Technique of intratympanic injection
by Vicky S Khattar, Vicky Bachi T

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This video demonstrates the technique of intratympanic injection. This procedure is usually performed for idiopathic sensorineural hearing loss not responding to systemic steroid therapy, Meniere’s disease and certain cases of intractable tinnitus. It is important to perform a counterpuncture prior to the injection so as to allow for displacement of the intratympanic air. There are various recommendations from different centers as to the dose and concentration of drugs to be instilled. The patient should lie supine on the operating table, with the ear to be injected facing upwards. It is advised to give the patient a local anesthetic block similar to any ear surgery so as to ensure patient cooperation and precise injection. After the injection, it is recommended that the patient keep the injected ear upwards in the same position for at least half an hour, and try to avoid swallowing frequently.

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