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Intratympanic Steroid Injection
Intratympanic Steroid Injection
An intratympanic steroid injection is an operation/procedure in which a small amount of steroid is injected directly into the middle ear. It is done under Local Anaesthesia in a separate procedure room.
It is used in patients suffering with sudden onset hearing loss or severe vertigo, such as caused by Meniere’s disease or a sudden vestibular failure which has not responded to vestibular sedative medications or rehabilitation exercises.
Your specialist will have taken a detailed history and carried out a thorough examination, and on the basis of this will have decided that you are likely to benefit from an intratympanic steroid injection. The assessment will have included a full hearing test. This is important as it gives your specialist a clue as to which ear is affected, and indicates the amount of useful hearing left.
Intratympanic Steroid Injection
Intratympanic Steroid Injection
The procedure itself is straightforward and can be carried out either under local or general anaesthetic. The ear is numbed with a combination of local anaesthetic creams placed into the ear canal, and LA injections. The steroid medication is then gently injected into the middle ear through a fine needle. This can cause a feeling of fullness within the ear and a reduction of hearing whilst the ear fills with the steroid medication, but this is usually short-lived. Once the procedure is over, the operating table is usually tilted in a head-down position as this allows better absorption of the drug
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ENT Consultation, Surgeries & Treatment
Dr. (Major) Rajesh Bhardwaj
MBBS (AFMC), MS, DNB, DLO, DHA
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Why choose MedFirst for the best Intratympanic Steroid Injections in Delhi?
MedFirst ENT Centre located at Vasant Vihar, New Delhi, led by Dr. (Major) Rajesh Bhardwaj, a top ENT specialist, offers modern equipment and comfortable, clean environment.
The same experienced doctor can be seen at every visit. Unlike large hospitals, MedFirst ENT center ensures that patients have minimal waiting time. Printed records are maintained to avoid the fuss of carrying prescription every visit while being shared even through WhatsApp.
The staff is friendly, the location is easy to find, and the clinic is kept spotless with thorough sanitization. MedFirst ensures you get the best care with convenience.
With convenient timings from Monday to Saturday and flexible morning and evening sessions, including extended hours on Thursdays, our clinic is committed to providing excellent care to you.
What is an Intratympanic Steroid Injection?
Round window, a sealed membrane situated behind the eardrum in the middle ear space. Behind the round window, the fluids of the inner ear that are important for hearing and balance of the body is present.
An Intratympanic steroid injection is given by the surgeon through the ear drum here, to fill the middle ear thereby letting the medication to diffuse across this round window and into the cochlear.
Dexamethasone and methylprednisolone are the most commonly used components of the Intratympanic Steroid Injection. It is delivered into the middle ear through the tympanic membrane. They reach the inner ear by absorption, mainly through the round window membrane. Although the exact mechanism of action remains unclear, the immune mediating properties are thought to play a role.
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When to get an Intratympanic Steroid Injection?
People who might be suffering from the below mentioned conditions can opt for getting an Intratympanic steroid injection,
- Noise-induced hearing loss: When there mechanical or metabolic damage to certain regions such as reticular lamina, organ of corti, the person may face this condition. Although not conclusive, the treatment is said to promote recovery.
- Meniere’s disease: The symptoms associated with the disorder such as vertigo can be treated using the mentioned injection.
- Idiopathic Sudden Sensorineural Hearing Loss (ISSHL): This condition characterized by sudden hearing loss can be treated by using Intratympanic steroid injection.
- Autoimmune inner ear disease: Hearing loss may occur when the immune regulation is compromised which led to an autoimmune disorder.
How to get an Intratympanic Steroid Injection?
This simple and straightforward procedure requires less than an hour and is performed in the outpatient department and is therefore a day procedure.
- The patient is given a topical local anaesthesia to not make him/her comfortable.
- Once the ear drum (tympanic membrane) gets numb, the injection is injected in to the middle ear using a needle.
- The patient is asked to lay down still for 20-30 mins to avoid the leaking of the injection out of the ear.
- Once this is done, the patient is free to go.
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Pre- and Post Care Essentials of an Intratympanic Steroid Injection
Unlike other treatments, administration of this injection does not require additional care and recovery care.
Before Treatment
- The person is given local anaesthesia, he/she might feel a little dizzy post the administration of the injection, hence is asked to be accompanied by someone.
- Wax and debris need to be cleared or cleaned to have a better visualization by the doctor to determine the cause or need of the injection.
After Treatment
- The patient is asked to stay still or lay down still for 20-30 minutes after the administration of the injection for to avoid leakage.
- The person is advised not to yawn for the 20-30 minutes.
- Speaking is to be avoided 20-30 minutes post the administration.
- The person is strictly advised not to swallow during these 30 minutes.
Benefits of Getting an Intratympanic Steroid Injection
- Since the procedure is non-invasive there is no possible tissue damage.
- The procedure is simple and targeted.
- The cost is relatively low.
- An overall improvement is seen in the mental, physical an emotional well-being of the person.
- Reduced symptoms of vertigo or imbalance.
Cost of an Intratympanic Steroid Injection in Delhi
The cost of getting an intratympanic steroid injection may depend on these factors,
- The choice of treatment city and hospitals.
- Hospitalization fees depend on the facility.
- The severity of the condition influences the treatment cost.
- The age and health condition of patient determine how complex the treatment should be.
- Post-surgical care and hospital visits add up-to expenses.
- Based on the expertise and experience of the surgeon, the fees change.
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