JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (1): 15-18.doi: 10.6040/j.issn.1673-3770.0.2014.284

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Time pattern of audiological recoverey with intratympanic steroid injection as primary treatment for sudden sensorineural hearing loss

ZHANG Cai-xia1 2, LIU Yang-yun2, CHEN Zhi-xi3, JIANG Wen2, LI Zheng-xian2, CHEN Qiong2, CHANG En-ge2   

  1. 1. The Medical College of Hunan Normal University, Changsha 410003, Hunan, China;
    2. Department of Otolaryngology, the Second Affiliated Hospital of Hunan Normal University Medical College(No. 163 Hospital of PLA), Changsha 410003, Hunan, China;
    3. Department of Otolaryngology & Head and Neck Surgery, Yuebei People's Hospital, Shaoguan 512026, Guangdong, China
  • Received:2014-08-25 Online:2015-02-16 Published:2015-02-16

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Abstract: Objective To explore the time pattern of audiological recovery with intratympanic steroid injection as primary treatment for sudden sensorineural hearing loss (SSNHL) to define best strategy. Methods All 135 patients underwent a two-week systemic steroid therapy, while 72 of them received extra intratympanic injection in the mean time. All cases were followed up 2 months. Results No difference in total effective rates between the two treatments on 3rd day, 7th day,14th day and 1 month was noted. There was no difference between the 7th day and 14th day in combined treatment was noted (P=0.065) but not in systemic steroid therapy alone(P=0.029). Conclusion As a primary treatment, the curative effects between the intratympanic steroid administration and systemic steroid therapy shows no difference. The peaked time of hearing improvement of the former is earlier than that of the latter.

Key words: Intratympanic steroid injection, Time pattern of audiological recovery, Sudden sensorineural hearing loss (SSNHL), Primary treatment

CLC Number: 

  • R764.43
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