Simultaneous Therapy Approach: Systemic and Intratympanic Corticosteroid for Idiopathic Sudden Sensorineural Hearing Loss: A Clinical Study

Introduction:Idiopathic Sudden sensorineural hearing loss (ISSNHL) can be treated with various methods. This study investigated the impact of combined systemic and intratympanic corticosteroid injections on hearing improvement and associated symptoms in patients with ISSNHL.Top of Form.Materials and Methods: The study investigated the recovery process of ۷۳ patients with ISSNHL from Khorasan Razavi registry between the years ۲۰۲۲ to ۲۰۲۴. These patients received treatment involving both systemic and intratympanic corticosteroid.Results: One month after treatment, the study using Modified Siegel's criteria found complete, partial, and slight improvement in ۳۰%, ۱۴%, and ۱۶% of patients, respectively. During this period, ۲۴% of cases with tinnitus were completely treated, while ۵۱% experienced partial relief. For cases with vertigo, ۶۷% were completely treated, and ۳۳% had partial improvement.Conclusion: Combined corticosteroid treatment is effective in approximately sixty percent of ISSNHL cases. This therapy also demonstrates success in alleviating related symptoms such as tinnitus and vertigo.

کلیدواژه ها:

Sensorineural hearing loss ، Sudden hearing loss ، Corticosteroids ، vertigo ، Tinnitus