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In Reply.—We certainly agree with Dr Simmons that many patients with idiopathic sensorineural hearing loss will recover spontaneously, but this recovery rate should apply equally to the group not treated with blocks as well as those treated with blocks.
The fact that the health professions he mentioned had a higher recovery rate would tend to confirm the fact as we reported, that the earlier the diagnosis, the better the prognosis. If the physician waits one or two weeks before starting therapy to see which patients will recover spontaneously, the percentage of recovery rate will definitely be lowered in those patients who do not recover spontaneously. It is interesting to note that in his first case report of
HAUG O. Stellate Ganglion Blocks for Idiopathic Sensorineural Hearing Loss-Reply. Arch Otolaryngol. 1976;102(6):384–385. doi:10.1001/archotol.1976.00780110096022
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