Hyperbaric oxygen therapy for sudden idiopathic sensorineural hearing loss and tinnitus: a systematic review of randomised controlled trials Ppt Powerpoint Presentation slides Michael Bennett Medical Slideshow Sudden Sensorineural Hearing Loss and Intratympanic Steroids

Hyperbaric oxygen therapy for sudden idiopathic sensorineural hearing loss and tinnitus: a systematic review of randomised controlled trials

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Notes

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Slide 1 :

Mike Bennett UHMS 2005 Hyperbaric oxygen therapy for sudden hearing loss and tinnitusA systematic review with meta-analysis

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One of a number of Cochrane reviews recently published

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Mike Bennett UHMS 2005 Scope Idiopathic Sudden Sensorineural Hearing Loss (ISSNHL) and tinnitus [not noise induced deafness] Acute and chronic presentation Randomised evidence only Cochrane methodology Systematic review Meta-analysis

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Mike Bennett UHMS 2005 The Cochrane process Title registration Protocol draft Protocol published Review draft Review published Updated (2nd yearly) Checked by RGC and editors Peer review x3

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Mike Bennett UHMS 2005 Outcome measures Problematic in this review Many different measures but: ?clinical importance. An improvement from PTA threshold of 65dB to 30dB still leaves the patient deaf! None used the most clinical outcome of the Glasgow Benefit Plot

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Mike Bennett UHMS 2005 Systematic search

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Accepted studies

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Accepted studies

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Mike Bennett UHMS 2005 Conclusions Some evidence that HBOT improves hearing loss in acute ISSNHL (NNT = 5 for 25% return) Clinical importance remains unclear More data required The trials that we need can be described in detail

	m.bennett@unsw.edu.au 1 Years ago. Category: Otolaryngology

Tags:	Otolaryngology

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