The Roles Played by Blood Inflammatory Parameters in Sudden Sensorineural Hearing Loss

Ear Nose Throat J. 2024 May;103(5):313-318. doi: 10.1177/0145561320960355. Epub 2021 Oct 18.

Abstract

Objective: The etiology of sudden sensorineural hearing loss (SSNHL) remains unknown; inflammation may be one cause. We retrospectively studied SSHNL cases in terms of the inflammatory parameters involved.

Methods: We reviewed 169 SSNHL cases. The control group contained 132 patients with vocal cord polyps. The C-reactive protein (CRP) level, CRP/serum albumin (Alb) ratio, and neutrophil/lymphocyte ratio (NLR) were compared between the 2 groups. The relationships between these parameters and the time to treatment after SSHNL onset, hearing level, and therapeutic effects were also analyzed.

Results: The CRP level, CRP/Alb ratio, and NLR were higher in SSNHL patients than in controls, but only the NLR differed significantly between the 2 groups. We found no significant differences between patients with different hearing levels, those evaluated at various times after SSNHL onset, and those with different outcomes.

Conclusion: The NLR is a reliable SSNHL diagnostic marker. The CRP level and CRP/Alb ratio are not useful indicators.

Keywords: CRP; CRP/ALB; NLR; sudden sensorineural hearing loss (SSNHL).

MeSH terms

  • Adult
  • Aged
  • Biomarkers* / blood
  • C-Reactive Protein* / analysis
  • Case-Control Studies
  • Female
  • Hearing Loss, Sensorineural* / blood
  • Hearing Loss, Sensorineural* / etiology
  • Hearing Loss, Sudden* / blood
  • Hearing Loss, Sudden* / etiology
  • Humans
  • Inflammation / blood
  • Lymphocyte Count
  • Lymphocytes*
  • Male
  • Middle Aged
  • Neutrophils*
  • Polyps / blood
  • Polyps / complications
  • Retrospective Studies
  • Serum Albumin* / analysis

Substances

  • C-Reactive Protein
  • Serum Albumin
  • Biomarkers