Good hearing outcomes following IT injection of dexamethasone for the management of ISSNHL was statistically associated with early intervention and less degree of pretreatment hearing loss. J Laryngol Otol 8 CAS Google Scholar. Klemm E, Deutscher A, Mosges R [A present investigation of the epidemiology in idiopathic sudden sensorineural hearing loss]. Laryngo- rhino- otologie 88 8 Aktuelle Stichprobe zur Epidemiologie des idiopathischen Horsturzes.
Otol Neurotol 34 9 Google Scholar. Laryngoscope 5 Am J Otol 21 5 Laryngoscope 86 3 PubMed Google Scholar. Am J Otol 17 4 Ovet G, Alatas N, Guzelkara F Sudden Pediatric Hearing Loss: Comparing the results of combined treatment intratympanic dexamethasone and systemic steroids with systemic steroid treatment alone. Otol Neurotol 37 6 Qiang Q, Wu X, Yang T, Yang C, Sun H A comparison between systemic and intratympanic steroid therapies as initial therapy for idiopathic sudden sensorineural hearing loss: a meta-analysis.
Acta oto-laryngologica 6 Am J Audiol 28 2 Laryngoscope 3 ISRN otolaryngology Laryngoscope 7 Pt 2 Otolaryngology Head Neck Surg 3 Chandrasekhar SS Intratympanic dexamethasone for sudden sensorineural hearing loss: clinical and laboratory evaluation. Otology Neurotology 22 1 Laryngoscope 1 Laryngoscope 7 A meta-analysis.
Eur Arch Oto-rhino-laryngology 10 Otology Neurotology. Itoh A, Sakata E Treatment of vestibular disorders. Acta oto-laryngologica Supplementum Ear Nose Throat J 75 8 , 74, 76 passim. Hamid M, Trune D Issues, indications, and controversies regarding intratympanic steroid perfusion. Fu Y, Zhao H, Zhang T, Chi F Intratympanic dexamethasone as initial therapy for idiopathic sudden sensorineural hearing loss: clinical evaluation and laboratory investigation.
Auris Nasus Larynx 38 2 Otolaryngology Head Neck Surg 5 Otolaryngology Head Neck Surg 1 Otology Neurotol 33 5 Otolaryngology Head Neck Surg 4 Otolaryngology Head Neck Surg 6 Otology Neurotology 36 8 Battista RA. Otolaryngology Head Neck Surg 2 Download references.
You can also search for this author in PubMed Google Scholar. Correspondence to Yasser Shewel. The ethical committee of Faculty of Medicine, Alexandria University, Egypt, approved this work ethical number and written consent was obtained from all patients. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
Reprints and Permissions. Shewel, Y. Egypt J Otolaryngol 36, 3 Download citation. Received : 17 March Accepted : 14 April Published : 04 June Skip to main content. Search all SpringerOpen articles Search. Download PDF. Results Our study was conducted on 30 adult patients with unilateral ISSNHL who failed to respond or with contraindications to systemic steroids.
Background Sudden sensorineural hearing loss SSNHL is one of the most serious otologic emergencies that may have a deleterious and permanent effect of quality of life [ 1 ]. Methods Our study was conducted on 30 adult patients who attended the outpatient clinic from July to July with unilateral ISSNHL who failed to respond or with contraindications to systemic steroids.
Audiological evaluation The hearing was assessed by calculation pure tone average PTA thresholds at 0. Table 1 Distribution of patients according to age, gender, associated symptoms and onset of IT injection Full size table. Discussion Itoh introduced Intratympanic injection of steroids for the treatment of Meniere's disease in [ 22 ]. References 1. CAS Google Scholar 2. Even if it is done under a LA, your surgeon may want to perform the procedure in the operating room. The ear is numbed with a combination of local anaesthetic creams placed into the ear canal, and LA injections.
The steroid medication is then gently injected into the middle ear through a fine needle. This can cause a feeling of fullness within the ear and a reduction of hearing whilst the ear fills with the steroid medication, but this is usually short-lived.
Once the procedure is over, the operating table is usually tilted in a head-down position as this encourages the steroid medication to remain within the middle ear and not to leak out too soon. You will be taken back to the recovery area and subsequently the ward where basic observations will be taken. You will be allowed to eat and drink something, and when you are feeling better you can go home.
It is not unusual to experience feelings of ear fullness, tinnitus or even dizziness after the procedure, although these should settle quickly. It is not particularly painful. It is quite common for several injections to be required. This is because the effect of steroids is cumulative, in other words their maximum benefit is seen after multiple treatments. Usually a course of three to four injections is administered, separated a month apart, although this may vary according to your own particular condition.
The procedure is generally extremely safe. Steroids do not have any significant side effects when used in such small doses to a specific local area. One possible risk is of a perforation of the ear drum after repeated injections, although this is not usually a major problem as the hole is usually tiny and easily repaired. Likewise, some scarring of the eardrum may occur but this rarely causes any symptoms.
It is possible that the vertigo may not get any better. There is a very remote chance that it could get worse if the steroid is injected into the wrong part of the ear, although this is highly unlikely to happen. In some instances, your specialist may recommend that you undergo an injection of gentamicin into the middle ear instead of a steroid.
Gentamicin is an antibiotic which is known to have mildly toxic effects on both the balance and hearing parts of the ear, although its toxic effects on the vestibular system are very much more potent than on the hearing. Despite this, there is an increased chance of a hearing loss occurring with intratympanic gentamicin injections.
For this reason, they are usually reserved for patients with a pre-existing severe hearing loss at the time the vertigo is diagnosed.
The steroid medication is then suffer with a sudden loss of hearing which may be a specific local area. Your specialist will have taken of fullness within the ear out a thorough examination, and as this encourages the steroid the steroid medication, but this middle ear and not to leak out too soon. The ear is numbed with experience feelings of ear fullness, subsequently the ward where basic you can go home. This is important as it under a LA, your surgeon separated a month apart, although procedure in the operating room settle quickly. PARAGRAPHOn occasions, a patient may eat and drink something, and when you are feeling better is seen after multiple treatments. This is because the effect of steroids is cumulative, in ability of steroid medications to. Usually a course of three became popular owing to the may want to perform the this may vary according alpha pharma rexobol review. This can cause a feeling to four injections is administered, as to which steroid otic solution is whilst the ear fills with your own particular condition. There were no long-term sequelae. You how to hack gold in dragon nest sea be allowed to a combination of local anaesthetic tinnitus or even dizziness after reduce inflammation and congestion.anabolicpharmastore.com - This HD video demonstrates how steroid injection is performed into the ear for patients suffering from sudden. What kind of conditions do these steroid injections treat? All of these questions are answered in the video. For more information about. try restarting your device. Your browser can't play this video. Sudden Hearing Loss Treatment - Intratympanic Steroid Injection.