Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program or program for underweight.
Avoidance of psychosocial stress:
Psychological stresses
Stress
Avoidance of environmental stress:
Explosion trauma, blast trauma.
Conventional non-surgical therapy methods
Hyperbaric oxygenation (HBO; synonyms: hyperbaric oxygentherapy, HBO therapy; hyperbaric oxygen therapy; HBO2, HBOT); therapy in which medically pure oxygen is applied under an elevated ambient pressure.
Severe or refractory cases may benefit from a combination of HBOT with glucocorticoid therapy; authors recommended for this purpose: 100% oxygen at a pressure of 2.0 to 2.5 bar, either for two weeks at 90 minutes daily or alternatively 20 days at 60 minutes each; combination therapy resulted in patients in this group hearing significantly better (OR 1.43), as well as an increased chance of fully recovering original hearing (OR 1.61).
The timing of the start of hyperbaric oxygen therapy seems to be decisive for the success of therapy (absolute and relative hearing gain): so according to the study results, the start of therapy should be within 24 to 48 hours after hearing loss.
Regular check-ups
Regular medical checkups
Nutritional medicine
Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
