E-ISSN 2602-4837
The Turkish Journal of Ear Nose and Throat [Tr-ENT]
Tr-ENT. 2019; 29(2): 79-85 | DOI: 10.5606/Tr-ENT.2019.43531

The outcome of intratympanic steroid therapy as a salvage treatment for sudden sensorineural hearing loss

Emel Tahir1, Kemal Keseroglu1, Serap Er1, Bülent Öcal1, Ali Özdek2, İstemihan Akın1, Ömer Bayır1, Mehmet Hakan Korkmaz3
1Department of Otolaryngology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
2Private Clinic, Ankara, Turkey
3Department of Otolaryngology, Ankara Yıldırım Beyazıt University, Faculty of Medicine, Ankara, Turkey

INTRODUCTION: The aim of this study is to evaluate the outcomes of intratympanic steroid (ITS) treatment for idiopathic sudden sensorineural hearing loss (SSNHL).
METHODS: Between January 2014 and November 2016, medical charts of a total of 63 patients (47 males, 16 females; mean age: 44.2±17.5 years; range, 18 to 77 years) who were hospitalized due to SSNHL were retrospectively analyzed. The patients were divided into two groups as those who received standard treatment (Group 1, n=32) and those who received ITS treatment as a salvage treatment (Group 2, n=31). Treatment modalities and the results of pure tone audiometry tests were recorded. Recovery was assessed according to the Furuhashi criteria.
RESULTS: There was no significant difference in the hearing recovery rates between Group 1 and Group 2. In the patients receiving standard treatment, the recovery rate was significant (78%), while it was only 35.4% in the patients receiving ITS treatment (p=0.361).
DISCUSSION AND CONCLUSION: Although recent guidelines strongly recommend ITS treatment, in our study, ITS, which was started on Day 5 of admission, was not found to be superior to standard systemic treatment.

Keywords: Intratympanic injection, salvage treatment, sudden sensorineural hearing loss.

Emel Tahir, Kemal Keseroglu, Serap Er, Bülent Öcal, Ali Özdek, İstemihan Akın, Ömer Bayır, Mehmet Hakan Korkmaz. The outcome of intratympanic steroid therapy as a salvage treatment for sudden sensorineural hearing loss. Tr-ENT. 2019; 29(2): 79-85

Sorumlu Yazar: Emel Tahir, Türkiye
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