Open AccessTreatment of Hearing Gain in Failed Idiopathic Sudden Sensorineural Hearing Loss
Author(s) -
Choi YoungSeok
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451426a315
Subject(s) - medicine , audiology , hearing loss , retrospective cohort study , steroid , audiometry , anesthesia , surgery , hormone
Objective To evaluate the effectiveness of intratympanic steroid injection on patients with a history of idiopathic sudden sensorineural hearing loss (ISSNHL) and failure of steroid therapy compared with patients who receive second oral steroids alone. Method Retrospective review of 70 patients with a history of ISSNHL and failure of hearing gain who receive intratympanic steroid injection or oral steroid as a second treatment modality. Results Seventy patients met inclusion criteria and were included in the study. The number of patients with improvement in pure tone average in the injection group was 12 (33%) compared with 6 (18%) in the oral group. Fifteen (41.7%) of the injected patients did have improvement in speech discrimination scores of greater than 15% compared with only 4 (11.8%) in the oral group. Conclusion Patients with ISSNHL who have failed oral steroid therapy can obtain better hearing results with intratympanic steroids injection in comparison to oral steroids.