Role of Intratympanic Methylprednisolone in Sudden Sensorineural Hearing Loss. A Clinical Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Objective: Sudden sensorineural hearing loss (SSNHL) is a common emergency in Otology. The etiology, clinical features and treatment remains a matter of debate for over decade. The aim of this study is to evaluate the effectiveness of intratympanic steroid therapy (IST) in patients with idiopathic sudden sensorineural hearing loss (ISSHL), determining the overall hearing recovery and comparing the results with different variables. Materials and Methods: Our study consisted of 50 patients with sudden sensorineural hearing loss. The patients received 0.5ml +of methylprednisolone by direct intratympanic injection. Results showed overall PTA improvement in 42 patients (84%), 08 (16%) had no change in hearing. There was a significant statistical correlation between hearing recovery and time to onset of symptoms, severity of hearing loss and frequency of hearing loss. Conclusions: IST is an effective and safe therapy in sudden sensorineural hearing loss cases. Early intratympanic injection, hearing losses less than 90 dB and the involvement of the low frequencies seem to influence the hearing recovery positively.
Authors and Affiliations
Dr. Preeti Sharma, Dr Saurav Shekhar, Dr. Satish Kumar, Dr. P N P Pal, Dr. B B Bajpayi
Keywords
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