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Case Report Undersea Hyperb Med 2018

Sensorineural hearing loss after spine surgery treated with hyperbaric oxygen therapy: two case reports

Goodrich E, Goodrich R, Reese C — Undersea Hyperb Med, 2018

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers presented two case reports detailing sudden sensorineural hearing loss (SSNHL) in a patient following lumbar spine surgery and in the patient's surgeon, both treated with hyperbaric oxygen therapy and steroids.

What They Found

The operative surgeon, who developed SSNHL from presumed viral pathology, received hyperbaric oxygen therapy and transtympanic steroids 10 days earlier than the patient and showed a better treatment response. The patient developed acute idiopathic sudden sensorineural hearing loss (ISSNHL) after lumbar spine surgery, a rare event with only seven documented cases previously, none of which used hyperbaric oxygen therapy.

What This Means for Canadian Patients

Canadian patients experiencing sudden sensorineural hearing loss, particularly after spine surgery, should seek prompt medical evaluation as early initiation of hyperbaric oxygen therapy and steroids may improve outcomes. However, the use of systemic steroids in postoperative patients requires careful consideration due to concerns about pseudarthrosis.

Canadian Relevance

This study has no direct Canadian connection.

Study Limitations

As a case report, this study's findings are limited by its small sample size and cannot be generalized to a broader patient population.

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Study Details

Study Type Case Report
Category Decompression Sickness
Source Pubmed
PubMed ID 29734574
Year Published 2018
Journal Undersea Hyperb Med
MeSH Terms Decompression, Surgical; Diskectomy; Embolism; Hearing Loss, Sensorineural; Humans; Hyperbaric Oxygenation; Hypotension; Injection, Intratympanic; Laminectomy; Lumbar Vertebrae; Male; Middle Aged; Nitrous Oxide; Postoperative Complications; Prone Position; Steroids; Treatment Outcome

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.