Objective: To examine the role of salvage intratympanic steroid injections in patients presenting with idiopathic sudden sensorineural hearing loss following a poor response to initial oral steroid treatment.
Methods: A retrospective analysis of patient records over the course of four years was conducted, and pure tone thresholds were reviewed before treatment, after oral steroid therapy and six weeks after intratympanic steroid injection therapy.
Results: After oral steroid therapy alone, there was a mean average threshold change of 6.
Three unrelated children from ethnically diverse backgrounds who were treated for acute leukaemia became profoundly and irreversibly deaf during treatment. Aminoglycoside levels were within the therapeutic range. Genetic testing showed all three to have a maternally inherited mutation of mitochondrial DNA, m.
View Article and Find Full Text PDFIt is a common misconception that high frequency audiometric notches are diagnostic of noise induced hearing loss. The aim of this study was to identify the prevalence of high frequency notch (HFN) in an audiovestibular medicine outpatient clinic population at a district general hospital. One hundred and forty nine consecutive adult patients were assessed.
View Article and Find Full Text PDFIntroduction: The objectives of this preliminary, prospective, cohort study were to ascertain the characteristics of vestibular evoked myogenic potentials at threshold levels in two groups of Ménière's disease patients - acute and stable - and to identify whether vestibular evoked myogenic potentials can provide any specific, objective information to distinguish acute from stable Ménière's disease.
Subjects And Methods: The study was based at a tertiary neuro-otology centre. Twenty adult patients who fulfilled the American Academy of Otolaryngology-Head and Neck Surgery criteria for Ménière's disease were divided into two groups: 11 patients with acute Ménière's disease and nine patients with stable Ménière's disease.