Sudden Hearing Loss: Causes, Recovery Chances, and Treatment Insights - Otolaryngology

Share to:

The recovery rate for sudden sensorineural hearing loss?


My mother is 70 years old and suddenly lost hearing in her right ear.
On the same day, a doctor diagnosed her with sudden sensorineural hearing loss and recommended hospitalization.
She was prescribed medication to take at home, but I urged her to go for inpatient treatment quickly, and she ended up being admitted the next day.
Is there still a chance for recovery after a one-day delay? She reports that her right ear is completely deaf (uncertain about the decibel level) and has some tinnitus, but no other discomfort.
Prior to the onset of symptoms, she had a slight cold, and it's unclear if a viral infection caused this.
I would like to ask: 1.
What are the causes of sudden sensorineural hearing loss? 2.
For someone over 70 like my mother, who does not have dizziness or other discomfort, what are the chances of recovery from sudden hearing loss? 3.
Are there any similar cases with treatment histories that can be referenced?

Aries, 70~79 year old female. Ask Date: 2023/04/19

Dr. Zheng Jueyi reply Otolaryngology


Hello, 1.
The most common cause of sudden hearing loss is often related to viral infections, although the exact reason is usually unknown.
2.
Approximately 70% of cases of sudden sensorineural hearing loss experience some degree of hearing improvement, with half of these achieving complete recovery and the other half showing only partial improvement.
3.
Since there is still a chance for hearing improvement within 3 to 6 months, it is recommended to continue outpatient follow-up and treatment.

Reply Date: 2023/04/19

More Info


Sudden hearing loss (SHL) is a condition that can be alarming, especially when it occurs suddenly and without warning, as in the case of your mother. Understanding the causes, recovery chances, and treatment options is crucial for managing this condition effectively.

1. Causes of Sudden Hearing Loss: The exact cause of sudden hearing loss is often unknown, but several potential factors have been identified. Viral infections are one of the most common suspected causes, particularly if there were symptoms of a cold or flu preceding the hearing loss, as you mentioned about your mother. Other possible causes include vascular issues, autoimmune diseases, trauma to the ear, and exposure to loud noises. In some cases, it may be linked to stress or changes in the inner ear. It is important to note that the underlying cause can significantly affect the treatment and recovery process.

2. Recovery Chances for Older Adults: The prognosis for sudden hearing loss varies widely. Studies suggest that approximately 70% of patients experience some degree of recovery, with about half of those achieving complete restoration of hearing. However, age can be a factor in recovery; older adults, such as your mother at 70, may have a lower chance of complete recovery compared to younger individuals. The absence of dizziness or other symptoms can be a positive sign, as it may indicate that the inner ear structures are less likely to be severely affected. However, the delay in seeking treatment—one day in your mother’s case—can impact recovery chances. Generally, the sooner treatment begins, the better the outcomes.

3. Treatment and Case Studies: Treatment for sudden hearing loss often involves corticosteroids to reduce inflammation and swelling in the inner ear, which can help restore hearing. The effectiveness of treatment may diminish the longer the delay in starting it, so it is crucial to follow up with an otolaryngologist (ENT specialist) as soon as possible. In some cases, additional treatments such as hyperbaric oxygen therapy or antiviral medications may be considered, depending on the suspected cause.

There are numerous case studies and anecdotal reports of individuals experiencing sudden hearing loss and subsequently recovering, particularly when treatment is initiated promptly. For instance, a study published in the Journal of the American Medical Association (JAMA) indicated that patients who received corticosteroid treatment within two weeks of onset had significantly better outcomes compared to those who started treatment later.
In conclusion, while your mother’s situation is concerning, there is still hope for recovery. It is essential to ensure she receives appropriate medical care as soon as possible. Continuous follow-up with her healthcare provider will be crucial in monitoring her condition and adjusting treatment as necessary. Encourage her to report any changes in her symptoms, and consider discussing the potential benefits of hearing aids or other assistive devices if her hearing does not fully recover. Early intervention and ongoing support can make a significant difference in managing sudden hearing loss.

Similar Q&A

Understanding Sudden Hearing Loss: Causes, Treatments, and Recovery Options

Hello doctor, recently my father went to the hospital because he couldn't hear out of his left ear. The examination results indicated "ear stroke." The doctor only mentioned to keep observing, and that he might regain his hearing if he's lucky, but in the wors...


Dr. Xu Jiazhen reply Otolaryngology
Hello: The term "ear stroke" is a common expression; the correct medical term is sudden sensorineural hearing loss. It is generally recommended to seek treatment within two weeks for a better response. This condition is not significantly related to environmental factors...

[Read More] Understanding Sudden Hearing Loss: Causes, Treatments, and Recovery Options


Understanding Sudden Hearing Loss: Causes and Insights

I am a hearing-impaired patient and would like to ask why I suddenly lost my hearing. What could be the causes of this sudden hearing loss, and what factors can lead to a previously functional ear suddenly losing its hearing?


Dr. Jian Huangqi reply Otolaryngology
Hearing loss of more than three frequencies exceeding 30 decibels within three days is referred to as sudden deafness. For detailed information, please refer to the ENT website of Taipei Veterans General Hospital.

[Read More] Understanding Sudden Hearing Loss: Causes and Insights


Understanding Sudden Hearing Loss: Causes, Concerns, and Solutions

Dear Doctor: A friend of mine suddenly lost hearing in both ears over a decade ago for unknown reasons. To this day, their hearing has not returned, and although they use hearing aids, communication with others remains challenging. Recently, as they are considering marriage, they...


Dr. Xu Jiazhen reply Otolaryngology
Hello, Ms. Han: Regarding your friend's issue, it depends on whether the sudden hearing loss in both ears occurred over a decade ago or if there has been a gradual decline in hearing. If it is the latter, it could be due to aging or otitis media; however, if it is the former...

[Read More] Understanding Sudden Hearing Loss: Causes, Concerns, and Solutions


Understanding Sudden Hearing Loss: Treatment Options and Recovery Insights

Hello! I am a patient who has been suffering from sudden sensorineural hearing loss for nearly two years. I have seen many doctors and have been taking medication, but there hasn't been significant improvement in my hearing. The constant noise in my ears persists. Does this ...


Dr. Xu Jiazhen reply Otolaryngology
Hello, in response to your question. The golden period for treating sudden sensorineural hearing loss is approximately one month. If it exceeds one month, the treatment effects are not significant, as the auditory nerve itself is damaged, and there is no "stellate ganglion b...

[Read More] Understanding Sudden Hearing Loss: Treatment Options and Recovery Insights


Related FAQ

Sudden Deafness

(Otolaryngology)

Hearing Impairment

(Otolaryngology)

Tinnitus

(Otolaryngology)

Hearing Nerve Damage

(Otolaryngology)

Inner Ear Imbalance

(Otolaryngology)

Dizziness

(Otolaryngology)

Lymphadenitis

(Otolaryngology)

Speech Disorder

(Otolaryngology)

Eardrum Rupture

(Otolaryngology)

Post-Surgery

(Otolaryngology)