Hearing function after betahistine therapy in patients with Ménière's disease

Hearing function after betahistine therapy in patients with Ménière's disease


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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: سید جواد سید توتونچی , دانیال فدایی فولادی

کلمات کلیدی: Medical treatment; Ménière's disease; Hearing loss; Prognosis

نشریه: , 5 , 85 , 2016

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نویسنده ثبت کننده مقاله دانیال فدایی فولادی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات علوم اعصاب
کد مقاله 58834
عنوان فارسی مقاله Hearing function after betahistine therapy in patients with Ménière's disease
عنوان لاتین مقاله Hearing function after betahistine therapy in patients with Ménière's disease
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق) Brazilian Journal of Otorhinolaryngology
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت http://www.sciencedirect.com/science/article/pii/S1808869415002347

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Introduction Preventing or reversing hearing loss is challenging in Ménière's disease. Betahistine, as a histamine agonist, has been tried in controlling vertigo in patients with Ménière's disease, but its effectiveness on hearing problems is not known. Objective To examine the effect of betahistine on hearing function in not-previously-treated patients with Ménière's disease and to define possible contributors in this regard. Methods A total of 200 not-previously-treated patients with definite unilateral Ménière's disease received betahistine by mouth (initial dose, 16 mg three times a day; maintenance dose, 24–48 mg daily in divided doses). Changes in indicators of hearing status before and six months after treatment were documented. Hearing loss was considered as the mean hearing level >25 dB HL at five frequencies. Results The mean duration of disease was 3.37 years. Six months after treatment the mean hearing level decreased by 6.35 dB compared to that at the baseline (p < 0.001). Both patients’ age and the duration of disease correlated negatively with the improvement in hearing function. Post treatment hearing loss was independently associated with age, the initial hearing level and the chronicity of disease. The corresponding optimal cut-off points for predicating a persistent hearing loss 6 months after treatment were 47 years, 38 dB HL, and 1.4 years, respectively. Conclusion Oral betahistine was significantly effective in preventing/reversing hearing deterioration in patients with Ménière's disease. Age, the hearing level on admission, and the disease duration were independent predictors of hearing status after treatment.

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نویسنده نفر چندم مقاله
سید جواد سید توتونچیاول
دانیال فدایی فولادیپنجم

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