Nursing Care of Patients with Sudden Sensorineural Hearing Loss Undergoing Intratympanic Steroid Injection Therapy
Keywords:
Sudden sensorineural hearing loss, Intratympanic Steroid Injection, Nursing careAbstract
Sudden hearing loss is a rapid-onset auditory impairment that significantly impacts quality of life, leading to difficulties in communication, social isolation, and emotional distress. Immediate treatment is crucial to restore hearing and prevent permanent damage. Intratympanic steroid injection-administered through the tympanic membrane into the middle ear-is an effective treatment option with fewer side effects compared to oral or intravenous steroid administration. Nurses play a vital role in caring for patients undergoing intratympanic steroid injection. Their responsibilities encompass pre-procedural patient preparation, monitoring during the procedure, and post-treatment care, including the management of any complications that may arise. Furthermore, nurses are responsible for providing education and emotional support to both patients and their families. This support helps foster understanding of the condition and the treatment process, encourages family involvement in care, and promotes adherence to follow up treatments.
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References
Chandrasekhar SS, Tsai Do BS, Schwartz SR, et al. Clinical practice guideline: Sudden hearing loss (update). Otolaryngol Head Neck Surg. 2019;161(1_suppl):S1-S45. doi:10.1177/0194599819859885.
งานเวชระเบียน โรงพยาบาลศิริราช. สถิติผู้ป่วยนอก หน่วยตรวจโรคหู คอ จมูก ปี พ.ศ. 2567. โรงพยาบาลศิริราช. กรุงเทพฯ: 2568. (เผยแพร่บนระบบเว็บภายใน)
พิมรฎา โพธิพิมพานนท์. ภาวะประสาทหูเสื่อมเฉียบพลันแบบไม่ทราบสาเหตุ. เวชสารแพทย์ ทหารบก.2024;77(4):381-391.
Mattox DE, Simmons FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol. 1977;86(4 Pt 1):463-480. doi:10.1177/000348947708600406.
Kim SY, Lim JS, Kong IG, Choi HG. Hearing impairment and the risk of neurodegenerative dementia: A longitudinal follow-up study using a national sample cohort. Sci Rep. 2018;8(1):15266. doi:10.1038/s41598-018-33325-x.
นภัสวรรณ ลีรัตนขจร. คุณรู้หรือไม่ว่าการสูญเสียการได้ยินที่ไม่ได้รับการรักษาจะเกิดผลกระทบอะไรกับเราบ้าง? DEAR Hearing. https://www.dear.co.th/hearing-knowledge/4-ผลกระทบของการสูญเสียการได้ยิน/. Accessed October 16, 2025.
Liu YC, Chi FH, Yang TH, Liu TC. Assessment of complications due to intratympanic injections. World J Otorhinolaryngol-head Neck Surg. 2016;2(1):13-16. doi:10.1016/j.wjorl.2015.11.001.
Simani L, Shilo S, Oron Y, et al. Residual perforation risk assessment of intratympanic steroids via tympanostomy tube versus transtympanic injections. Laryngoscope.2021;131(9):E2583-E2591. doi:10.1002/lary.29609.
Charoensawatsiri V, Prakairungthong S, Atipas S, et al. Incidence of tympanic membrane perforation affected by intratympanic steroid injection: A retrospective review. Siriraj Med J. 2025;77(4):267-277. doi:10.33192/smj.v77i4.272595.
De Cates C, Winters R. StatPearls. Treasure Island (FL): 2025.
Ungar OJ, Handzel O, Haviv L, et al. Optimal head position following intratympanic injections of steroids, as determined by virtual reality. Otolaryngol Head Neck Surg. 2019;161(6):1012-1017. doi:10.1177/0194599819878699.
STARFISH Trial. Intratympanic steroid patient information. https://www.birmingham.ac.uk/documents/college-mds/trials/bctu/starfish/patient-information-leaflet-it-steroid-v1.0-21-jun-2022.pdf. Accessed October 16, 2025.
Bennett RJ, Saulsman L, Eikelboom RH, Olaithe M. Coping with the social challenges and emotional distress associated with hearing loss: a qualitative investigation using Leventhal’s self-regulation theory. Int J Audiol. 2022;61(5):353-364. doi:10.1080/14992027.2021.1933620.
IntimexChiangMai. 200 ชนิดยา เป็นพิษต่อหู มีผลต่อการได้ยิน เสียงดังในหู หูอื้อ. https://intimexchiangmai.com/ototoxic-hearing-loss. Accessed October 16 , 2025.
Rinaldi M, Cavallaro G, Cariello M, Scialpi N,Quaranta N. Metabolic syndrome and idiopathic sudden sensori-neural hearing loss. PLoS One. 2020;15(8):e0238351. doi:10.1371/journal.pone.0238351.
Garcia Morales EE, Ting J, Gross AL, et al. Association of cigarette smoking patterns over 30 years with audiometric hearing impairment and speech-in-noise perception:The Atherosclerosis Risk in Communities Study: The atherosclerosis risk in communities study. JAMA Otolaryngol Head Neck Surg. 2022;148(3):243-251. doi:10.1001/jamaoto.2021.3982.
Huang Y, Lv T, Xie M, et al. Blood homocysteine and folic acid levels may provide reference value for the treatment of sudden total frequency deafness. Ann Palliat Med. 2019;8(5):604-610. doi:10.21037/apm.2019.10.08.
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