Sudden deafness

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Diagnosis

To diagnose SSHL, your doctor will ask you about your medical history and perform a physical exam. Make sure to tell your doctor about other medical conditions you may have and about any over-the-counter and prescription medications you’re taking.

During the physical exam, your doctor may ask you to cover one ear at a time while listening to sounds at different volumes. Your doctor may also perform some tests using a tuning fork, which is an instrument that can measure vibrations in the ear. Your doctor uses the results of these tests to check for damage to the parts of the middle ear and eardrum that vibrate.

Audiometry tests can check your hearing more thoroughly and precisely. During these tests, an audiologist will test your hearing ability using earphones. A series of different sounds and volume levels may be sent to each ear individually. This can help determine the level at which your hearing begins to fade.

An MRI scan may also be ordered to look for any abnormalities in your ear, such as tumors or cysts. MRI takes detailed pictures of your brain and inner ear, which can help your doctor find the underlying cause of SSHL.

Treatment

Early treatment may increase your chances for a full recovery. But, your doctor will try to find the cause of your hearing loss before starting treatment.

Steroids are the most common treatment. They can reduce inflammation and swelling. This is especially helpful in people who have diseases of the immune system, such as Cogan syndrome. Your doctor may also prescribe antibiotics if an infection is the cause of your SSHL.

In some cases, a doctor can surgically insert a cochlear implant into your ear. The implant doesn’t completely restore hearing, but it can amplify sounds to a more normal level.