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This study is a prospective, randomized pilot study. To verify an efficacy and safety of the Intratympanic drug delivery vehicle, patients who have not responded to the existing standard treatment will be enrolled. Hearing test, endoscopy of tympanic membrane and CT scans will be conducted after intratympanic treatment for evaluation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexamethasone+Saline | Active Comparator |
| |
| Dexamethasone+Hyaluronic Acid | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexamethasone | Drug | Dexamethasone 5mg/ml |
|
| Measure | Description | Time Frame |
|---|---|---|
| Verification of tympanic membrane with endoscopy (Safety) | Confirming healing time of perforation and inflammation | 3-4 weeks after intratympanic injection |
| Confirmation of inflammation and drug with CT imaging (Durability) | Checking a time duration of drug in middle and inner ear | 1 day and/or 1 weeks after intratympanic injection |
| Valuation of hearing threshold with Pure tone audiometry (Efficacy) | Verifying therapeutic effect of intratympanic drug delivery vehicle | 3-4 weeks after intratympanic injection |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | South Korea |
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| ID | Term |
|---|---|
| D003639 | Hearing Loss, Sudden |
| D034381 | Hearing Loss |
| D006317 | Hearing Loss, Noise-Induced |
| D008575 | Meniere Disease |
| ID | Term |
|---|---|
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D012678 | Sensation Disorders |
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| ID | Term |
|---|---|
| D003907 | Dexamethasone |
| D006820 | Hyaluronic Acid |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
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| Hyaluronic acid | Drug | Hyaluronic Acid 20mg/2ml |
|
| D009461 |
| Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006319 | Hearing Loss, Sensorineural |
| D018159 | Endolymphatic Hydrops |
| D007759 | Labyrinth Diseases |
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |