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Published in: Clinical Research in Cardiology Supplements 1/2012

Open Access 01-06-2012

Fibrinogen/LDL apheresis is a promising rescue therapy for sudden sensorineural hearing loss

Authors: Martin Canis, Franz Heigl, Markus Suckfuell

Published in: Clinical Research in Cardiology Supplements | Special Issue 1/2012

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Abstract

Background

Fibrinogen/LDL apheresis has been proven to be effective in treatment of sudden sensorineural hearing loss (SSNH). This study is aimed to investigate if reduction of fibrinogen and serum LDL is also effective in patients with SSNH non-responding toward treatment with corticosteroids and plasmaexpanders.

Methods

Remission rates of 217 patients suffering from SSHL were investigated after treatment with apheresis. All patients were non-responders after other therapies such as high doses of steroids or plasmaexpanders.

Results

Single apheresis resulted in complete or partial remissions in 61% of patients when given after other unsuccessful conducted therapies such as corticosteroids and plasmaexpanders.

Conclusion

Fibrinogen/LDL apheresis is a promising rescue therapy for sudden sensorineural hearing loss even after unsuccessful other therapies.
Literature
1.
go back to reference Olzowy B, Osterkorn D, Suckfull M (2005) The incidence of sudden hearing loss is greater than previously assumed. MMW Fortschr Med 147:37–38PubMed Olzowy B, Osterkorn D, Suckfull M (2005) The incidence of sudden hearing loss is greater than previously assumed. MMW Fortschr Med 147:37–38PubMed
2.
go back to reference Canis M, Osterkorn D, Osterkorn K et al (2009) A retrospective assessment of 741 patients with sudden hearing loss. Open Otorhinolaryngol J 3:5–10CrossRef Canis M, Osterkorn D, Osterkorn K et al (2009) A retrospective assessment of 741 patients with sudden hearing loss. Open Otorhinolaryngol J 3:5–10CrossRef
3.
4.
go back to reference Byl FM Jr (1984) Sudden hearing loss: Eight years’ experience and suggested prognostic table. Laryngoscope 94:647–661PubMedCrossRef Byl FM Jr (1984) Sudden hearing loss: Eight years’ experience and suggested prognostic table. Laryngoscope 94:647–661PubMedCrossRef
5.
go back to reference Sidman JD, Prazma J, Pulver SH et al (1988) Cochlea and heart as end-organs in small vessel disease. Ann Otol Rhinol Laryngol 97:9–13PubMed Sidman JD, Prazma J, Pulver SH et al (1988) Cochlea and heart as end-organs in small vessel disease. Ann Otol Rhinol Laryngol 97:9–13PubMed
6.
go back to reference Feron O, Dessy C, Desager JP et al (2001) Hydroxy-methylglutaryl-coenzyme A reductase inhibition promotes endothelial nitric oxide synthase activation through a decrease in caveolin abundance. Circulation 103:113–118PubMedCrossRef Feron O, Dessy C, Desager JP et al (2001) Hydroxy-methylglutaryl-coenzyme A reductase inhibition promotes endothelial nitric oxide synthase activation through a decrease in caveolin abundance. Circulation 103:113–118PubMedCrossRef
7.
go back to reference Nguyen TV, Brownell WE (1998) Contribution of membrane cholesterol to outer hair cell lateral wall stiffness. Otolaryngol Head Neck Surg 119:14–20PubMedCrossRef Nguyen TV, Brownell WE (1998) Contribution of membrane cholesterol to outer hair cell lateral wall stiffness. Otolaryngol Head Neck Surg 119:14–20PubMedCrossRef
8.
go back to reference Suckfull M (2002) Fibrinogen and LDL apheresis in treatment of sudden hearing loss: A randomised multicenter trial. Lancet 360:1811–1817PubMedCrossRef Suckfull M (2002) Fibrinogen and LDL apheresis in treatment of sudden hearing loss: A randomised multicenter trial. Lancet 360:1811–1817PubMedCrossRef
9.
go back to reference Suzuki K, Kaneko M, Murai K (2000) Influence of serum lipids on auditory function. Laryngoscope 110:1736–1738PubMedCrossRef Suzuki K, Kaneko M, Murai K (2000) Influence of serum lipids on auditory function. Laryngoscope 110:1736–1738PubMedCrossRef
10.
