耳鳴の病態と治療--粘膜麻酔剤ならびにステロイド剤中耳腔注入の成果とともに
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Tinnitus is an otological symptom which is often encountered and is yet difficult to treat. If tinnitus is of cochlear origin then it seems reasonable to assume that a total depression of the cochlear function will abolish cochlear tinnitus. To achieve this depression, transtympanic injections of a local anesthetic (4% Lidocaine) to anesthetize the inner ear and of Decadoron were conducted in a patient suffering from tinnitus.1. One hundred and sixty-eight patients (220 ears) who had suffered from relatively long-term tinnitus were included in this study. In almost all of the cases the clinical symptoms and the laboratory findings (i. e., the audiogram and caloric test) indicated that the probable lesion underlying the tinnitus was located within the end organ.In some cases this injection brought a transient (for a few days), slight, neurosensorial deafness in the low-frequency range. This auditory disorder, however, was completely restored without sequelae.Our results are summarized as follows:1) in 76 ears, tinnitus was abolished completely2) in 109 ears, tinnitus was considerably ameliorated3) in 35 ears, tinnitus was slightly ameliorated or no effect.2. One hundred and nineteen patients (140 ears) who had suffered from tinnitus were included in this study.Decadoron was applied to the middle ear cavity by transtympanic injection.Our results are summarized as follows:1) in 87 ears, tinnitus was abolished2) in 39 ears, tinnitus was considerably ameliorated3) in 14 ears, tinnitus was slightly ameliorated or no effect.
- 耳鼻咽喉科臨床学会の論文
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