University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Family Medicine


Elyse Watkins, DHSc, PA-C, DFAAPA


The purpose of this article is to review unilateral idiopathic sudden sensorineural hearing loss (ISSNHL), diagnosis, workup, and first-line corticosteroid treatment options in adult patients over 18 years of age, in the primary care setting. It is targeting physician assistants, nurse practitioners, and physicians. Clinical presentation, history and physical examination, treatment options, and patient management will be discussed. In ISSNHL, differentiation between conductive and sensorineural hearing loss, prompt initiation of emergent care, and an Otolaryngology referral are important steps in hearing improvement and recovery. The efficacy of oral systemic and intratympanic (IT) treatment options, alone or in combination, will also be explored considering evidence-based recommendations and guidelines.


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