go back to reference Heigl F, Hettich R, Suckfuell M et al (2009) Fibrinogen/LDL apheresis as successful second-line treatment of sudden hearing loss: A retrospective study on 217 patients. Atheroscler Suppl 10:95–101PubMedCrossRef Heigl F, Hettich R, Suckfuell M et al (2009) Fibrinogen/LDL apheresis as successful second-line treatment of sudden hearing loss: A retrospective study on 217 patients. Atheroscler Suppl 10:95–101PubMedCrossRef
11.
go back to reference Wei BP, Mubiru S, O’Leary S (2006) Steroids for idiopathic sudden sensorineural hearing loss. Cochrane Database Syst Rev 1:CD003998PubMed Wei BP, Mubiru S, O’Leary S (2006) Steroids for idiopathic sudden sensorineural hearing loss. Cochrane Database Syst Rev 1:CD003998PubMed
12.
go back to reference Boldt J, Ducke M, Kumle B et al (2004) Influence of different volume replacement strategies on inflammation and endothelial activation in the elderly undergoing major abdominal surgery. Intensive Care Med 30:416–422PubMedCrossRef Boldt J, Ducke M, Kumle B et al (2004) Influence of different volume replacement strategies on inflammation and endothelial activation in the elderly undergoing major abdominal surgery. Intensive Care Med 30:416–422PubMedCrossRef
13.
go back to reference Pfefferkorn TK, Knuppel HP, Jaeger BR et al (1999) Increased cerebral CO(2) reactivity after heparin-mediated extracorporal LDL precipitation (HELP) in patients with coronary heart disease and hyperlipidemia. Stroke 30:1802–1806PubMedCrossRef Pfefferkorn TK, Knuppel HP, Jaeger BR et al (1999) Increased cerebral CO(2) reactivity after heparin-mediated extracorporal LDL precipitation (HELP) in patients with coronary heart disease and hyperlipidemia. Stroke 30:1802–1806PubMedCrossRef
14.
go back to reference Mellwig KP, van Buuren F, Schmidt HK et al (2006) Improved coronary vasodilatatory capacity by H.E.L.P. apheresis: Comparing initial and chronic treatment. Ther Apher Dial 10:510–517PubMedCrossRef Mellwig KP, van Buuren F, Schmidt HK et al (2006) Improved coronary vasodilatatory capacity by H.E.L.P. apheresis: Comparing initial and chronic treatment. Ther Apher Dial 10:510–517PubMedCrossRef
15.
go back to reference Kojima Y, Ito S, Furuya N (2001) Hearing improvement after therapy for hyperlipidemia in patients with chronic-phase sudden deafness. Ann Otol Rhinol Laryngol 110:105–108PubMed Kojima Y, Ito S, Furuya N (2001) Hearing improvement after therapy for hyperlipidemia in patients with chronic-phase sudden deafness. Ann Otol Rhinol Laryngol 110:105–108PubMed
16.
go back to reference Seidel D (1996) H.E.L.P. apheresis therapy in the treatment of severe hypercholesterolemia: 10 years of clinical experience. Int J Artif Organs 20:303–310CrossRef Seidel D (1996) H.E.L.P. apheresis therapy in the treatment of severe hypercholesterolemia: 10 years of clinical experience. Int J Artif Organs 20:303–310CrossRef
17.
go back to reference Shiraishi T, Kubo T, Okumura S et al (1993) Hearing recovery in sudden deafness patients using a modified defibrinogenation therapy. Acta Otolaryngol Suppl 501:46–50PubMedCrossRef Shiraishi T, Kubo T, Okumura S et al (1993) Hearing recovery in sudden deafness patients using a modified defibrinogenation therapy. Acta Otolaryngol Suppl 501:46–50PubMedCrossRef
18.
go back to reference Canis M, Heigl F, Hettich R et al (2008) Fibrinogen/LDL apheresis for treatment of sudden hearing loss: An observational study on 152 patients. HNO 56:961–966PubMedCrossRef Canis M, Heigl F, Hettich R et al (2008) Fibrinogen/LDL apheresis for treatment of sudden hearing loss: An observational study on 152 patients. HNO 56:961–966PubMedCrossRef
19.
go back to reference Mattox DE, Simmons FB (1977) Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 86:463–480PubMed Mattox DE, Simmons FB (1977) Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 86:463–480PubMed
Metadata
Title
Fibrinogen/LDL apheresis is a promising rescue therapy for sudden sensorineural hearing loss
Authors
Martin Canis
Franz Heigl
Markus Suckfuell
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Clinical Research in Cardiology Supplements / Issue Special Issue 1/2012
Print ISSN: 1861-0706
Electronic ISSN: 1861-0714
DOI
https://doi.org/10.1007/s11789-012-0044-8

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