A Comparative Study between the Efficacy of Intratympanic Steroid Injection and Conventional Medical Treatment in Resistant Cases of Otitis Media with Effusion
Introduction Otitis media with effusion (OME) is a multifactorial disease and the treatment options for it are limited and controversial. The aim of the present study was to compare the efficacy of intratympanic steroid injection and conventional medical treatment in resistant cases of OME with h...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Association of Otolaryngologists of India, West Bengal
2021-06-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/450 |
| _version_ | 1797285724785999872 |
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| author | Rabi Hembrom Mukesh Kumar Singh Sabyasachi Ghosh Sabyasachi Gon Indranil Das Tapas Kumar Mahata Subanta Bhaumik |
| author_facet | Rabi Hembrom Mukesh Kumar Singh Sabyasachi Ghosh Sabyasachi Gon Indranil Das Tapas Kumar Mahata Subanta Bhaumik |
| author_sort | Rabi Hembrom |
| collection | DOAJ |
| description | Introduction
Otitis media with effusion (OME) is a multifactorial disease and the treatment options for it are limited and controversial. The aim of the present study was to compare the efficacy of intratympanic steroid injection and conventional medical treatment in resistant cases of OME with hearing loss.
Materials and Methods
A comparative study was conducted among 20 patients of OME with hearing loss, resistant to conventional medical treatment between December 2019 to November 2020. ‘Intratympanic dexamethasone injection’ (ITDI) was given every week for 3 consecutive weeks to one group and the other group continued to receive medical treatment. Hearing was assessed by performing pure tone audiogram before every ITDI and also at 12 weeks follow up after completion of treatment.
Results
Hearing improvement was found to be better in the group which received ITDI (Mean AC-PTA hearing gain = 22.88 dB) than the group where conventional medical treatment was continued (Mean AC-PTA hearing gain = 6.83 dB).
Conclusion
Intratympanic dexamethasone injection has significantly better outcome in term of improvement of hearing loss in resistant cases of OME than conventional medical management, and is an effective and safe therapy. |
| first_indexed | 2024-03-07T18:07:22Z |
| format | Article |
| id | doaj.art-3c204b985640442bb5caddbe7f5d8b46 |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T18:07:22Z |
| publishDate | 2021-06-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-3c204b985640442bb5caddbe7f5d8b462024-03-02T08:35:26ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072021-06-01291A Comparative Study between the Efficacy of Intratympanic Steroid Injection and Conventional Medical Treatment in Resistant Cases of Otitis Media with EffusionRabi Hembrom0Mukesh Kumar Singh1Sabyasachi Ghosh2Sabyasachi Gon3Indranil Das4Tapas Kumar Mahata5Subanta Bhaumik6Midnapore Medical College & HospitalMidnapore Medical College & HospitalMidnapore Medical College & HospitalVivekananda Institute of Medical Sciences, KolkataMidnapore Medical College & HospitalMidnapore Medical College & HospitalMidnapore Medical College & HospitalIntroduction Otitis media with effusion (OME) is a multifactorial disease and the treatment options for it are limited and controversial. The aim of the present study was to compare the efficacy of intratympanic steroid injection and conventional medical treatment in resistant cases of OME with hearing loss. Materials and Methods A comparative study was conducted among 20 patients of OME with hearing loss, resistant to conventional medical treatment between December 2019 to November 2020. ‘Intratympanic dexamethasone injection’ (ITDI) was given every week for 3 consecutive weeks to one group and the other group continued to receive medical treatment. Hearing was assessed by performing pure tone audiogram before every ITDI and also at 12 weeks follow up after completion of treatment. Results Hearing improvement was found to be better in the group which received ITDI (Mean AC-PTA hearing gain = 22.88 dB) than the group where conventional medical treatment was continued (Mean AC-PTA hearing gain = 6.83 dB). Conclusion Intratympanic dexamethasone injection has significantly better outcome in term of improvement of hearing loss in resistant cases of OME than conventional medical management, and is an effective and safe therapy.https://bjohns.in/journal3/index.php/bjohns/article/view/450Otitis Media with Effusion Injection, IntratympanicDexamethasone |
| spellingShingle | Rabi Hembrom Mukesh Kumar Singh Sabyasachi Ghosh Sabyasachi Gon Indranil Das Tapas Kumar Mahata Subanta Bhaumik A Comparative Study between the Efficacy of Intratympanic Steroid Injection and Conventional Medical Treatment in Resistant Cases of Otitis Media with Effusion Bengal Journal of Otolaryngology and Head Neck Surgery Otitis Media with Effusion Injection, Intratympanic Dexamethasone |
| title | A Comparative Study between the Efficacy of Intratympanic Steroid Injection and Conventional Medical Treatment in Resistant Cases of Otitis Media with Effusion |
| title_full | A Comparative Study between the Efficacy of Intratympanic Steroid Injection and Conventional Medical Treatment in Resistant Cases of Otitis Media with Effusion |
| title_fullStr | A Comparative Study between the Efficacy of Intratympanic Steroid Injection and Conventional Medical Treatment in Resistant Cases of Otitis Media with Effusion |
| title_full_unstemmed | A Comparative Study between the Efficacy of Intratympanic Steroid Injection and Conventional Medical Treatment in Resistant Cases of Otitis Media with Effusion |
| title_short | A Comparative Study between the Efficacy of Intratympanic Steroid Injection and Conventional Medical Treatment in Resistant Cases of Otitis Media with Effusion |
| title_sort | comparative study between the efficacy of intratympanic steroid injection and conventional medical treatment in resistant cases of otitis media with effusion |
| topic | Otitis Media with Effusion Injection, Intratympanic Dexamethasone |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/450 |
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