Geriatric Division, Department of Internal
Medicine, Udayana University School of Medicine/Sanglah
General Hospital Denpasar.
A Geriatric patient 63 years old was diagnosed
with Sudden Sensorineural Hearing Loss (SSNHL).
Clinical diagnosis of SSNHL was based on chief
complaint of sudden hearing loss that occured in
less than 72 h with physical examination and
audiometric tests. About 71% of sudden hearing
loss is idiopathic with vascular involve ment
which plays an important role in causing SSNHL.
Cochlear gets a blood supply from the
labyrinthine artery and is an end artery that
lacks collateral vascularization. Cochlear and
stria vascularis are particularly susceptible to
ischemia. The patient had done the medical
treatment and undergone series of hyperbaric
oxygen therapy with result of mild improvement
of hearing loss. Hyperbaric oxygen therapy may
increase cochlear oxygenation and perilimfe by
delivering oxygen with higher partial pressures
to tissues that are sensitive to ischemic
conditions. SSNHL in elderly patients is
correlated with poor prognostic factor on
hearing loss. The prognosis of patients with
SSNHL depends on several factors such as age,
degree of hearing loss, treatment performed,
early onset of treatment and other predisposing
factors.
This is an open access article
published under the terms of the
Creative Commons Attribution
License, which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is
properly cited.
Cite this article as:
Aryana IGPS , Arya IMA, Kuswardhani RAT
(2018). Geriatric patient with sudden sensorineural hearing loss underging
hyperbaric oxygen therapy. J. Biol. Ser. 1(2): 024-030.
