Efficacy of hyperbaric oxygen therapy as an adjuvant in sudden sensorineural hearing loss. Systematic review
Abstract Introduction: Sudden sensorineural hearing loss is a serious social health problem in modern societies. Although the direct mortality rate is very low, its influence on the quality of life is enormous; That is why the implementation of the most effective and safe therapies for the patient is crucial to minimize the risk of complications and adverse reactions to the treatment. Steroids constitute the basis of treatment, however, the use of hyperbaric oxygen therapy in these patients has recently been proposed. Objective: To carry out a systematic review on the effectiveness of hyperbaric oxygen therapy as an adjuvant in sudden sensorineural hearing loss. Method: Randomized controlled clinical trials, carried out in humans, carried out in the last ten years were selected. The main database used was PubMed, through the National Library of Medicine platform. Results: Hyperbaric oxygen therapy is effective as an adjuvant treatment in sudden sensorineural hearing loss. The total sample was 806 patients from eight clinical trials. The frequency of application of hyperbaric oxygen therapy was once per day, for 28 to 90 minutes per session, with a total number of sessions between 10 and 20. Conclusions: Hyperbaric oxygen therapy improves hearing thresholds and leads to better hearing recovery than standard pharmacological treatment alone in patients with sudden sensorineural hearing loss.
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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.
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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.
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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.
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.
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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.
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.
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). Efficacy of hyperbaric oxygen therapy as an adjuvant in sudden sensorineural hearing loss. Systematic review. Revista ORL, 15(4), e31966. https://doi.org/10.14201/orl.31966
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