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성상신경절 차단이 돌발성 난청의 치료에 미치는 영향

Other Titles
 The effect of stellate ganglion block on the treatment of idiopathic sudden sensorineural hearing loss 
Authors
 송종욱  ;  심재광  ;  문진천  ;  안은경  ;  금창만  ;  윤덕미  ;  이원상  ;  신증수 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.51(1) : 52-57, 2006 
Journal Title
KOREAN JOURNAL OF ANESTHESIOLOGY(대한마취과학회지)
ISSN
 2005-6419 
Issue Date
2006
Keywords
stellate ganglion block ; sudden sensorineural hearing loss
Abstract
BACKGROUND: Idiopathic sudden sensorineural hearing loss (ISSNHL) is defined as a sensorineural hearing loss which develops abruptly without definitive causes. Stellate ganglion block (SGB) has been used as one of the treatment modalities in ISSNHL. However, published data establishing the effect of SGB has been slim. We conducted this study to evaluate the effect of SGB according to the factors that may influence the prognosis of the disease.

METHODS: We reviewed the records of 343 patients. The control group was managed with medications, and the SGB group was managed with SGB and the same medications. SGB was performed with 5 ml of 1.0% mepivacaine. The pure-tone audiogram was performed after the therapy and Siegel's criteria was used to define the recovery of hearing.

RESULTS: The recovery rate of the SGB group was higher than that of the control group (58.1% vs. 42.1%, P < 0.05). The SGB group had a higher recovery rate than the control group in patients treated within 7 days from the onset of symptoms (66.9% vs. 44.1%, P < 0.05), without diabetes mellitus (58.5% vs. 44.9%, P < 0.05), without dizziness (61.6% vs. 44.6%, P < 0.05), or whose initial hearing loss was between 71 and 90 dB (69.4% vs. 38.9%, P < 0.05).

CONCLUSIONS: SGB is thought to be a useful therapy for ISSNHL, especially in the patients treated within 7 days, without diabetes mellitus, dizziness, or whose initial hearing loss was severe.
Files in This Item:
T200601105.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Shin, Cheung Soo(신증수) ORCID logo https://orcid.org/0000-0001-7829-8458
Yoon, Duck Mi(윤덕미)
Lee, Won Sang(이원상)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110071
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