Abstract
Although the systemic steroids have been considered as gold-standard treatment for sudden sensorineural hearing loss, overall recovery is poor in those patients who fail initial therapy. For those patients, we used intratympanic steroids therapy. We have evaluated the effect in 83 patients. As clinical outcomes, 26 patients (31.3%) demonstrated complete recovery, 5 patients (6.0%) marked recovery, 21 patients (21.5%) slight recovery and 31 patients (37.3%) non recovery. The average hearing level before the treatment was under 60dB and the treatment was started within 8 weeks in most of the patients who showed complete recovery and marked recovery. There were no severe side effects and complications.
Intratympanic steroids therapy should be considered as an effective treatment in the case who failed in systemic steroids.