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The authors claim that this research also used inconsistent dosages of steroids and didn’t measure outcomes at the same time for all participants. The study therefore does not inform the otolaryngologist of what dosage of steroids to use, nor at what time after treatment to expect improvement, the authors compose. To our understanding, no valid randomized managed trial is present to determine effective treatment of sudden sensorineural hearing loss, they conclude. Systemic steroids cannot be regarded as the gold regular of treatment of unexpected sensorineural hearing loss, given the severe restrictions of the landmark study supporting their make use of.