Eficacia de la oxigenoterapia hiperbárica como adyuvante en la pérdida auditiva neurosensorial repentina. Revisión sistemática
Resumen Introducción: La pérdida auditiva neurosensorial súbita es un grave problema de salud social en las sociedades modernas. Aunque la tasa de mortalidad directa es muy baja, su influencia en la calidad de vida es enorme; es por eso que la implementación de las terapias más efectivas y seguras para el paciente es crucial para minimizar el riesgo de complicaciones y reacciones adversas al tratamiento. Los esteroides constituyen la base del tratamiento, sin embargo, recientemente se ha propuesto el uso de la oxigenoterapia hiperbárica en estos pacientes. Objetivo: Realizar una revisión sistemática sobre de eficacia de la oxigenoterapia hiperbárica como adyuvante en la pérdida auditiva neurosensorial repentina. Método: Se seleccionaron ensayos clínicos aleatorizados controlados, realizados en humanos, llevados a cabo en los últimos diez años. La principal base de datos usada ha sido PubMed, a través de la plataforma National Library of Medicine. Resultados: La oxigenoterapia hiperbárica es eficaz como tratamiento adyuvante en la pérdida auditiva neurosensorial repentina. La muestra total fue de 806 pacientes de ocho ensayos clínicos. La frecuencia de aplicación la oxigenoterapia hiperbárica fue de una vez por día, durante 28 a 90 minutos por sesión, con un número total de sesiones entre 10 y 20. Conclusiones: La oxigenoterapia hiperbárica mejora los umbrales auditivos y conduce a una mejor recuperación auditiva que el tratamiento farmacológico estándar por sí solo en pacientes con pérdida auditiva neurosensorial repentina.
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Fu Q, Duan R, Sun Y, Li Q. Hyperbaric oxygen therapy for healthy aging: From mechanisms to therapeutics. Redox Biol. 2022;53:102352. https://doi.org/10.1016/j.redox.2022.102352.
Chen L, Wang Y, Zhou H, Liang Y, Zhu F, Zhou G. The new insights of hyperbaric oxygen therapy: focus on inflammatory bowel disease. Precis Clin Med. 2024;7(1):pbae001. https://doi.org/10.1093/pcmedi/pbae001.
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Pezzoli M, Magnano M, Maffi L, Pezzoli L, Marcato P, Orione M, et al. Hyperbaric oxygen therapy as salvage treatment for sudden sensorineural hearing loss: a prospective controlled study. Eur Arch Otorhinolaryngol. 2015;272(7):1659-66. https://doi.org/10.1007/s00405-014-2948-z.
Sevil E, Bercin S, Muderris T, Gul F, Kiris M. Comparison of two different steroid treatments with hyperbaric oxygen for idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol. 2016;273(9):2419-26. https://doi.org/10.1007/s00405-015-3791-6.
Chi TH, Chiang MC, Chen RF, Yuan CH. Does the addition of hyperbaric oxygen therapy to conventional treatment modalities influence the outcome of soldiers with idiopathic sudden sensorineural hearing loss? J R Army Med Corps. 2018;164(2):69-71. https://doi.org/10.1136/jramc-2017-000872.
Krajcovicova Z, Melus V, Zigo R, Matisáková I, Vecera J, Kaslíková K. Efficacy of hyperbaric oxygen therapy as a supplementary therapy of sudden sensorineural hearing loss in the Slovak Republic. Undersea Hyperb Med. 2018;45(3):363-370.
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Tong B, Niu K, Ku W, Xie W, Dai Q, Hellström S, et al. Comparison of Therapeutic Results with/without Additional Hyperbaric Oxygen Therapy in Idiopathic Sudden Sensorineural Hearing Loss: A Randomized Prospective Study. Audiol Neurootol. 2021;26(1):11-16. https://doi.org/10.1159/000507911.
Cavaliere M, De Luca P, Scarpa A, Strzalkowski AM, Ralli M, Calvanese M, et al. Combination of Hyperbaric Oxygen Therapy and Oral Steroids for the Treatment of Sudden Sensorineural Hearing Loss: Early or Late? Medicina (Kaunas). 2022;58(10):1421. https://doi.org/10.3390/medicina58101421.
