- Treatment within 7 days improved hearing outcomes, especially in flat descending and total deafness subtypes.
- Younger patients had better recovery than older patients in some subtypes.
- Earlier therapy and younger age improved tinnitus; vertigo outcomes were favorable across groups.
- Batroxobin and acupuncture provided no added benefit.
- Linked to smaller hearing gains in total deafness and low-frequency descending subtypes.
- Intratympanic corticosteroids improved hearing in poor responders, mainly in total deafness.
- Retrospective design, single-center setting, and small sample size reduced generalizability.
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