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KMID : 1040020220130020099
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International Journal of Pain
2022 Volume.13 No. 2 p.99 ~ p.102
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Successful Hearing Recovery after Stellate Ganglion Block in a Patient Who Failed to Respond to Systematic and Intratympanic Steroid Injection: A New Approach to Salvage Therapy for Sudden Sensorineural Hearing Loss
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Kim Ji-Young
Seo Jae-Hyun
Kim Chang-Jae
Ro Ho-Jun
Kim Lib
Lee Hyun-Joon
Park Hue-Jung
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Abstract
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Sudden sensorineural hearing loss (SSNHL) is a common otolaryngologic emergency. In natural history of SSNHL, spontaneous resolutions have been reported in 32-65% in previous studies. However, hearing loss as a sequelae may remain for some patients, which is devastating. Therefore, when first-line therapy fails to SSNHL patients, necessity of salvage therapy could be emphasized. 36-year-old woman presented to our clinic. The patient has not responded to oral and intratympanic steroid therapy. Her initial audiogram revealed the patient is experiencing sensorineural hearing loss. We performed stellate ganglion block (SGB) under ultrasound. After two sessions of SGB, the patient experienced subjective recovery of SSNHL and recovery of audiogram. SGB could be attempted to the refractory SSNHL patients who failed to recover spontaneously or responded by primary therapy such as intratympanic or systemic steroids.
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KEYWORD
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hearing loss, nerve block, stellate ganglion, sympathetic nerve block
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Listed journal information
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