Quality of life after intratympanic steroid injection for Meniere's disease

Schenck, A.A.; Bommelje, C.C.; Benthem, P.P.G. van; Blom, H.M. (2022)

Article / Letter to editor

ObjectiveResultsLevel of evidence This study explores how treatment with intratympanic steroid injection affects quality of life, as well as several subjective complaints in patients with Meniere's disease. Methods Patients filled in the Meniere's Disease Outcome Questionnaire (MDOQ) and answered questions about subjective complaints. Scores before and after treatment were compared using pairedttests. Forty-nine patients treated with intratympanic steroid injection were included. Quality of life was improved in 36 (73%) patients, the same in 9 (18%) patients, and lower in 4 (8%) patients. Overall, the mean change in MDOQ was +20.6 points (95% confidence interval +14.5 to +26.7 points, p < 0.001). The improvement was seen in the emotional, physical, and mental domain. Most patients experienced less vertigo and instability but did not notice change in subjective hearing, tinnitus, or aural fullness after treatment. Conclusion Treatment with intratympanic steroid injection leads to an improvement in quality of life in most patients. Moreover, the procedure is only minimally invasive. Based on the findings in this study, treatment with ITS should be discussed with every patient suffering from vertigo attacks due to active Meniere's disease. Level 4

• intratympanic steroid injection
• Meniere's disease
• quality of life
• vertigo

• All authors: Schenck, A.A.; Bommelje, C.C.; Benthem, P.P.G. van; Blom, H.M.
• Date: 2022-05-17
• Journal: Laryngoscope Investigative Otolaryngology
• Volume: 7
• Issue: 3
• Pages: 825 - 831
• DOI: doi:10.1002/lio2.798