Intratympanic Steroid Therapy for Sudden Hearing Loss: A Review of the Literature

被引:75
作者
Seggas, Ioannis [2 ]
Koltsidopoulos, Petros [1 ]
Bibas, Athanasios [2 ]
Tzonou, Anastasia [3 ]
Sismanis, Aristides [2 ]
机构
[1] G Gennimatas Hosp, ENT Dept, Athens 11527, Greece
[2] Univ Athens, Hippokrat Hosp, ENT Dept, Athens, Greece
[3] Univ Athens, Dept Hyg Epidemiol & Med Stat, Athens, Greece
关键词
Dexamethasone; Intratympanic steroids; Methylprednisolone; Steroid perfusion; Sudden deafness; Sudden sensorineural hearing loss; Transtympanic steroids; INNER-EAR; DEXAMETHASONE INJECTION; TRANSTYMPANIC STEROIDS; SALVAGE TREATMENT; SYSTEMIC THERAPY; HYALURONIC-ACID; LOW-FREQUENCY; DOUBLE-BLIND; FAILURE; PERFUSION;
D O I
10.1097/MAO.0b013e3181f7aba3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: Administration of steroids systematically is considered to be the most commonly accepted treatment for idiopathic sudden sensorineural hearing loss (ISSNHL). In recent years there has been increasing scientific interest in treating ISSNHL by means of local steroid delivery. Usually, intratympanic steroids are used in three main protocols, as initial treatment, as adjunctive treatment given concomitantly with systemic steroids and as salvage treatment after failure of standard therapy. The purpose of this review is to examine the published literature regarding the therapeutic value of each method of treatment and to seek answers about the best delivery technique and the optimal administration schedule. Data Sources: Literature review from 1996 to 2009, PubMed and Medline. Study Selection: We searched for trials concerning clinical evaluation of intratympanic steroids in ISSNHL patients, as a salvage treatment, as a first line therapy and in combination with the conventional therapy. Randomized and non-randomized case control studies and case series studies were the types of trials available for review. Data Extraction: All the articles described in the study selection were used for this review. Data Synthesis: Statistical techniques were not used. Conclusion: On the basis of the available literature, it seems that topical steroids can be a valuable solution for ISSNHL patients who either cannot tolerate systemic steroid therapy or are refractory to it. Concerning the combined therapy, due to the controversial results of the existing studies, it cannot be determined yet whether this treatment protocol could yield superior results as a first line therapy. The need for establishment of standard criteria of hearing recovery should be underlined.
引用
收藏
页码:29 / 35
页数:7
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