Evidence map›Paper›PMID 23044978›Full record

ReviewAnatomical record (Hoboken, N.J. : 2007)2012

Corticosteroid therapy for hearing and balance disorders.

Dennis R Trune, Barbara Canlon

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Anatomical record (Hoboken, N.J. : 2007), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05112354 (Predictive Factors for Recovery in Idiopathic Sensory Neural Hearing Loss), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05112354 phase2completednot on this mapstarted 2019, after this paper: background citation

Predictive Factors for Recovery in Idiopathic Sensory Neural Hearing Loss

TypeinterventionalSponsorAssiut UniversityRan2019 to 2021Enrolled40ConditionsIdiopathic Sudden SNHLArmssystemic and intratympanic injection of steoid
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Intratympanic corticosteroids for sudden sensorineural hearing loss.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Immunological mechanisms in Meniere's disease.Frontiers in immunology · 2025
    Review
  6. Article
  7. A single dose of AC102 restores hearing in a guinea pig model of noise-induced hearing loss to almost prenoise levels.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Endoscopic diving technique for hearing preservation in managing labyrinth-invading cholesteatomas.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  13. Review
  14. Article
  15. Article
  16. Application of Nanomedicine in Inner Ear Diseases.Frontiers in bioengineering and biotechnology · 2021
    Review
  17. Article
  18. Clinical trials evaluating transtympanic otoprotectants for cisplatin-induced ototoxicity: what do we know so far?European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Dennis R TruneOregon Hearing Research Center, Department of Otolaryngology/Head & Neck Surgery, Oregon Health & Science University, Portland, Oregon 97239-3098, USA. truned@ohsu.edu
Barbara Canlon
Karolinska Institutet · SEOregon Health & Science University · US

Funding

PORTLAND AREA COMMUNICATION RESEARCH CORE CENTERP30DC005983 · NIDCD · OREGON HEALTH & SCIENCE UNIVERSITY · PI NUTTALL, ALFRED L · 2003 to 2017
$9.0M
Steroid Responsive Mechanisms in the EarR01DC005593 · NIDCD · OREGON HEALTH & SCIENCE UNIVERSITY · PI TRUNE, DENNIS ROYAL · 2002 to 2012
$5.2M
NIDCD NIH HHS P30 DC005983NIDCD NIH HHS R01 DC005593NIDCD NIH HHS R01 DC05593
6 · The paper itself

Abstract

This review addresses the current status of steroid therapies for hearing and vestibular disorders and how certain misconceptions may be undermining the efficacy in restoring normal ear function, both experimentally and clinically. Specific misconceptions addressed are that steroid therapy is not effective, steroid-responsive hearing loss proves an underlying inflammatory problem in the ear, and steroids only have application to the hearing disorders listed below. Glucocorticoid therapy for hearing and balance disorders has been employed for over 60 years. It is recommended in cases of sudden hearing loss, Meniére's disease, immune-mediated hearing loss, and any vestibular dysfunction suspected of having an inflammatory etiology. The predominant steroids employed today are dexamethasone, prednisone, prednisolone, and methylprednisolone. Despite years of use, little is known of the steroid responsive mechanisms in the ear that are influenced by glucocorticoid therapy. Furthermore, meta-analyses and clinical study reviews occasionally question whether steroids offer any benefit at all. Foremost in the minds of clinicians is the immune suppression and anti-inflammatory functions of steroids because of their efficacy for autoimmune hearing loss. However, glucocorticoids have a strong binding affinity for the mineralocorticoid (aldosterone) and glucocorticoid receptors, both of which are prominent in the ear. Because the auditory and vestibular end organs require tightly regulated endolymph and perilymph fluids, this ion homeostasis role of the mineralocorticoid receptor cannot be overlooked in both normal and pathologic functions of the ear. The function of the glucocorticoid receptor is to provide anti-inflammatory and antiapoptotic signals by mediating survival factors.

Indexed as

Adrenal Cortex HormonesAnimalsHearing LossHumansVertigoAdrenal Cortex Hormones

Identifiers

PMID23044978
PMCPMC3999710
OpenAlexW2092411345

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.