High-Dose Glucocorticoids for the Treatment of Sudden Hearing Loss.

High-Dose Glucocorticoids for Sudden Hearing LossThis trial compared courses of high-dose intravenous prednisolone or high-dose oral dexamethasone versus standard-dose oral prednisone in adults with idiopathic sudden sensorineural hearing loss. At 30 days, systemic high-dose glucocorticoid therapy was not superior to a lower-dose regimen with respect to change in hearing threshold, and it was associated with a higher risk of side effects.

[Minimally-invasive incision using the implantable Hearing device Carina]. / Minimalinvasive Schnittführung beim Einsatz des implantierbaren Hörsystems Carina.

OBJECTIVE: The skin incision for cochlear implants and active middle ear implants like Vibrant Soundbridge and Bonebridge has evolved toward a minimally invasive access in recent years.For the active middle ear implant CARINA a significantly larger incision is recommended, which corresponds to that of Cochlear Implant care nearly two decades ago.As a result, increased complication rates due to extended incision can be expected. METHODS: In order to minimize the complication rate for the active middle ear implant CARINA the possibility for minimally invasive incisions was reconsidered and developed. RESULTS: Up to now, 4 patients have been successfully treated with a CARINA system with the minimally invasive skin incision of less than 5 cm length without postoperative complications. CONCLUSIONS: By optimizing the fixation by using self-tapping screws, this access route can be established as a standard.