a very short period of time, normally ranging from immediate to three days. To diagnose SSHL, a normal hearing test can be performed by a doctor where pure tones of controlled intensity are delivered to the ears one at a time and the minimum intensity needed for the patient to hear the tones are graphed. A device called a bone oscillator is also attached behind the ear to measure mastoid bone conduction.  If the minimum intensity needed for three consecutive 
frequencies is 30 decibels higher than expected, this can be diagnosed as  SSHL.

Bone Oscilator
There is not a single cause of SSHL and very few patients ever know exactly what has caused it for them.  Some of the causes include: trauma, ototoxic drugs (including some antibiotics),Cogan’s syndrome ( a rare disorder where the cornea is often inflammed), Meniere’s disease ( a disorder of the inner ear) or the neurological disease Multiple Sclerosis.


Carbogen inhalation
If doctors can identify a cause for SSHL then they may use steroids, antibiotics or a low salt diet ( a common suggestion for Meniere’s disease patients) to treat them. New treatment however called Carbogen Inhalation has been developed. This treatment seems to increase blood and air flow inside the ear, which is what many researchers think in an underlying cause of SSHL.  However this treatment of inhaled carbon dioxide and oxygen does not work for every patient, even though some patients have recovered from SSHL using this treatment.



This presentation propted a discussion amoungst the members of the society about the treatment of deaf people in society stemming from the idea that none of us could imagine how we would possibly cope if we suddenly lost one of our most vital senses.  Although there are educational and practical provisions and policies in place for deaf students and employees, we were unsure as to how effective these actually are in allowing deaf people the same opportunities as those with full  hearing.

Thankyou for reading my article. If you have any insights or questions please feel free to leave comments below.

Victoria Gresty


 

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