Evidence map›Paper›PMID 26873148›Full record

SynthesisBrazilian journal of otorhinolaryngology

Intratympanic corticosteroid for sudden hearing loss: does it really work?

Monique Antunes de Souza Chelminski Barreto, Aleluia Lima Losno Ledesma, Carlos Augusto Costa Pires de Oliveira, Fayez Bahmad

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 30% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Potential benefits of salvage intratympanic dexamethasone injection in profound idiopathic sudden sensorineural hearing loss.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
    Article
  5. Article
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

4 authors at 3 institutions in 2 countries.

Monique Antunes de Souza Chelminski BarretoPostgraduate Speech and Hearing, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil; Educational Psychology, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil; Audiology and Neurotology, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil; Universidade de Brasília (UnB), Brasília, DF, Brazil.
Aleluia Lima Losno LedesmaUniversidade de Brasília (UnB), Brasília, DF, Brazil.
Carlos Augusto Costa Pires de OliveiraUniversidade de Brasília (UnB), Brasília, DF, Brazil.
Fayez BahmadOtology and Neurotology, Harvard Medical School, Boston, USA. Electronic address: fayez@gmail.com.
Universidade de Brasília · BRHarvard University · USUniversidade Federal de Pernambuco · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSudden deafness is characterized by an abrupt hearing loss of at least 30dB in three sequential frequencies in the standard pure tone audiogram over three days or less. Treatment is based on its etiology, and oral corticosteroids are widely used. Intratympanic corticosteroids are included as primary or secondary treatment when there is no improvement with the use of oral corticosteroids.

objectiveTo determine the effectiveness of therapy with intratympanic steroids in sudden deafness.

methodsA systematic review was performed of publications on the topic in the databases of PubMed/MEDLINE, with the keywords: sudden deafness, sudden hearing loss, and corticosteroids.

resultsThirty scientific studies were analyzed. As to the objectives of the study analyzed, 76.7% sought to evaluate the use of intratympanic therapy salvage after failure to conventional treatment, and intratympanic therapy was used as the primary treatment 23.3% of the studies.

conclusionIntratympanic corticosteroid therapy is prescribed primarily when there is failure of conventional therapy and when it is limited to use systemic corticosteroids, such as the diabetic patient.

Indexed as

Administration, OralAdrenal Cortex HormonesDexamethasoneHearing Loss, SuddenHumansInjection, IntratympanicMethylprednisoloneTreatment OutcomeTympanic MembraneAdrenal Cortex HormonesDexamethasoneMethylprednisoloneCorticosteroidesCorticosteroidsPerda súbita da audiçãoSudden deafnessSudden hearing lossSurdez súbita

Identifiers

PMID26873148
PMCPMC9444616
OpenAlexW2122514139

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.