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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