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
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 ?
Results In the oral prednisone group, PTA improved by dB compared with a -dB improvement in the intratympanic treatment group. Mean pure tone average at 2 months was for the oral steroid treatment group and dB for the intratympanic treatment group. Recovery of hearing on oral treatment at 2 months by intention-to-treat analysis was dB greater than intratympanic treatment (% upper confidence interval, dB). Per-protocol analysis confirmed the intention-to-treat result. Thus, the hypothesis of inferiority of intratympanic methylprednisolone to oral prednisone for primary treatment of sudden sensorineural hearing loss was rejected.
Clinically, the success rate of Intratympanic steroid therapy in patients with SHL is variable in the literature and the available studies are limited to retrospective and non-controlled prospective ones. In those studies steroids were used in various concentrations, regimens and delivery methods and their effectiveness have not been established due to the lack of randomized controlled trials. There have been some studies in the literature that discussed the effectiveness of Intratympanic steroid therapy as a salvage mode of therapy in patients who failed to respond to oral steroids (Herr & Marzo 2005, Slattery et al 2005).