Effect of hyperbaric oxygen therapy and corticosteroid therapy in military personnel with acute acoustic trauma

  title={Effect of hyperbaric oxygen therapy and corticosteroid therapy in military personnel with acute acoustic trauma},
  author={Ahmed Bayoumy Bayoumy and Erwin L. van der Veen and P J A M van Ooij and F.S. Besseling-Hansen and D A Koch and Inge Stegeman and J. Alexander de Ru},
  journal={BMJ Military Health},
  pages={243 - 248}
Introduction Acute acoustic trauma (AAT) is a sensorineural hearing impairment due to exposure to an intense impulse noise which causes cochlear hypoxia. Hyperbaric oxygen therapy (HBO) could provide an adequate oxygen supply. The aim was to investigate the effectiveness of early treatment with combined HBO and corticosteroid therapy in patients with AAT compared with corticosteroid monotherapy. Methods A retrospective study was performed on military personnel diagnosed with AAT between… 

The Use of Hyperbaric Oxygen Therapy and Corticosteroid Therapy in Acute Acoustic Trauma: 15 Years’ Experience at the Czech Military Health Service

There is a statistically significant higher rate of improvement if AAT treatment was initiated within the first seven days after acoustic trauma, and HBO2 is considered a rescue therapy for the treatment of AAT.

Hyperbaric Oxygenation as Adjunctive Therapy in the Treatment of Sudden Sensorineural Hearing Loss

This paper focuses on the molecular mechanisms of action and clinical effectiveness of HBOT in the treatment of idiopathic sudden deafness, taking into consideration both the benefits and potential risks of its implementation.

Noise-Induced Hearing Loss Treatment: Systematic Review and Meta-analysis.

Steroids with or without HBOT appear to improve both low and high hearing thresholds following acoustic trauma, and there was moderate inconsistency in the cross-study results of both treatment groups.

[Modern approaches and prospective directions in treatment of acute sensorineural hearing loss following acoustic trauma].

Groups of the most used drugs for the pharmacological correction of hearing impairment in this pathology are present, such as glucocorticosteroids, antioxidants, nootropics, antihypoxants, and others, are covered.

Sudden deafness: hyperbaric oxygen therapy should be discussed

The rate of spontaneous complete recovery from sudden deafness is only 39%, so additional therapy is needed, and hyperbaric oxygen therapy is warranted.

Noise and Health: Review

Until the authors succeed in regenerating the sensory organ of hearing, chronic noise-induced hearing loss cannot be treated, and it is fundamental that society protects people from noise, by laws and regulations.

The use of hyperbaric oxygen therapy in acute hearing loss: a narrative review

Based on the amount of studies showing a positive effect, HBOT should be discussed with patients (shared decision making) as optional therapy in case of AAT and ISSHL and it is recommend to start as early as possible with therapy, preferably within 48 h and to use combination therapy consisting of HBOT and corticosteroids.



Efficiency of hyperbaric oxygen and steroid therapy in treatment of hearing loss following acoustic trauma.

  • M. SalihoğluH. Ay K. Şimşek
  • Medicine
    Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc
  • 2015
The success rate of combined HBO2 and steroid therapy was very low in this study, however, early initiation of treatment results in better outcomes and Protective measures have great importance in preventing AAT.

Hyperbaric oxygen therapy for acute acoustic trauma

It is shown that no method can compare with hyperbaric therapy in eliminating tinnitus following acoustic trauma and the vasoactive substance chosen in these studies failed to have a favorable effect on the course of healing.

Efficiency of hyperbaric oxygen therapy in experimental acute acoustic trauma from firearms.

Exposure to impulse noise caused permanent damage to the cochlea of all animals, with the most severe lesions in the lower middle coil, where a significantly smaller number of hair cells was missing in the HBO-treated group.

Negative Effect of Immediate Hyperbaric Oxygen Therapy in Acute Acoustic Trauma

  • B. CakırI. Ercan S. Turgut
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2006
Immediate HBOT in acoustic trauma treatment is not necessary; on the contrary, it has an adverse effect and SNRs at 6 to 8 kHz were significantly decreased after the acoustic trauma.

Addition of Hyperbaric Oxygen Therapy vs Medical Therapy Alone for Idiopathic Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-analysis

The addition of HBOT to standard MT is a reasonable treatment option for SSNHL, particularly for those patients with severe to profound hearing loss at baseline and those who undergo HBOT as a salvage treatment with a prolonged duration.

Effects of Hyperbaric Oxygen and Dexamethasone on Proinflammatory Cytokines of Rat Cochlea in Noise-Induced Hearing Loss

  • H. ArslanB. SatarM. SerdarM. OzlerE. Yilmaz
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2012
HBOT treatment, which was started at the 24th hour, was found to be an effective method and showed that the most effective method in the treatment of noise-induced hearing loss was early initiation of dexamethasone therapy.

Efficacy comparison of oral steroid, intratympanic steroid, hyperbaric oxygen and oral steroid + hyperbaric oxygen treatments in idiopathic sudden sensorineural hearing loss cases

Patients with idiopathic sudden sensorineural hearing loss receiving oral steroid + hyperbaric oxygen combination therapy have a higher likelihood of recovery than patients receiving oral steroids, hyper baric oxygen or intratympanic steroids alone.

Characteristics of Tinnitus Induced by Acute Acoustic Trauma: A Long-Term Follow-Up

The prevalence, characteristics and subjective perceived handicap caused by long-term tinnitus induced by acute acoustic trauma (AAT) in 418 former military conscripts and the Tinnitus Handicap Questionnaire demonstrated various difficulties in life because of tinn Titus, not attributable only to tinnitis loudness.

Sound-Induced Cochlear Ischemia/Hypoxia as a Mechanism of Hearing Loss.

It is found that reactive oxygen species (free radicals and oxidizing ions) are present in sound-induced hearing loss and thus there is evidence that an ischemia/reperfusion type of injury occurs during loud sound exposures.

Hearing loss and handicap of professional soldiers exposed to gunfire noise.

The prevalence of hearing loss in the Finnish Defence Forces seems to have decreased, but a fairly large number of younger men still suffer considerable hearing loss and disabling tinnitus, although the use of hearing protectors has substantially increased during the past 15 years.