wangjingbo, huangmengqian. Clinical characteristics and speech recognition ability analysis of different subtypes of sudden deafness. 2025. biomedRxiv.202502.00004
Clinical characteristics and speech recognition ability analysis of different subtypes of sudden deafness
DOI: 10.12201/bmr.202502.00004
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Abstract: Objective: This study aimed to explore the clinical characteristics and speech recognition capabilities of patients with different subtypes of sudden deafness. Method: A total of 280 patients with unilateral sudden deafness who met the inclusion and exclusion criteria were recruited. They were grouped based on the type of pure - tone hearing threshold curve and the degree of hearing loss prior to treatment. The general conditions, clinical incidences, maximum speech recognition rates (WRSmax), and efficacy data of each group were compared. Result: Among the three groups of patients, there were no statistically significant differences in gender, age, and affected ear side (P>0.05). When comparing clinical symptoms and therapeutic effects regarding disease course, degree of hearing loss, tinnitus, ear tightness, dizziness, etc., the ascending - type hearing loss was characterized by a mild degree, a high incidence of ear tightness, and a favorable prognosis. The flat - type had a short disease course but a severe degree of hearing loss. The descending - type presented with a long disease course, a high incidence of tinnitus, and a poor prognosis. These differences were statistically significant (P<0.05). In the comparison of speech recognition rate and average pure - tone hearing threshold value at speech frequencies, the average hearing threshold value of the flat - type at speech frequencies was higher than that of the other two types, and its speech recognition rate was lower, with statistical significance (P<0.05). Conclusion: Patients with different subtypes of sudden deafness exhibit distinct characteristics in terms of onset and prognosis. Quantifying the speech recognition rates of sudden deafness patients with different subtypes and degrees of hearing loss can serve as a reference for clinical diagnosis and treatment. This is of great significance for enhancing the accuracy of clinical diagnosis of sudden deafness, formulating personalized treatment plans, and improving patient prognosis.
Key words: sudden deafness, clinical features, prognosis, speech recognition rateSubmit time: 8 February 2025
Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity. -
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