Role of Intratympanic Dexamethasone Injection as a Treatment Choice in Patients with Immune‑mediated Sensory Neural Hearing Loss - A Clinical Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
Background: Sensorineural hearing loss (SNHL) is not an uncommon condition encountered in ENT practice. Once developed in patients, it causes severe handicap that affects their job, family life, and social life. Therefore, once diagnosed the otologists should treat the disorder effectively to improve and/or even stabilize hearing. Aim: To evaluate the role of intratympanic corticosteroids for the treatment of different types of SNHL. Materials and Methods: A total of 68 patients with immune-mediated SNHL were subjected to intratympanic steroid injections under local anesthesia. Pre- and post-injection Audiological evaluation; pure tone average (PTA) was done to know the results. Observations and Results: Hearing improvement with improved PTA of 26.20 dB by pure tone audiometry observed in 49.42% of the patients. Improved speech discrimination scores of 37.60% in 58.4% of patients. Conclusion: In SNHL of immune-mediated pathogenesis intratympanic steroid injection remains a safe and effective tool in the armamentarium of an ENT surgeon.
Authors and Affiliations
Imtiaz Ahmed Khan, Urooj Ahmed Choudhary
Keywords
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