Author(s)

D. S. Deenadayal^*, D. Vidyasagar, Vyshanavi Bommakanti, Madisetty Naveen Kumar, Nakirikanti Ravi Kumar, Ramesh Chintha

Department of ENT and HNS, Yashoda Hospital, Secunderabad, India.

Objective: To assess the outcomes of intratympanic steroids in the management of idiopathic sudden sensorineural hearing loss. Study Design: Retrospective study. Setting: Academic tertiary care medical centre. Materials and Methods: A total of 67 patients with idiopathic sudden sensorineural hearing loss were included in our study. Pre- and post-injection audiograms were taken to assess the outcomes in improvement in hearing. Hearing outcomes were assessed with respect to duration of onset of treatment and age of the patient. Improvement in the speech discrimination score was also assessed. Results: A total of 67 patients were included in our study of which unilateral cases were 59 and bilateral cases were 8. Subjectively 35 patients reported improvement in hearing after the therapy while objectively we found 44 ears [41 patients] had improvement. The mean PTA pre ITS was 62.7 and after ITS it was 56.3. Maximum improvement was noted at 2000 Hz and 1000 Hz. Conclusion: Intratympanic steroids can be offered as a first line therapy for idiopathic sudden sensorineural hearing loss as it is minimally invasive, and can be performed as an office based procedure with no systemic side effects. No major complications have been reported in our study and results have been satisfactory.

Intratympanic Methyl Prednisolone, Sudden Sensorineural Hearing Loss

S. Deenadayal, D. , Vidyasagar, D. , Bommakanti, V. , Naveen Kumar, M. , Ravi Kumar, N. and Chintha, R. (2016) Role of Intratympanic Steroids in the Management of Idiopathic Sudden Sensori Neural Hearing Loss— Our Experience of 67 Cases. International Journal of Otolaryngology and Head & Neck Surgery, 5, 174-180. doi: 10.4236/ijohns.2016.54028.