Sudden Hearing Loss: Steroid Injections and Recovery Time - Otolaryngology

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Sudden hearing loss can be a distressing experience, especially when it occurs unexpectedly, as in the case of your father. The symptoms he is experiencing, such as the sensation of "bubbles" in the ear and subsequent hearing loss, may indicate a condition known as sudden sensorineural hearing loss (SSNHL), which can sometimes be associated with inner ear issues, including what is colloquially referred to as "ear stroke."
The use of steroid injections is a common treatment for sudden hearing loss, particularly when the cause is believed to be inflammatory or related to vascular issues in the inner ear. Steroids can help reduce inflammation and potentially restore hearing by improving blood flow to the affected area. However, the effectiveness of this treatment can vary significantly from person to person.

In your father's case, it is concerning that he experienced pain after the injection and then subsequently lost all hearing in that ear. While some patients may notice improvement in their hearing within a few days of receiving a steroid injection, others may not see any change until a week or more has passed. It is important to note that the timeline for recovery can differ based on the underlying cause of the hearing loss, the severity of the condition, and how quickly treatment was initiated.

Regarding the "golden period" for treatment, it is generally accepted that the sooner treatment is started after the onset of symptoms, the better the chances for recovery. Many experts suggest that treatment should ideally begin within the first two weeks of experiencing sudden hearing loss. However, there is still some debate in the medical community about the exact timeframe, and some patients may still respond positively to treatment even after this period.

If your father has not experienced any improvement in his hearing after three days post-injection, it is crucial to follow up with his healthcare provider as scheduled. The doctor may decide to administer a second injection or explore other treatment options, depending on his assessment of the situation. It is also essential to monitor for any additional symptoms, such as dizziness or tinnitus, which could indicate further complications.

In terms of what to expect after a steroid injection, some patients may experience temporary side effects, such as discomfort or a sensation of fullness in the ear, which can be normal. However, if the hearing loss persists or worsens, it is vital to communicate this to the healthcare provider promptly.

In summary, while steroid injections can be effective for treating sudden hearing loss, the response can vary widely among individuals. It is essential to maintain open communication with the healthcare provider and to adhere to follow-up appointments to ensure that your father receives the best possible care. If there are any concerns about his condition or the treatment's effectiveness, do not hesitate to seek further medical advice.