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

@article{Bayoumy2019EffectOH,
  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},
  year={2019},
  volume={166},
  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
TLDR
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.
The use of hyperbaric oxygen therapy in acute hearing loss: a narrative review
TLDR
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.
Hyperbaric Oxygenation as Adjunctive Therapy in the Treatment of Sudden Sensorineural Hearing Loss
TLDR
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.
TLDR
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].
TLDR
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
TLDR
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
TLDR
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.

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