When a patient reports a complaint of not being able to hear properly, and when evaluated, reveals idiopathic bilateral moderate-to-severe SNHL with acoustic reflexes at elevated levels, what can be the possible recommendations and the appropriate retest duration to suggest for?
I would suggest to repeat the audiometry weekly in the first month and than monthly, if the patient does not completely recover the previous hearing level.
I think the most likely cause is hydrops, and the easiest way to check this is very frequent PTAs, even within hours, to document low tone fluctuation. I am assuming the raised ARTs are within the range for cochlear losses, ie no neural component.
To answer such question some points need more details such as age, how was the hearing loss (sudden or progressive), the job of patient (is there noise exposure?), past medical history and family history.
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