Factors Associated With the Benefits of Concurrent Administration of Intratympanic Steroid Injection With Oral Steroids in Patients With Acute Acoustic Trauma.

Objective: To analyze the factors associated with the benefits of concurrent administration of intratympanic steroid injection (ITSI) and oral steroids in patients with acute acoustic trauma (AAT) incurred during military training.

Study Design: Retrospective analysis.

Patients: Nineteen patients eligible under the criteria established concerning treatment for AAT were retrospectively reviewed in this study.

Effects of early intratympanic steroid injection in patients with acoustic trauma caused by gunshot noise.

Conclusion: This study evaluated the efficacy of concurrent administration of ITSI and systemic steroids in delayed treatment of NIHL after gunshot noise exposure. The results showed additional hearing benefits with administration of ITSI. Further evaluation is warranted to confirm this efficacy.