AUDITORY AND VESTIBULAR SCIENCE: Edited by Rodney C. DiazManagement of sudden sensorineural hearing lossMetrailer, Aaron M.; Babu, Seilesh C.Author Information Michigan Ear Institute, Farmington Hills, Michigan, USA Correspondence to Seilesh C. Babu, Michigan Ear Institute, 30055 Northwestern Hwy #101, Farmington Hills, MI 48334, USA. Tel: +1 248 865 4444; e-mail: [email protected] Current Opinion in Otolaryngology & Head and Neck Surgery: October 2016 - Volume 24 - Issue 5 - p 403-406 doi: 10.1097/MOO.0000000000000287 Buy Metrics Abstract Purpose of review Sudden sensorineural hearing loss (SNHL) is an otologic emergency and should be managed quickly and effectively. This review focuses on the management of sudden SNHL, primarily idiopathic sudden SNHL as it is the most common cause. Recent findings Management options include observation, oral steroids, intratympanic steroids, or combined oral/intratympanic steroids. One-third to two-thirds of patients will achieve spontaneous recovery, most likely within the first 2 weeks. Despite the lack of randomized controlled trials on steroid therapy efficacy, all patients should be offered steroid treatment given low risk and possible significant benefits. All patients should undergo MRI with gadolinium to rule out retrocochlear disorder. Bilateral sudden hearing loss should alert the clinician to possible systemic disease. Summary Sudden hearing loss is an otologic emergency. Appropriate counseling of patients is necessary to allow physician and patient to make a joint, educated decision. It is paramount to rule out retrocochlear disorder and to follow patients closely for improvement or need for future auditory rehabilitation. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.