Ajduk J, Peček M, Kelava I, Žaja R, Ries M, Košec A. Comparison of Intratympanic Steroid and Hyperbaric Oxygen Salvage Therapy Hearing Outcomes in Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Study. Ear Hear. 2023;44(4):894-899. https://doi.org/10.1097/AUD.0000000000001338.
Joshua TG, Ayub A, Wijesinghe P, Nunez DA. Hyperbaric Oxygen Therapy for Patients With Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2022;148(1):5-11. https://doi.org/10.1001/jamaoto.2021.2685.
Rhee TM, Hwang D, Lee JS, Park J, Lee JM. Addition of Hyperbaric Oxygen Therapy vs Medical Therapy Alone for Idiopathic Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2018;144(12):1153-1161. https://doi.org/10.1001/jamaoto.2018.2133.
Eryigit B, Ziylan F, Yaz F, Thomeer HGXM. The effectiveness of hyperbaric oxygen in patients with idiopathic sudden sensorineural hearing loss: a systematic review. Eur Arch Otorhinolaryngol. 2018;275(12):2893-2904. https://doi.org/10.1007/s00405-018-5162-6.
Tripathi P, Deshmukh P. Sudden Sensorineural Hearing Loss: A Review. Cureus. 2022;14(9):e29458. https://doi.org/10.7759/cureus.29458.
Young YH. Contemporary review of the causes and differential diagnosis of sudden sensorineural hearing loss. Int J Audiol. 2020;59(4):243-253. https://doi.org/10.1080/14992027.2019.1689432.
Chaushu H, Ungar OJ, Abu Eta R, Handzel O, Muhanna N, Oron Y. Spontaneous recovery rate of idiopathic sudden sensorineural hearing loss: A systematic review and meta-analysis. Clin Otolaryngol. 2023;48(3):395-402. https://doi.org/10.1111/coa.14036.
Prince ADP, Stucken EZ. Sudden Sensorineural Hearing Loss: A Diagnostic and Therapeutic Emergency. J Am Board Fam Med. 2021;34(1):216-223. https://doi.org/10.3122/jabfm.2021.01.200199.
Michels TC, Duffy MT, Rogers DJ. Hearing Loss in Adults: Differential Diagnosis and Treatment. Am Fam Physician. 2019;100(2):98-108.
Marx M, Younes E, Chandrasekhar SS, Ito J, Plontke S, O'Leary S, Sterkers O. International consensus (ICON) on treatment of sudden sensorineural hearing loss. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(1S):S23-S28. https://doi.org/10.1016/j.anorl.2017.12.011.
Lawrence R, Thevasagayam R. Controversies in the management of sudden sensorineural hearing loss: an evidence-based review. Clin Otolaryngol. 2015;40(3):176-82. https://doi.org/10.1111/coa.12363.
LeGros TL, Murphy-Lavoie H. HBO2 for sudden sensorineural hearing loss. Undersea Hyperb Med. 2020;47(2):271-295. https://doi.org/10.22462/04.06.2020.14.
Olex-Zarychta D. Hyperbaric Oxygenation as Adjunctive Therapy in the Treatment of Sudden Sensorineural Hearing Loss. Int J Mol Sci. 2020;21(22):8588. https://doi.org/10.3390/ijms21228588.
Fu Q, Duan R, Sun Y, Li Q. Hyperbaric oxygen therapy for healthy aging: From mechanisms to therapeutics. Redox Biol. 2022;53:102352. https://doi.org/10.1016/j.redox.2022.102352.
Chen L, Wang Y, Zhou H, Liang Y, Zhu F, Zhou G. The new insights of hyperbaric oxygen therapy: focus on inflammatory bowel disease. Precis Clin Med. 2024;7(1):pbae001. https://doi.org/10.1093/pcmedi/pbae001.
Sethuraman KN, Smolin R, Henry S. Is There a Place for Hyperbaric Oxygen Therapy? Adv Surg. 2022;56(1):169-204. https://doi.org/10.1016/j.yasu.2022.02.011.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol. 2021;19:26. https://doi.org/10.1590/s0104-11692007000300023.
