Hyperbaric OXygen therapy for ACute Acoustic Trauma
- Conditions
- Acute Acoustic TraumaAcute Hearing Loss10019243
- Registration Number
- NL-OMON55905
- Lead Sponsor
- Academisch Medisch Centrum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 84
In order to be eligible to participate in this study, a subject must meet all
of the following criteria:
- Diagnosed with AAT based on audiometry after high impact noise-exposure at
the Department of Otorhinolaryngology, Central Military Hospital.
- First visit to the Department of Otorhinolaryngology between 24 and 72 hours
after the acoustic trauma.
- Age >= 18 years old.
- Minimum hearing loss: >= 30 dB on one tested frequency, or >= 25 dB on two
tested frequencies, OR >= 20 dB on three tested frequencies.
A potential subject who meets any of the following criteria will be excluded:
- Subject does not speak fluent Dutch
- History of idiopathic sudden sensorineural loss.
- History of radiation therapy in the head and neck region.
- Previous acute acoustic trauma (before current trauma) with objectified
hearing loss.
- Current or previous use of ototoxic drugs with objectified complaints before
the current visit.
- Known presence or history of vestibular schwannoma or cholesteatoma.
- Current otitis media.
- Epilepsy.
- Known presence of untreated pneumothorax.
- Known Chronic Obstructive Pulmonary Disease Gold IV grade or other pulmonary
disease with severe air trapping.
- Known severely reduced cardiac ejection fraction.
- Implanted device that is not proven to be compatible with HBOT.
- Claustrophobia that interferes with taking place in hyperbaric chamber.
- Inability to equalize middle ears using Valsalva manoeuvre. (If so, patients
are offered tympanostomy tubes if they wish to participate before being
excluded.)
- Current pregnancy.
- Use of adriamycin, bleomycin, cisplatin, or doxorubicin in previous six
months.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The main study endpoint is the absolute hearing gain on all affected<br /><br>frequencies (>= 20 dB) after between patients in HBOT5 and HBOT10 groups.</p><br>
- Secondary Outcome Measures
Name Time Method <p>Additional audiometric outcomes include relative hearing gains and speech<br /><br>discrimination at 100%, these will be compared between the both treatment arms.</p><br>