임상

내이성이명에 대한 steroid제 중이강내 주입의 효과

전경명 1
Kyong Myong Chon 1
Author Information & Copyright
1부산대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Pusan National University

© Copyright 1990 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

For the purpose to know the effect of intratympanic injection of the steroid on cochlear tinnitus, author performed intratympanic injection of 0.5cc dexamethasone mixed with vitamin B-12 500μg for 44 cases with cochlear tinnitus.

And then author summerized the result of subjective and objective assessment of that effect as follows:

  1. With subjective assessment, excellent effective was 13.6% and effective was 40.9%.

  2. On objective assessment with tinnitus test, 45.5% of all cases got 5∼10 dB ameliolation of tinnitus intensity, and 4.5% had 15 dB amelioration.

  3. Side effect was seen in 13.6% of all patients with dizziness, nausea, nystagmus and headache or head heaviness, but they abolished within one minute.

  4. The action mechanism of intratympanic steroid injection on cochlear tinnitus was supposed that it controls the hypersthenia of the tympanic plexus and the hair cell of inner ear.

With above summary, author suggests that intratympanic steroid injection would be one of the treatment modality for cochlear tinnitus.



36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

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응모해 주신 모든분들께 감사드립니다.

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