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✦ The Dispatch

Efficacy of Defibrinogenation Therapy for Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-Analysis

A dispatch from PubMed — filed

Sudden sensorineural hearing loss (SSNHL) is a perplexing medical condition characterized by rapid hearing decline, often accompanied by symptoms such as tinnitus and vertigo. Effectiveness of batroxobin treatment is not clearly known. OBJECTIVE: To systematically review and meta-synthesize the effectiveness of Batroxobin treatment on SSNHL.

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✦ The floor

Discussion

Signed responses from readers of the wire.

✦ Clinical Takeaway ✦

This meta-analysis provides the strongest available evidence to date on defibrinogenation therapy for sudden sensorineural hearing loss; audiologists should be aware of findings when coordinating care with ENT/otology colleagues, though prescribing decisions remain with medical physicians.

✦ Why It Matters ✦

Sudden sensorineural hearing loss has limited proven treatments, and a meta-analysis on defibrinogenation therapy could meaningfully inform otolaryngology and audiology collaborative care pathways.

✦ Key Points ✦
  1. 01Systematic review and meta-analysis pooling evidence on defibrinogenation therapy (blood-thinning treatment targeting fibrinogen) for sudden hearing loss.
  2. 02Sudden sensorineural hearing loss (SSNHL) is a rapid, unexplained loss of hearing in one or both ears — a medical emergency.
  3. 03Meta-analyses provide the highest level of evidence outside of individual large RCTs.
  4. 04Published in Laryngoscope Investigative Otolaryngology (2026).
  5. 05Specific effect sizes and number of included studies not available from the provided description.
✦ Claims & Evidence ✦

Defibrinogenation therapy is efficacious for the treatment of sudden sensorineural hearing loss.

studypartially supported
✦ Research metadata ✦
PMID
42871297
DOI
10.1002/lio2.70599.
Journal
Laryngoscope Investigative Otolaryngology
Publication type
meta_analysis
Evidence level
1a
Population
Patients with sudden sensorineural hearing loss
Intervention
Defibrinogenation therapy (fibrinogen-depleting agent to improve inner ear blood flow)

Primary outcomes

Hearing recovery outcomes following defibrinogenation therapy for SSNHL

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