Evidence map›Paper›PMID 31865663›Full record

ArticleTurkish journal of medical sciences2020

Addition of intratympanic steroid or hyperbaric oxygen treatment to systemic steroid treatment in sudden idiopathic sensorineural hearing loss treatment, and long-term results of salvage treatment

Kemal Keseroğlu, Gökhan Toptaş, Ahmet Uluat, Ömer Bayir, Emel Çadalli Tatar, Güleser Saylam, Mehmet Hakan Korkmaz, Ali Özdek

Open access · bronzeAbstract read
In one paragraph

Article in Turkish journal of medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Evaluating hyperbaric oxygen therapy as an adjunct to corticosteroids in sudden sensorineural hearing loss: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  2. Efficacy ofComputational and mathematical methods in medicine · 2022
    Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Kemal KeseroğluDepartment of Otolaryngology, University of Medical Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyORCID 0000-0002-6589-1663
Gökhan ToptaşDepartment of Otolaryngology, University of Medical Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyORCID 0000-0003-2444-4450
Ahmet UluatDepartment of Otolaryngology, Balıkesir State Hospital, Balıkesir, TurkeyORCID 0000-0003-4543-4702
Ömer BayirDepartment of Otolaryngology, University of Medical Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyORCID 0000-0001-9445-6129
Emel Çadalli TatarDepartment of Otolaryngology, University of Medical Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyORCID 0000-0002-8923-1408
Güleser SaylamDepartment of Otolaryngology, University of Medical Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyORCID 0000-0002-6499-7140
Mehmet Hakan KorkmazDepartment of Otolaryngology, Faculty of Medicine, Yıldırım Beyazit University, Ankara, TurkeyORCID 0000-0001-8732-3061
Ali ÖzdekPrivate Clinic, Ankara, TurkeyORCID 0000-0002-3746-8462
Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi · TRBalıkesir University · TRGazi University · TRPsychiatric Association of Turkey · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: This study aims to determine the therapeutic superiority of the addition of intratympanic steroid or hyperbaric oxygen therapy to systemic steroid treatment in idiopathic sudden sensorineural hearing loss as initial treatment, and evaluate the long- term results of salvage treatment. Materials and methods: This study was a retrospective clinical trial with a total of 96 patients with idiopathic sudden sensorineural hearing loss. Patients were divided into 3 groups. Group 1 (n: 32) received systemic steroid treatment. Group 2 (n: 32) received the Group 1 protocol plus intratympanic steroid treatment. Group 3 (n: 32) received the Group 1 protocol plus hyperbaric oxygen treatment. Pretreatment and postinitial audiologic evaluations were performed, and the hearing outcome was analyzed with Furuhashi criteria. All patients, except those who experienced total recovery after initial treatment, were directed to salvage treatment. Audiologic assessment was performed again after salvage treatment and a mean follow-up period of 36.5 months. Results: Each group was homogenous according to demographics, audiologic data, and prognostic factors. There was no statistically significant difference in recovery and success rate within the 3 groups after initial treatment. (P: 0.66, P: 0.248, respectively). Successful results were obtained after salvage treatment in only 3 patients (5%). These patients received follow-up treatment at a mean of 36.5 months, but there was no spontaneous recovery after the end of salvage treatment. Conclusion: The addition of intratympanic steroids or hyperbaric oxygen to systemic steroids caused no significant hearing improvement as the initial treatment of idiopathic sudden sensorineural hearing loss. The efficacy of salvage treatment was limited, and there was no spontaneous hearing improvement after the long-term follow-up.

Indexed as

Hyperbaric OxygenationAdultAgedFemaleGlucocorticoidsHearingHearing Loss, SensorineuralHearing Loss, SuddenHumansMaleMiddle AgedRetrospective StudiesSalvage TherapyGlucocorticoidshyperbaric oxygen therapyIdiopathic sudden sensorineural hearing lossintratympanic steroid treatmentsalvage treatmentsystemic steroid treatment

Identifiers

PMID31865663
PMCPMC7080352
OpenAlexW2998896537

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.