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Intratympanic versus systemic steroid treatment for idiopathic sudden hearing loss: a meta-analysis / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery ; (12): 412-416, 2013.
Artículo en Chino | WPRIM | ID: wpr-301456
ABSTRACT
<p><b>OBJECTIVE</b>To assess the effectiveness and safety of intratympanic versus systemic steroid therapy in the initial treatment of idiopathic sudden hearing loss.</p><p><b>METHODS</b>An extensive search of the literature was performed in Pubmed and other available database from January, 1980 to November, 2011. After filtering by the criteria of Cochrane Collaboration, a meta-analysis was conducted.</p><p><b>RESULTS</b>Nine studies met the criteria for meta-analysis, for idiopathic sudden hearing loss patients without diabetes received intratympanic steroid therapy, the improvement rate (RR = 1.11,95% CI = 0.96-1.28, P = 0.15) did not show any significance when compared with the patients received systemic therapy. While a significant difference of improvement rate occurred between intratympanic and systemic steroid therapy in the idiopathic sudden hearing loss patients with diabetes (RR = 1.24, 95% CI = 1.02-1.50, P = 0.03).</p><p><b>CONCLUSION</b>For the initial therapy of idiopathic sudden hearing loss patients without diabetes, systemic steroid treatment still remains the first choice, but for the idiopathic sudden hearing loss patients with diabetes, intratympanic steroid treatment should be used for the initial treatment.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Audiometría de Tonos Puros / Esteroides / Membrana Timpánica / Dexametasona / Metilprednisolona / Administración Oral / Resultado del Tratamiento / Pérdida Auditiva Súbita / Usos Terapéuticos / Quimioterapia Tipo de estudio: Revisiones Sistemáticas Evaluadas Límite: Humanos Idioma: Chino Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Año: 2013 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Audiometría de Tonos Puros / Esteroides / Membrana Timpánica / Dexametasona / Metilprednisolona / Administración Oral / Resultado del Tratamiento / Pérdida Auditiva Súbita / Usos Terapéuticos / Quimioterapia Tipo de estudio: Revisiones Sistemáticas Evaluadas Límite: Humanos Idioma: Chino Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Año: 2013 Tipo del documento: Artículo