STUDY OF HEARING OUTCOMES IN SUDDEN SENSORINEURAL HEARING LOSS TREATED WITH TISSUE PLASMINOGEN ACTIVATOR (TPA)
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 36
Abstract
Sudden Sensorineural Hearing Loss (SSHNL) is a clinical condition that requires immediate management. There are many treatment options, which may not always revert the hearing to normal. Not only recording the degree of hearing loss, but also establishing the concurrent dysfunction of saccule by VEMP has facilitated a new approach to treatment strategy. Recombinant tissue Plasminogen Activator ((rtPA) proved its efficacy in stroke and subsequently considered an option in the management of ISSNHL. The current study, conducted at different centres, on 15 patients utilized rtPA. The results showed a promising trend when saccular pathology is also evident by VEMP in association with Hearing loss. We recommend use of rtPA as primary modality in cases of ISSNHL with Saccular involvement.
Authors and Affiliations
Rama Krishna Tirumalabukkapatnam, Jagannatha Prasad B. , Jyothi Ramakrishna, Khalsa Gurbeer Kaur, Syeda Ayesha, Devika Shere
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