돌발성난청 환자에서 체질량지수와 예후와의 관계

Background and Objectives: Steroid hormone is known as the main treatment of sudden sensorineural hearing loss. Yet there have been controversies over the dose of steroid hormone. This study was designed to investigate the correlation between the body mass index (BMI) and prognosis in sudden sensorineural hearing loss by comparing the BMIs of patients who treated with the same dose. Materials and Methods: The subjects were 94 patients with idiopathic sudden hearing loss who had admitted our hospital from 1997 January to 2001 December. We performed the pure tone audiometry every other day when they admission and classified them into 4 groups as complete recovery (CR), partial recovery (PR), slight recovery (SR);CR, PR, SR-steroid response group; and no response (NR);NR-steroid nonresponse group; by degree of hearing gain. Also we ckecked weight and height of patients during admission to find out body mass index (BMI). Correlations between body mass index and prognosis in idiopathic sudden hearing loss was analized by Pearson correlation coefficent. Results: Correlation between degree of hearing gain and BMI was high in SR, and in case of patient’s age over 50 year old but statistically meaningless. In case of women showed high correlation except SR, but alse statistically meaningless. Conclusion: According to BMI, no significant difference was seen statistically between steroid response group and nonresponse group. But relative dosage of steroid hormone is different as to BMI, so further investigations are needed for the best suited dosage of steroid hormone in idiopathic sudden hearing loss. (J Clinical Otolaryngol 2003;14:256-261)