Sudden Hearing Loss: Is It Permanent and How to Manage Tinnitus?

Sensorineural hearing loss

Hello Dr.
Cheng: Is sudden hearing loss irreversible? Is there any medication that can improve associated tinnitus? The doctor only prescribed me ginkgo biloba and sedatives, but they seem ineffective.

Yuan Qingxi, 50~59 year old female. Ask Date: 2013/08/20

Dr. Zheng Jueyi reply Otolaryngology

Dear Mr.
Yuan,
Hello.
Sudden sensorineural hearing loss (SSNHL) results in hearing loss, of which approximately 60-70% is recoverable.
However, 30-40% may lead to irreversible hearing loss.
The accompanying tinnitus is often associated with irreversible hearing loss.
Medications may be tried to alleviate tinnitus, but their effectiveness is generally limited.
If medications are not effective, it may be advisable to maintain a regular routine and coexist peacefully with tinnitus.
Wishing you peace and health.
Sincerely,
Dr.
Jue-Yi Cheng
Director, Department of Otolaryngology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2013/08/20

More Info

Sudden hearing loss (SHL) can be a distressing condition, and understanding its nature and management is crucial for those affected. Sudden hearing loss is defined as a rapid loss of hearing, typically occurring over a period of three days or less, and it can affect one or both ears. The causes of SHL can vary widely, including viral infections, vascular issues, autoimmune diseases, and even exposure to loud noises. In some cases, the exact cause remains unknown, which is referred to as idiopathic sudden hearing loss.

Regarding the permanence of sudden hearing loss, it is essential to note that while some individuals may experience complete recovery, others may have lasting effects. The prognosis often depends on the underlying cause, the severity of the hearing loss, and how quickly treatment is initiated. Generally, if treatment is started within the first two weeks of onset, the chances of recovery are significantly higher. Treatments may include corticosteroids to reduce inflammation and swelling in the inner ear, which can help restore hearing in some cases.

As for tinnitus, which is often associated with sudden hearing loss, it can be a challenging condition to manage. Tinnitus is characterized by the perception of noise or ringing in the ears without an external sound source. The relationship between tinnitus and hearing loss is well-established; many individuals with hearing loss experience tinnitus, and it can sometimes be a symptom of the same underlying issue causing the hearing loss.

In terms of medication, while some patients may find relief with supplements like ginkgo biloba or sedatives, these treatments do not work for everyone. The effectiveness of these medications can vary, and scientific evidence supporting their use is limited. Cognitive behavioral therapy (CBT), sound therapy, and tinnitus retraining therapy (TRT) are alternative approaches that have shown promise in helping individuals manage their tinnitus symptoms. These therapies focus on changing the way the brain perceives tinnitus and can help reduce the distress associated with it.

If you feel that the medications prescribed to you, such as ginkgo and sedatives, are not effective, it is essential to communicate this with your healthcare provider. They may consider alternative treatments or refer you to a specialist, such as an audiologist or an ear, nose, and throat (ENT) doctor, who can provide a more comprehensive evaluation and tailored management plan.

In summary, sudden hearing loss can be reversible for some individuals, particularly with prompt treatment. However, it can also lead to permanent changes in hearing. Tinnitus management may require a multifaceted approach, including medication, therapy, and lifestyle changes. If you are experiencing persistent symptoms, it is crucial to seek further evaluation and discuss your concerns with a healthcare professional who can guide you toward the most appropriate treatment options.

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