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Central Asian Journal of Medicine

Abstract

Introduction. Acute sensorineural hearing loss (ASHL) is one of the common diseases, and the number of patients suffering from this pathology is steadily growing. Therefore, the study and implementation of modern therapeutic measures to eliminate ASHL is considered a relevant issue in otorhinolaryngology. The aim of the study is to analyze the comparative effectiveness of hyperbaric oxygen therapy in the treatment of acute sensorineural hearing loss. Material and methods. The research involved 46 patients with a diagnosis of ASHL I - IV degrees in the period from February, 2018 to November, 2019. All patients were under observation in the ENT department of the multidisciplinary clinic at the TMA. In addition to the prescribed medicinal treatment, the patients underwent HBO treatment consisting of 10-12 sessions course, performed in the pressure chamber "Yenisei" -3 and BLKS-301M. Results and discussions. All clinical examinations were performed in the period before the treatment, after 10 days and 3 months after the treatment. Patients underwent an audiological examination (tonal threshold, speech audiometry), impedancemetry, blood pressure monitoring, as well as a study of the lipid profile and blood rheological parameters. The obtained results were summarized and the average indicators were identified. The following criteria for evaluating the effectiveness of the treatment have been established: decrease in a sound perception threshold; decrease in ear noise; speech intelligibility. Conclusion. The treatment results in the 1st and 2nd groups showed that HBO is most effective in the complex treatment of sensorineural hearing loss. The greatest effectiveness in the treatment of patients with auditory function and reduction of ear noise using the HBO method was observed in patients aged 20 to 41 years with an average hearing loss of 21-40 dB (p <0.05). It can be assumed that HBO, as the treatment method of sensorineural hearing loss, has a greater effect in combination with basic medicine therapy. The best results were obtained in acute forms of the disease, substantiated pathogenetically.

First Page

108

Last Page

115

References

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