Intratympanic Steroid Treatment for Idiopathic Sudden Sensorineural Hearing Loss after Failure of Intravenous Therapy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Objective:To assess the outcomes of intratympanic steroids in the management of idiopathic sudden sensorineural hearing loss. Method:A total of 55 patients with idiopathic sudden sen-sorineural hearing loss were included in our study. Pre- and post-injection audiograms were taken to assess the outcomes in improvement in hearing. Hearing outcomes were assessed with respect to duration of onset of treatment and age of the patient. Results A total of 55 patients were included in our study of which unilateral cases were 43 and bilateral cases were 8. .Overall, 29 patients (52.7%)showed improvement in PTA, 24 (43.8%) had no change in hearing, and 2 (3.5%) worsened. The mean PTA pre ITS was 62.7 and after ITS it was 56.3. Maximum improvement was noted at 2000 Hz and 1000 Hz. Conclusion: IST is an effective and safe therapy in sudden sensorineural hearing loss cases that are refractory to standard treatmenThe earlier IST, the hearing losses less than 90 dB and the involvement of the low frequencies seem to influence positively the hearing recovery.
Authors and Affiliations
Dr. Dharmendra kumar, Dr. S. P Singh,, Dr. Varun kumar Thakur
Keywords
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- EP ID EP362782
- DOI 10.9790/0853-1702082831
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