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Prediction of hearing recovery in sudden deafness treated with intratympanic steroids



Prediction of hearing recovery in sudden deafness treated with intratympanic steroids



Acta Otorhinolaryngologica Italica 38(5): 453-459



Previsione delle possibilità di recupero uditivo nell’ipoacusia improvvisa trattata con steroidi intratimpanici. Il presente studio ha lo scopo di ottenere un modello di probabilità che consenta di prevedere il recupero uditivo nei pazienti affetti da ipoacusia improvvisa neurosensoriale trattati esclusivamente con steroidi intratimpanici. È stata realizzata una revisione retrospettica dei dati di 381 pazienti. Un modello Probit è stato utilizzato per studiare la correlazione tra il successo del trattamento (“marked” or “total recovery” secondo i criteri di Furuashi) e il ritardo (Delay) tra l’insorgenza della malattia e l’inizio della terapia. Sono stati inclusi nell’analisi i dati relativi all’età dei pazienti e alle curve audiometriche. Dallo studio è emerso che la variabile Delay è negativamente correlata con la variabile successo. Considerando l’intero campione, ogni giorno di ritardo diminuisce del 3% la probabilità di successo. Il modello di previsione mostra che per ogni giorno che passa dal momento della comparsa della malattia, la probabilità di successo declina in assenza dell’intervento; possiamo quindi concludere che il trattamento precoce è fortemente raccomandato.

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Accession: 065885045

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PMID: 30498274


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