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Intratympanic Steroid Treatment: A Review

2004; Lippincott Williams & Wilkins; Volume: 25; Issue: 6 Linguagem: Inglês

10.1097/00129492-200411000-00031

1537-4505

Karen Jo Doyle, Christopher D. Bauch, Robert A. Battista, Charles W. Beatty, Gordon B. Hughes, John Mason, Jennifer Maw, Frank L. Musiek,

Ear Surgery and Otitis Media

Objective: To review published literature regarding the use of intratympanic steroids in the treatment of Ménière's disease and sudden sensorineural hearing loss and to make recommendations regarding their use based on the literature review. Data Sources: Literature review from 1996 to 2003, PubMed, Medline Plus, and Web of Science. Study Selection: Retrospective case series and uncontrolled prospective cohort studies were the only types of studies available for review. Conclusion: On the basis of the available literature, a weak recommendation is made to use intratympanic steroid treatment of sudden hearing loss if oral steroid therapy fails or is con-traindicated. The available studies regarding intratympanic steroid treatment of Ménière's disease and tinnitus are inadequate to answer the question of the efficacy of this treatment for these conditions. Higher quality studies are needed.