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).
Because of the urgency for treatment, the employee’s primary physician was contacted and an appointment was set for that afternoon. He saw an otolaryngologist (ENT) the next day. The employee was given a 10-day course of prednisone and asked to avoid noise. In instances when he could not avoid noise on/off job, he was asked to wear hearing protection with a good seal. In discussing the case with the ENT physician, we discussed the dilemma of starting steroids when many times hearing will recover spontaneously. He explained that once he has ruled out any known causes, he discusses with the patient the possible steroid side effects and the chances of spontaneous recovery.
I had a flu shot in 1993 (I do not know what kind) when I was in my late 30’s. About 10 days later I started having severe ringing and buzzing in my right ear. I woke up in the middle of the night with no hearing in that ear. I saw an ENT doc that same day and started on steroids. Had the MRI which was all clear. I lost 100% of the hearing in my right ear. All the nerves were also affected, so a hearing aid will not help. It took a long time to recover…both the physical and emotional. I will never take another flu shot, and I research carefully before any immunization. I discovered that the shingles shot can also cause hearing loss…
Many doctors have told me that it was not the flu shot that caused my SSNHL; however, I was not ill and nothing else could have caused it.