HBOT for Sudden Sensorineural Hearing Loss

in the Dallas Metroplex

HBOT for Sudden Sensorineural Hearing Loss

Losing your hearing overnight seems like something out of a bad dream, but it’s an unsettling reality for people with sudden sensorineural hearing loss (SSNHL). One moment, everything sounds normal; then, a few hours later, there’s muffled noise, ringing, or even total silence in one ear. If this has happened to you, you’re probably looking for answers—and an effective treatment.

One option that has been gaining attention is hyperbaric oxygen therapy (HBOT). This well-established treatment increases oxygen levels in the body, reducing inflammation and helping tissues heal. Could it be an option for your sudden hearing loss? Let’s take a closer look.

What Is Sudden Sensorineural Hearing Loss?

SSNHL is sudden hearing loss due to nerve-related issues in the inner ear. It typically affects one ear and can develop over hours or a few days. Many people wake up to find they can’t hear out of one ear, or they might notice it for the first time when talking on the phone.

Sensorineural Hearing Loss Causes

SSNHL happens when something disrupts the inner ear’s delicate system. While doctors don’t always know the exact cause, some possible culprits include:

  • Viral inner ear infection
  • Poor blood flow
  • Autoimmune disease
  • Exposure to loud noises
  • Certain medications

Symptoms of SSNHL

If you’re experiencing SSNHL, you might notice:

  • A sudden drop in hearing (usually in one ear)
  • A feeling of fullness in the ear
  • Ringing (tinnitus)
  • Dizziness or balance problems

SSNHL is considered a medical emergency. The sooner treatment starts, the better your chances of recovery.

How Does Hyperbaric Oxygen Therapy Work?

HBOT treatment is simple. You sit or lie in a pressurized, cylindrical chamber with see-through walls and breathe pure oxygen. Normally, oxygen travels through the bloodstream on red blood cells. In an HBOT chamber, the high-pressure environment dissolves extra oxygen directly into the plasma, increasing the amount of oxygen by 15 times and allowing it to reach areas with poor circulation—like the inner ear.

Oxygen is essential for healing, so increasing it helps damaged tissues recover more effectively. That’s why HBOT is used for wounds, infections, and conditions involving compromised blood flow.

A man with Sensorineural Hearing Loss trying to hear after HBOT in Jupiter, FL

Hyperbaric Oxygen Therapy for Sensorineural Hearing Loss

So, how does HBOT connect to SSNHL? The inner ear is highly sensitive to oxygen levels, and if blood flow is restricted, the delicate hair cells in the cochlea responsible for detecting sound vibrations can suffer damage. HBOT delivers a higher concentration of oxygen to the inner ear, supporting the recovery of stressed or damaged auditory cells.

What Does the Research Say?

Hyperbaric oxygen therapy for sudden sensorineural hearing loss is backed by years of research. Here’s what the studies say:

  • Potential for improved hearing outcomes: HBOT has been shown to reduce swelling and oxidative stress, creating a more favorable environment for healing. A 2024 umbrella review analyzing multiple studies found that patients receiving HBOT had a higher rate of partial or complete hearing recovery compared to those who did not receive the therapy.
  • Improved recovery rates with prompt treatment: A 2019 narrative review found that HBOT increased the chances of partial or full hearing recovery, particularly in patients who began treatment within two to 14 days of symptom onset.
  • Better outcomes when combined with corticosteroids: The same 2019 narrative review reported that patients who received HBOT alongside steroid treatment had a 61.7% improvement in hearing, compared to 28.6% in the steroid-only group. The hearing gain was also higher, with an average 20 dB improvement in the combination-treatment group compared to 8.5 dB in the steroid-only group.

Limitations of HBOT

While HBOT has promising results, it’s not a guaranteed fix for sudden sensorineural hearing loss. Here are some things to keep in mind:

  • Timing matters: The earlier HBOT starts, the better. If you allow weeks or months to pass before beginning treatment, the results may not be as profound.
  • Multiple sessions are needed: HBOT isn’t a one-and-done treatment. The most common protocol involves 10 to 20 daily sessions at about 60 to 120 minutes per session over a two- to four-week period.
  • Insurance coverage varies: Today, most health insurance policies may not cover HBOT for SSNHL.

Other Treatment Options

If HBOT isn’t an option or you’re looking to boost your recovery, here are some other approaches to consider:

Corticosteroids

Hyperbaric oxygen therapy is not a replacement for steroids, which remains the first-line treatment for SSNHL. Instead, HBOT is often used as an add-on therapy to improve outcomes.

Steroids reduce inflammation and protect inner ear structures. They can be taken orally or injected directly into the ear (intratympanic injections). Injections are often preferred since they deliver medication directly to the affected area while minimizing side effects. As with HBOT, steroids are most effective when started as early as possible after symptoms appear.

Diet and Lifestyle Changes

While not a cure, adopting certain habits can support recovery:

  • Lower your salt intake to prevent fluid buildup in the inner ear.
  • Stay hydrated to support circulation.
  • Manage stress to improve blood flow and reduce tinnitus severity.
  • Avoid ototoxic medications (certain antibiotics and high-dose aspirin) to prevent further damage.

Hearing Aids and Cochlear Implants

If hearing loss persists, hearing aids can amplify sound for mild to moderate cases. For severe or profound hearing loss, cochlear implants bypass the damaged inner ear and send sound signals directly to the auditory nerve.

Vestibular Therapy for Balance Issues

Some SSNHL patients experience dizziness or balance problems. Vestibular therapy retrains the brain to compensate for these issues, improving stability and reducing dizziness.

Why Choose Baromedical Associates for HBOT?

If you’re considering hyperbaric oxygen therapy for sudden sensorineural hearing loss, Baromedical Associates offers the most advanced treatment available. Our patients receive HBOT in large clear FDA-approved, single-person hyperbaric chambers for a safe, comfortable experience. We’ve earned a global reputation, treating patients from all over the world who have heard of our excellent work. Contact us today to schedule a consultation, or visit one of our locations in the Dallas Metro area to learn more.

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