{"id":903,"date":"2019-09-03T14:52:05","date_gmt":"2019-09-03T11:52:05","guid":{"rendered":"https:\/\/www.ent-cyprus.com\/?page_id=903"},"modified":"2019-09-03T14:53:49","modified_gmt":"2019-09-03T11:53:49","slug":"intratympanic-steroid-treatment","status":"publish","type":"page","link":"https:\/\/www.ent-cyprus.com\/en\/ear\/intratympanic-steroid-treatment\/","title":{"rendered":"Intratympanic Steroid Treatment"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1bcql-4af78ade9bb9085b9e5ce3a759428bf0\">\n.avia-section.av-1bcql-4af78ade9bb9085b9e5ce3a759428bf0{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/www.ent-cyprus.com\/wp-content\/uploads\/2019\/07\/afti_ent-cyprus.jpg);\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n.avia-section.av-1bcql-4af78ade9bb9085b9e5ce3a759428bf0 .av-section-color-overlay{\nopacity:0.5;\nbackground-color:#000000;\n}\n<\/style>\n<div id='av_section_1'  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modern-quote modern-centered  avia-builder-el-3  avia-builder-el-no-sibling  av-inherit-size'><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Intratympanic Steroid Treatment<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7frtk-afd8bad04110d28962e42d372458fb1b\">\n.flex_column.av-7frtk-afd8bad04110d28962e42d372458fb1b{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-7frtk-afd8bad04110d28962e42d372458fb1b av_one_fourth  avia-builder-el-4  el_after_av_one_half  avia-builder-el-last  flex_column_div av-zero-column-padding  '     ><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='av_section_2'  class='avia-section av-h1uwt-090cbf92ae427230c161ccdf0e1ad66d main_color avia-section-default avia-no-border-styling  avia-builder-el-5  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-903'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-10i6t-87ec39ad009ea093255545a30b2ab6e6\">\n.flex_column.av-10i6t-87ec39ad009ea093255545a30b2ab6e6{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-10i6t-87ec39ad009ea093255545a30b2ab6e6 av_one_full  avia-builder-el-6  avia-builder-el-no-sibling  first flex_column_div av-zero-column-padding  '     ><section  class='av_textblock_section av-jy9n5o0b-2017261c8a60997aebae3ea535828d44 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Intratympanic steroids are used in patients with sudden hearing loss who can not tolerate systemic steroids, or are suffering from diabetes, autoimmune compromised patients or in patients who do not respond to systemic therapy.<\/p>\n<p>The Intratympanic steroid infusions \/ Gentamycin can also be used in Meniere\u2019s disease.<\/p>\n<p><strong>Intratympanic<\/strong><\/p>\n<p>The main benefits of intratympanic steroids are as follows:<\/p>\n<ul>\n<li>completely painless<\/li>\n<li>high concentration of active substance can be directly inserted to the diseased ear<\/li>\n<li>opposed to systemic administration, the local injection of steroids selects diseased ear<\/li>\n<li>rare side effects or complications<\/li>\n<li>only requires the application of a local anesthetic<\/li>\n<li>good adherence to treatment.<\/li>\n<\/ul>\n<p>The main disadvantages associated with local steroid injections are the lack of data in the literature to demonstrate the effectiveness or its superiority versus treatment with systemic steroids. The complications of this technique are rare and include earache, feeling local sensation, tympanic membrane perforation and vertigo that lasts a few minutes and then subsides.<\/p>\n<p><strong>Technique<\/strong><\/p>\n<p>For injection we use 0,4 ml dexamethazone 8mg\/2ml \u00a0in 5 sessions over a period of 15 days. The patient is placed in supine position. Local anesthetic applied (0,1 ml cream Emla on the rear lower quadrant of the tympanic membrane for a period of 10 to 15 minutes or phenol. For the injection we use spinal needle 25 G and then diffuse approximately 0,4 ml solution Dexamethazone. Penetration is at the lower rear quadrant of the tympanic membrane. Following infusion, the patient is required to keep the head at an angle of 45 degrees to the healthy ear to avoid ingestion. The patient remains in this position for about 20 minutes.<\/p>\n<\/div><\/section><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_3'  class='avia-section av-ef23p-06abbd7837f495895247da3cad3ebcc2 main_color avia-section-default avia-no-border-styling  avia-builder-el-8  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-903'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8xb0xc-034a7969226db6dc98bd62088f503097\">\n.flex_column.av-8xb0xc-034a7969226db6dc98bd62088f503097{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-8xb0xc-034a7969226db6dc98bd62088f503097 av_one_full  avia-builder-el-9  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entry--><\/div><\/div><\/p><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":920,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-903","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Intratympanic Steroid Treatment - \u0394\u03c1. \u0393\u03b5\u03c1\u03ac\u03c3\u03b9\u03bc\u03bf\u03c2 \u039a\u03c5\u03c1\u03b9\u03b1\u03ba\u03af\u03b4\u03b7\u03c2<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ent-cyprus.com\/en\/ear\/intratympanic-steroid-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" 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