![]() Immediate measures at the onset of acute hearing loss include corticosteroid therapy, while preventative and chronic therapies, which can limit disease severity and frequency, vary based on the specific condition treated. Summary: A literature search was performed regarding fluctuating hearing loss, and current treatment of these etiologies of fluctuating hearing loss was summarized. ![]() In this review, we discuss historical and current perspectives on diagnosis and treatment of these conditions. Furthermore, initial treatment of these conditions is often similar. Although these 3 etiologies vary greatly, distinguishing between these conditions at initial presentation can be challenging. ![]() Background: Several otologic conditions can present with fluctuating sensorineural hearing loss, including Ménière’s disease, autoimmune inner ear disease, and enlarged vestibular aqueduct.
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