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Table 2 Aggregated responses to survey questions regarding diagnosis and management of SSNHL

From: Management of sudden sensorineural hearing loss among primary care physicians in Canada: a survey study

  n %
According to your definition, SSNHL is defined as hearing loss that can develop over a period of:
 Less than 24 h 21 40.4
 48 h 8 15.4
 72 h 15 28.8
 7 days 8 15.4
Which of the following referrals do you make upon presentation of suspected unilateral SSNHL? Check all that apply.
 Labwork 9 17.3
 CT 8 15.4
 MRI 9 17.3
 Audiologic Evaluation 46 88.5
 Otolaryngology consultation 42 80.8
 Neurology consultation 2 3.8
 Emergency Department 10 19.2
When presented with unilateral, acute or sudden-onset hearing loss, do you attempt to differentiate between conductive and sensorineural hearing loss?
 Yes 38 73.1
 No 14 26.9
Do you use tuning fork tests to differentiate between conductive and sensorineural hearing loss?
 Yes 33 63.5
 No 19 36.5
Do you feel comfortable interpreting a formal audiogram to differentiate between a conductive hearing loss and sensorineural hearing loss?
 Yes 16 30.8
 No 36 69.2
As a family physician, which of the following pharmacologic agents do you prescribe as treatment when presented with suspected unilateral SSNHL, prior to confirmation with audiological testing? Check all that apply.
 Corticosteroids 39 75
 Antivirals 6 11.5
 Thrombolytics 0 0
 Vasodilators 0 0
 Other (e.g. antibiotics) 0 0
 None of the above 1 1.9
 I do not prescribe any pharmacologic agents when presented with suspected SSNHL 12 23.1
Which of the following topics do you include as part of counselling to patients presenting with unilateral SSNHL? Check all that apply.
 Possible causes 28 53.8
 Available treatment options and associated risks/benefits 26 50
 Impact on Quality of Life 13 25
 Rehabilitation options (e.g. hearing aids) 6 11.5
 None of the above 1 1.9
 I do not counsel patients presenting with SSNHL as I am rarely certain of the diagnosis upon initial presentation 22 42.3
  1. SSNHL: sudden sensorineural hearing loss