Intratympanic steroids for sudden sensorineural hearing loss a systematic review

Update Silverstein MicroWick – dexamethasone
Preserve / restore hearing and eliminate or reduce symptoms associated with illness
Procedure performed on 7/17
In hospital by 11 am out by 5 pm
Felt good coming out of surgery no associated pain
or symptoms
Continued to fell good and recovery progressed positive
On Saturday felt well enough to accept invite to local river. Enjoyed time with family
Sunday attended church but left early due to feeling extremely fatigued, dizziness and nauseous.
Slept the remaining of the day and continued to sleep off and on until Tuesday morning. Waking for small meals and medication. Tuesday I reached out to doctors office. Advised to continue dexamethasone drops and Diphenidol. Wednesday I started to feel recovered and my appetite had returned. I continued to feel recovered. Thursday, by mid afternoon all the symptoms that had subsided had returned and I was back in bed.
I live in San Antonio Texas and the storm had made its way to town. So now I question if I’m struggling with symptoms because of the procedure or the change in weather.
Can anyone offer any to do’s if it’s weather related ?
Or procedure related ?

The most common treatment for sudden deafness, especially in cases where the cause is unknown, is corticosteroids. Steroids are used to treat many different disorders and usually work by reducing inflammation, decreasing swelling, and helping the body fight illness. Steroids are usually prescribed in pill form. In recent years, direct injection of steroids behind the eardrum into the middle ear (from here the steroids travel into the inner ear), called intratympanic corticosteroid therapy, has grown in popularity. In 2011, a clinical trial supported by the NIDCD showed that intratympanic steroids were no less effective than oral steroids , but were less comfortable overall for patients. They remain an option for people who can’t take oral steroids.

Other physical examination tests include the Romberg test and observation of gait. Swaying toward one side with the Romberg test is indicative of vestibular dysfunction in the ipsilateral side. Also, a patient's gait will lean toward the side of a vestibular lesion. Ataxia is indicative of cerebellar dysfunction, and the patient's gait is usually slow, wide-based, and irregular. 9 , 20 Observation of gait is also important to detect symptoms suggestive of parkinsonism in patients presenting with disequilibrium. 4 In early Parkinson disease, gait is usually slower with smaller steps and reduced arm swing, and progresses to freezing and hesitation in later stages of the disease. 20 Screening for peripheral neuropathy is also important in patients presenting with disequilibrium. 4

Intratympanic steroids for sudden sensorineural hearing loss a systematic review

intratympanic steroids for sudden sensorineural hearing loss a systematic review

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