Objective: Steroid therapy is the gold standard in treating sudden sensorineural hearing loss (SSNHL). This study aimed to compare the results of the systemic and intratympanic administration of steroids used to treat patients with SSNHL. Methods: A retrospective analysis was performed with 90 patients treated for SSNHL in our clinic between 2014 and 2017. Intratympanic steroid (ITS) was administered to 44 patients and systemic administration (intravenous or oral) to 46. Pure-tone average (PTA) values were recorded before treatment and at the first and third months post-treatment. Hearing improvement was evaluated according to the Furahashi criteria. Results: The pre-treatment PTA values were 68.9 ± 25.9 dB in the systemic steroidtreated group and 79.0 ± 22.6 dB in the intratympanic steroid-treated group, with no statistically significant difference determined (P = .07). After 1 month of treatment, the PTA median value was 6.0 (from −23.0 to −65.0) dB in the systemic group; and the median was 7.5 dB (from −13.0 to −84.0) in the intratympanic group. No statistically significant difference was determined between the groups in terms of regression in pure-tone median values after treatment (P = .90). According to the Furahashi criteria, in the evaluations between the 2 groups, those with complete improvement and significant improvement were compared together, and those with mild improvement and those without improvement were compared separately. There was no statistically significant difference in the distribution with respect to healing, between the groups (P = .692). Conclusion: Although steroids––which are the only treatment with proven efficacy in sudden idiopathic hearing loss––are effective in the improvement of hearing, the methods of administration showed no differences in terms of effectiveness.
|
Objective: Coronavirus Disease 2019 (Covid 19) is a viral pandemic that emerged in East Asia and spread rapidly to the rest of the world and
continues in our country. This study aims to evaluate the subjective severity of nasal obstruction with the Turkish Nasal Obstruction Symptom
Evaluation (T-NOSE) in patients with laboratory-confirmed Covid 19 infection and to compare with the control group.
Material and Methods: One hundred fifty-seven patients with confirmed Covid 19 infection (group 1, n=157) and 91 individuals without Covid
19 infection as the control group (group 2, n=91) were included in the study. Nasal obstruction complaints of adult patients with Covid 19
infection were evaluated with the T-NOSE scale test and compared with the control group. Covid 19 patients were grouped according to the
degree of thoracic CT involvement and the day that the NOSE test was performed.
Results: There was no statistically significant difference between the NOSE scale parameters of the Covid group and the control group (p=0.19).
Also, Covid 19 patients were grouped according to the thoracic CT involvement degree and divided into three groups according to the day of the
NOSE test. The relationship between these values, and NOSE was evaluated, and no statistically significant difference was found (p=0.65, p=0.385).
Conclusion: T-NOSE is a valid instrument with good internal consistency, reliability, and responsive instrument that is brief and easy to complete
and has potential use for outcome studies in adults Covid 19 patients with nasal obstruction.
|
Foreign body existence in oropharynx and larynx isfrequently encountered in emergency department andotorhinolaryngologicoutpatientclinics.Foreignobjects that are ingested by children include commonhousehold items like coins, small toys, marbles,batteries, erasers. We present an unusual case ofpatient with neck abscess caused by a harmless foreignbody migrated from larynx to the neck. Although ourclinic is an experienced clinic for foreign bodyingestion and aspiration, we should say that we did notconfronted with this kind of case previously. We thinkthat presenting that kind of cases into literature isimportant due to attract physicians attention.
|
