Efficacy of intratympanic steroid therapy for severe and profound sudden sensorineural hearing loss.
Am J Otolaryngol
; 45(2): 104170, 2024.
Article
em En
| MEDLINE
| ID: mdl-38101127
ABSTRACT
BACKGROUND:
Intratympanic steroids (ITS) in treating sudden sensorineural hearing loss (SSNHL) have become more widespread.AIM:
This study investigates whether ITS treatment provides additional benefits when combined with systemic steroids (SS) in patients with severe and profound SSNHL. MATERIALS ANDMETHODS:
Patients diagnosed with severe and profound SSNHL were divided into two groups SS group and SS combined with ITS group. Pure-tone audiometry was performed before and three months after treatment completion. The pure-tone average (PTA), frequency-specific hearing gains, and average values were compared between the groups.RESULTS:
The study included 57 patients (27 SS, 30 ITS), with a mean age of 50.09 ± 15.56. Before treatment SS PTA 84.40 ± 15 dB HL, ITS 87.50 ± 9.38 dB HL (p = 0.36). After treatment SS 62.2 ± 23.13 dB HL, ITS 65.17 ± 12.19 dB HL (p = 0.55). Average hearing gain SS 22.19 ± 13.81 dB HL, ITS 22.33 ± 12.24 dB HL (p = 0.96). Frequency-specific gains were similar (p > 0.05). SS group 12 slight improvement, 10 no improvement, 3 partial, 2 complete recovery. ITS group 23 slight improvement, 6 no improvement, 1 partial.CONCLUSION:
In our study, combining ITS with SS treatment did not provide additional benefits in treating severe and profound SSNHL.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Perda Auditiva Súbita
/
Perda Auditiva Neurossensorial
Limite:
Adult
/
Aged
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Humans
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Middle aged
Idioma:
En
Revista:
Am J Otolaryngol
Ano de publicação:
2024
Tipo de documento:
Article