@article{sidiropoulos2013successful,
  title = {Successful Salvage Therapy with Intratympanic Dexamethasone in a Diabetic Patient with Severe Idiopathic Sudden Sensorineural Hearing Loss},
  author = {Iordanis Sidiropoulos and Dimitrios Palaskas and Antonios Fragakis and Dionysios E. Kyrmizakis},
  year = 2013,
  url = {https://ibimapublishing.com/articles/IJCRM/2013/645549/},
  journal = {International Journal of Case Reports in Medicine},
  volume = 2013 (2013),
  pages = 7,
  doi = 10.5171/2013.645549,
  abstract = {Introduction: The treatment of idiopathic sudden sensorineural hearing loss (ISSHL) has been a subject of controversy for decades. Systemic steroids are among the treatments with the greatest acceptance. Intratympanic steroids have been used with increasing frequency over the last 15 years in a variety of ways. Presentation of Case: We present a case of a diabetic patient with severe ISSHL who after failure of systemic steroid treatment was treated with intratympanic Dexamethasone.  The three-tone pure tone averages (0.5, 1 and 2 KHz) before and after treatment were 80 dB and 27 dB, respectively.  Discussion: The outcome of this patient’s treatment scheme has to be considered in conjunction with the variable prognosis of ISSHL. The relationship between ISSHL and diabetes mellitus (DM) has been largely ignored so far.  Conclusion: We conclude that intratympanic steroid treatment should be considered seriously, especially in patients in whom systemic steroid treatment is contraindicated.},
  keywords = {idiopathic sudden sensorineural hearing loss, intratympanic steroids, diabetes mellitus, sudden deafness.},
  note = Article ID: 645549
}