Intratympanic Steroid Perfusion for Sudden Sensorineural Hearing Loss

Intratympanic Steroids for Sudden Sensorineural Hearing Loss

“…Although there have been several literature reviews looking at intratympanic steroid treatment for inner ear diseases, [35][36][37][38][39][40][41] none were systematic reviews or meta-analyses. One systematic review of treatment of SSNHL did not focus on intratympanic steroid treatment and covered all treatment options.…”

Hearing outcome of sudden sensorineural hearing loss: Long‐term follow‐up

“…Recently, intratympanic administration of the drug has been widely used for a variety of otologic diseases such as intratympanic injection of gentamicin for Meniere disease. For sudden hearing loss, this approach has been proposed as an alternative treatment modality [4][5][6][7]9,10 for patients who were not candidates for systemic steroids and as a salvage modality 5,[8][9][10] for patients in whom systemic steroid treatment has failed. Guidelines for intratympanic steroid administration have not reached a consensus yet.…”

Sudden hearing loss

“…Proton pump inhibitors such as lansoprazole should be prescribed in conjunction with steroids. Intratympanic steroid administration has recently been proposed as treatment for refractory sudden hearing loss where systemic steroids have failed 14,15 but the efficacy and safety of intratympanic steroid therapy is unknown. Common adverse effects include pain, transient vertigo, otitis media and tympanic membrane perforation.…”