J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (4): 11-13.doi: 10.6040/j.issn.1673-3770.0.2017.508

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Clinical efficacy of postauricular mastoid subperiosteal injection with betamethasone and lidocaine hydrochloride

HUANG Yingming, WAN Baoluo, JIN Yuwei   

  1. Department of Otolaryngology, The Peoples Hospital of Zhengzhou University, Henan Province Peoples Hospital, Zhengzhou 450003, Henan, China
  • Received:2017-12-02 Online:2018-07-20 Published:2018-07-20

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Abstract: Objective To investigate the effect of postauricular mastoid subperiosteal injection with betamethasone and lidocaine hydrochloride for idiopathic sudden deafness. Methods A 100 cases of idiopathic sudden deafness with concomitant tinnitus reported at the Henan Province Peoples Hospital between May 2015 and May 2016 were retrospectively studied. These cases were divided into the injection group(50 cases)and non-injection group(50 cases). The pure tone audiometry thresholds across 0.25-4 kHz and tinnitus levels of patients were evaluated before and after treatment. Results Based on audiometry measurements, in the injection group, 10 cases(20%)were cured, 20(40%)showed good effect, 13(26%)showed moderate effect, and 7(14%)showed no effect, whereas in the non-injection group, 5 cases(10%)were cured, 10(20%)showed good effect, 18(36%)showed moderate effect, and 17(34%)showed no effect. Tinnitus evaluation indicated that, in the injection group, 10 cases(20%)were cured, 15(30%)showed good effect, and 25(50%)showed no effect, whereas in the non-injection group, 6 cases(12%)were cured, 13(26%)showed good effect, and 31(62%)showed no effect. Conclusion The study found that postauricular mastoid subperiosteal injection with betamethasone and lidocaine hydrochloride was beneficial for patients with idiopathic sudden deafness.

Key words: Ears after injection, Deafness, sudden, Compound betamethasone, Lidocaine hydrochloride

CLC Number: 

  • R764
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会. 突发性耳聋诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志,2015,50(6):443-447.
[2] 彭玉成,符涛,孙爱华,等. 弥可保和维生素B12穴位注射治疗神经性耳鸣疗效观察[J].中国中西医结合耳鼻咽喉科杂志,2001,9(5):217. PENG Yucheng, FU Tao, SUN Aihua, et al. A comparative study on the therapeutic effect of acupoint injection to neurogenic tinnitus with methycobal[J]. Chin J Otorhinolaryngol Integr Med, 2001, 9(5):217.
[3] 李玲,黄志纯,陶锋. 突发性耳聋治疗及预后相关因素的研究进展[J]. 东南大学学报(医学版),2013,32(3):350-353.
[4] 杨晓琦,余力生,马鑫. 耳后注射复方倍他米松治疗顽固性低频型感音神经性聋[J].中华耳鼻咽喉头颈外科杂志,2007(42):814-815. YANG Xiaoqi, YU Lisheng, MA Xin. Postaurical injection of compound betamethasone to treat the intractable low-frequency sensorineural hearing loss[J]. Chin J Otorhinolaryngol Head Neck Surg, 2007(42):814-815.
[5] 李媚. 复方倍他米松联合山莨菪碱治疗突发性耳聋的疗效观察与护理[J].中国误诊学杂志,2014,11(11):2552.
[6] Jun HJ, Chang J, Im GJ, et al. Analysis of frequency loss as a prognostic factor in idiopathic sensorineural hearing loss[J]. Acta Otolaryngol, 2012,4(12):1-7.
[7] Morris L, Collins M. A patient with unilateral idiopathic sudden sensorineural hearing loss[J]. JAAPA, 2013, 26(1):32,34-35.
[8] 吴小娟,李和. 辅以利多卡因的穴位注射治疗主观性耳鸣临床观察[J]. 四川中医,2017,35(8):189-191.
[9] 王薇,黄鹤年. 利多卡因治疗耳鸣[J].国外医学耳鼻咽喉科学分册,1985,9(3):117.
[10] Noushi F, Richardson RT, Hardman J, et al. Dedlivery of neurotrophin-3 to the cochlea using alginate beads[J]. Otol Neurotol, 2005, 26(3):528-533.
[11] Endo T, Nakagawa T, Kita T, et al. Novel strategy for treatment of inner ears using a biodegradable gel[J]. Laryngoscope, 2005, 115(11):2016-2020.
[12] Li J, Yu L, Xia R, et al. Postauricular hypodermic injection to treat inner ear disorders: experimental feasibility study using magnetic resonance imaging and pharmacokinetic comparison[J]. J Laryngol Otol, 2013, 127(3):239-245.
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