EFFECTIVENESS OF COMBINED INTRA–TYMPANIC STEROIDS AND SYSTEMIC STEROIDS IN THE MANAGEMENT OF IDIOPATHIC SUDDEN SENSORI NEURAL HEARING LOSS(ISSNHL)

Dr.S.Senthil Kumaran

Volume : VII, Issue : I, January - 2018

EFFECTIVENESS OF COMBINED INTRA–TYMPANIC STEROIDS AND SYSTEMIC STEROIDS IN THE MANAGEMENT OF IDIOPATHIC SUDDEN SENSORI NEURAL HEARING LOSS(ISSNHL)

Dr. S. Senthil Kumaran

Abstract :

OBJECTIVE:To compare he� results in Idiopathic sudden sensori neural he� loss patients treated with systemic steroids alone or combined intra tympanic and systemic steroids.

STUDY DESIGN: Prospective

SETTING:Government Dharmapuri Medical College Hospital,Dharmapuri.

PATIENTS: In this study,50 elegible patients with ISSNHL were allocated into 2 groups.Patients in the control group were treated with systemic prednisolone alone.Patients of the combined group received additionally 3 intra tympanic dexamethasone injection within 5 days.

MAIN OUTCOME MEASURES: The main outcome measures used were the differences between pretreatment and post treatment pure tone audiometry(PTA) averages.The assessment of he� was performed on 5^th�,10^th�and 15^th� days of treatment.

RESULTS: Significant he� recovery was observed in 20(80%) of 25 combined treatment cases and in 16(64%) of 25 control patients.

CONCLUSION: The addition of intra tympanic steroids to the conventional systemic steroid therapy may provide a safe and potentially effective therapeutic option in patients with mild to severe ISSNHL.