Intratympanic dexamethasone injections
In the same group 2 treated patients ears with tinnitus of presumed cochlear origin with intratympanic dexamethasone injections. A tube is placed in the posterio-inferior quadrant of the TM.
Four injections were performed with the dexamethasone or the saline solution, 1 per week for 4 weeks. November 7, ; final revision received September 23, ; accepted October 21, In Shulman and Goldstein 3 treated 10 patients with intratympanic dexamethasone injections. Certain steroids seem to cause more pain than others.
Three ears that showed tinnitus improvement had high-frequency hearing loss and 1 had mid-frequency hearing loss. We considered a 2-point improvement on the visual analog scale to be significant. The patients were then asked to indicate the intensity of tinnitus on a visual analog scale graded from 1 to 10 1 was low and 10 was an unbearable level of intensity. Purchase access Subscribe to the journal.
These results were similar to those obtained for the entire group. Each patient remained for about 20 minutes in the described position. Topf et al reported that 1. Injections of steroid can be given through the ear drum, by way of a small needle figure 1Bor administered as drops through a ventilation tube figure 1A.
Inject the dexamethasone through the posterior incision Minor, Steroid injections like endolymphatic shunt surgery for Meniere's disease are a procedure that seems to be very popular as a surgical intervention.
Seven ears in 6 patients had significant improvement at least 2 gradations on the visual analog scale Table 2. Methods From January to January71 patients who were diagnosed with unilateral SSNHL and failed typical medical treatment received intratympanic dexamethasone injection. This last idea seems odd to us in that the usual medication used -- dexamethasone -- has very little if any mineralocorticoid effect.
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These complaints were mild and resolved spontaneously soon after the injections. Permanent vertigo and imbalance have not been reported. The average score on the visual analog scale was 7. After finishing the treatment, the patients answered a questionnaire about the status of their tinnitus worse, unaltered, slightly improved, greatly improved, and in remission.
Five patients experienced tinnitus control for at least 1 year and 2 had tinnitus control for only a few hours.