Mamédio C, Andrucioli M, Cuce M. The PICO strategy for the research question construction and evidence research. Rev Latino-Am Enfermagem 2007;15:508-11. https://doi.org/10.1002/14651858.ED000142.
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. https://doi.org/10.1186/s13643-016-0384-4.
Pezzoli M, Magnano M, Maffi L, Pezzoli L, Marcato P, Orione M, et al. Hyperbaric oxygen therapy as salvage treatment for sudden sensorineural hearing loss: a prospective controlled study. Eur Arch Otorhinolaryngol. 2015;272(7):1659-66. https://doi.org/10.1007/s00405-014-2948-z.
Sevil E, Bercin S, Muderris T, Gul F, Kiris M. Comparison of two different steroid treatments with hyperbaric oxygen for idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol. 2016;273(9):2419-26. https://doi.org/10.1007/s00405-015-3791-6.
Chi TH, Chiang MC, Chen RF, Yuan CH. Does the addition of hyperbaric oxygen therapy to conventional treatment modalities influence the outcome of soldiers with idiopathic sudden sensorineural hearing loss? J R Army Med Corps. 2018;164(2):69-71. https://doi.org/10.1136/jramc-2017-000872.
Krajcovicova Z, Melus V, Zigo R, Matisáková I, Vecera J, Kaslíková K. Efficacy of hyperbaric oxygen therapy as a supplementary therapy of sudden sensorineural hearing loss in the Slovak Republic. Undersea Hyperb Med. 2018;45(3):363-370.
Hu Y, Chen H, Xiong J, Sun W. The efficacy of hyperbaric oxygen in the treatment of sudden sensorineural hearing loss. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020;34(6):521- 523;527. https://doi.org/10.13201/j.issn.2096-7993.2020.06.010.
Tong B, Niu K, Ku W, Xie W, Dai Q, Hellström S, et al. Comparison of Therapeutic Results with/without Additional Hyperbaric Oxygen Therapy in Idiopathic Sudden Sensorineural Hearing Loss: A Randomized Prospective Study. Audiol Neurootol. 2021;26(1):11-16. https://doi.org/10.1159/000507911.
Cavaliere M, De Luca P, Scarpa A, Strzalkowski AM, Ralli M, Calvanese M, et al. Combination of Hyperbaric Oxygen Therapy and Oral Steroids for the Treatment of Sudden Sensorineural Hearing Loss: Early or Late? Medicina (Kaunas). 2022;58(10):1421. https://doi.org/10.3390/medicina58101421.
Ajduk J, Peček M, Kelava I, Žaja R, Ries M, Košec A. Comparison of Intratympanic Steroid and Hyperbaric Oxygen Salvage Therapy Hearing Outcomes in Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Study. Ear Hear. 2023;44(4):894-899. https://doi.org/10.1097/AUD.0000000000001338.
Joshua TG, Ayub A, Wijesinghe P, Nunez DA. Hyperbaric Oxygen Therapy for Patients With Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2022;148(1):5-11. https://doi.org/10.1001/jamaoto.2021.2685.
Rhee TM, Hwang D, Lee JS, Park J, Lee JM. Addition of Hyperbaric Oxygen Therapy vs Medical Therapy Alone for Idiopathic Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2018;144(12):1153-1161. https://doi.org/10.1001/jamaoto.2018.2133.
Eryigit B, Ziylan F, Yaz F, Thomeer HGXM. The effectiveness of hyperbaric oxygen in patients with idiopathic sudden sensorineural hearing loss: a systematic review. Eur Arch Otorhinolaryngol. 2018;275(12):2893-2904. https://doi.org/10.1007/s00405-018-5162-6.
Sánchez-Lozano, J., & Martínez-Pizarro, S. (2024). Eficacia de la oxigenoterapia hiperbárica como adyuvante en la pérdida auditiva neurosensorial repentina. Revisión sistemática. Revista ORL, 15(4), e31966. https://doi.org/10.14201/orl.31966
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