Comparative Study Between Low Level Laser Therapy and Intra Tympanic Steroids Injection in Treatment of Tinnitus | ||||
| International Journal of Medical Arts | ||||
| Article 10, Volume 4, Issue 11, November 2022, Page 2835-2842 PDF (952.36 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2023.172313.1542 | ||||
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| Authors | ||||
Sayed Mohamed Saeed Kadah1; Tawfik Abdelaty Elkholy1; Reda Behairy2; Nabila Ebraheim Abd-Allaha Elneklawy1; Mona Abdel-Hamid Eltobgy  3
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| 1Department of Otorhinolaryngology, Faculty of Medicine [for girls], Al-Azhar University, Cairo, Egypt | ||||
| 2Audio-Vestibular Unit, Department of Otorhinolaryngology, Faculty of Medicine [for girls], Al-Azhar University, Cairo, Egypt | ||||
| 3Department of otorhinolaryngology, Borj Al-brolus Hospital, Ministry of Hospital, Kafr Elshaikh, Egypt | ||||
| Abstract | ||||
| Background: Persistent tinnitus can result in serious problems and morbidity, especially at the psychological and socio-professional levels. Although many treatments exist for the resolution of tinnitus symptomatology, total eradication of symptom rarely occurs. The aim of the work: To compare the effectiveness of two new promising techniques in treating tinnitus; low level laser therapy versus intra tympanic dexamethasone injection. Patients and Methods: A comparative randomized clinical trial included 40 patients suffering from tinnitus for more than 6 months. They were divided into two groups randomly with every other patient consecutively; group [1] included 20 patients received steroids injection [0.5 ml of 4 mg\ml dexamethasone] on six sessions twice weekly, and group [2] included 20 patients who obtained low level laser therapy transmeataly with wave length 650 nm and laser output 5 mW for 7 sessions. Assessment of treatment included tinnitus handicap inventory [THI], visual analogue scale of loudness [VAS-L], pure tone audiometry and tympanometry for evaluation before and after therapy. Results: THI after treatment was lowered in group 2 more than group 1, but this result did not reach statistical significance [P=0.076]. Quality of life in group 2 after treatment was statistically significantly better than in group 1 [better results after treatment as regard questions assessing sleeping at night, interfering with daily work and concentration]. Conclusion: Low level laser therapy is more effective and safer than intratympanic steroid injection in treating chronic tinnitus with duration more than 6 months. | ||||
| Keywords | ||||
| Tinnitus; Laser Therapy; Tympanic; Steroids | ||||
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