{"id":4454,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/suddenhearinglosssensorineuralpaeds\/"},"modified":"2025-02-10T12:01:22","modified_gmt":"2025-02-10T12:01:22","slug":"suddenhearinglosssensorineuralpaeds","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatric-ent\/suddenhearinglosssensorineuralpaeds\/","title":{"rendered":"Sudden Hearing Loss (Sensorineural) Paeds"},"content":{"rendered":"\n<p class=\"has-standard-black-color has-text-color\">A rapid loss of hearing that occurs suddenly or over a period of up to 72 hours:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Very rare in children<\/li>\n\n\n\n<li>Very little evidence, so management aligned to that in <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/entadult\/ear\/hearinglosssuddensensorineural\/\" target=\"_blank\" rel=\"noreferrer noopener\">adult sudden sensorineural hearing loss (SNHL)<\/a><\/li>\n\n\n\n<li>Sometimes associated with tinnitus\/vertigo<br><\/li>\n<\/ul>\n\n\n\n<p>In children it can be difficult to distinguish sensorineural hearing loss, which is an <strong>otological emergency<\/strong>, from a conductive loss due to common causes, eg otitis media effusion.&nbsp;&nbsp;<\/p>\n\n\n\n<p><br>Causes<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Idiopathic<\/strong><\/li>\n\n\n\n<li><strong>Viral (Mumps, CMV, EBV, Varicella Zoster)<\/strong><\/li>\n\n\n\n<li><strong>Other<\/strong>\n<ul class=\"wp-block-list\">\n<li>Autoimmune \u2013 Sarcoidosis, Wegener granulomatosis<\/li>\n\n\n\n<li>Trauma &#8211; Temporal bone fracture, acoustic trauma, head injury<\/li>\n\n\n\n<li>Drugs &#8211; Aminoglycoside antimicrobials, cisplatin<span style=\"color: initial\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>C.M. &amp; G.T. 08-02-25<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<p>If genuine SNHL is suspected, this requires early intervention with high dose Prednisolone (1mg\/kg) for 7-14 days (Please see Primary Care Management for further detail).<\/p>\n\n\n\n<p class=\"has-alert-red-color has-text-color has-link-color wp-elements-ce69eb5cb9608b96359f7650b24a016b\">Refer to ENT same day for formal assessment.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li>Basic hearing assessment (talk to child, occlude one ear)<\/li>\n\n\n\n<li>Rule out conductive problems\n<ul class=\"wp-block-list\">\n<li>Otitis Media with Effusion<\/li>\n\n\n\n<li>Acute Otitis Media<\/li>\n\n\n\n<li>Otitis Externa<\/li>\n\n\n\n<li>Foreign Body<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>Primary treatment:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Oral prednisolone therapy, typically 1mg\/kg (maximum of 60 mg) over 7-14 days and tapered over a similar period &#8211; ideally to be commenced within 72 hours of hearing loss<\/li>\n\n\n\n<li>Relative contraindications \u2013 insulin dependent diabetic, wide-angle glaucoma<\/li>\n<\/ul>\n\n\n\n<p class=\"has-alert-red-color has-text-color has-link-color wp-elements-c8496590af60707cdf6ecb00c867d4c9\">Please discuss with the on-call ENT team.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A rapid loss of hearing that occurs suddenly or over a period of up to 72 hours: In children it can be difficult to distinguish sensorineural hearing loss, which is an otological emergency, from a conductive loss due to common causes, eg otitis media effusion.&nbsp;&nbsp; Causes C.M. &amp; G.T. 08-02-25<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4246,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[185],"class_list":["post-4454","page","type-page","status-publish","hentry","category-suddenhearinglosspaeds"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/entpaediatric\/suddenhearinglosspaeds\/\" rel=\"tag\">Sudden Hearing Loss (Paeds)<\/a>","rttpg_excerpt":"A rapid loss of hearing that occurs suddenly or over a period of up to 72 hours: In children it can be difficult to distinguish sensorineural hearing loss, which is an otological emergency, from a conductive loss due to common causes, eg otitis media effusion.&nbsp;&nbsp; Causes C.M. &amp; G.T. 08-02-25","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4454"}],"version-history":[{"count":13,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4454\/revisions"}],"predecessor-version":[{"id":22872,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4454\/revisions\/22872"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4246"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4454"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}