Drs Eisenman and Arts have provided an excellent summary of the available literature on the treatment of SSNHL. They conclude, based primarily on the compelling study by Wilson et al,1 that administration of corticosteroids soon after the onset of hearing loss improves outcome for patients with specific audiometric profiles. Successful treatment of any disorder is dependent on an understanding of the underlying pathophysiologic characteristics, but in the case of SSNHL, etiology is incompletely understood. While corticosteroid-mediated anti-inflammatory effects are not disease specific, a subset of patients is clearly benefited by such treatment. Based on the literature cited, corticosteroid treatment of SSNHL should be considered the current standard of care in otolaryngologic practice for patients with no contraindications to steroid treatment. Clinical trials designed to evaluate other potential treatments for this disorder should include corticosteroid treatment in all arms of the study. It would be difficult to argue effectively for a "nontreatment" or "placebo-only" control.
Debara L. Tucci, MD
Thank you for submitting a comment on this article. It will be reviewed by JAMA Otolaryngology–Head & Neck Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 7
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
The Rational Clinical Examination
Sensorineural Hearing Impairment
The Rational Clinical Examination
Disruption of the auditory pathway anywhere from the pinna to the brain may result in hearing...
All results at
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.