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Treatment of tinnitus by intratympanic instillation of lignocaine (lidocaine) 2 per cent through ventilation tubes

Published online by Cambridge University Press:  29 June 2007

Ludwig Podoshin ,
Milo Fradis  and
Yacov Ben David
Ludwig Podoshin*
Affiliation:
Haifa, Israel
Milo Fradis
Affiliation:
Haifa, Israel
Yacov Ben David
Affiliation:
Haifa, Israel
*
Prof. L. Podoshin, Dept of Otolaryngology, Bnai Zion Medical Centre, P.O.B. 4940, Haifa 31048, Israel
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Abstract

Idiopathic subjective tinnitus (1ST) is one of the most obscure otological pathologies. This paper presents the results of treating 1ST by intratympanic instillation of lignocaine (lidocaine) 2 per cent through a grommet, for five weekly courses. Fifty-two patients suffering from intractable tinnitus entered this therapeutic trial, but only nine finished all five courses. In one patient, the tinnitus was almost completely abolished, but in all the nine patients the decompensated tinnitus changed to a compensated one. We suggest this mode of treatment for patients that were previously treated by drugs, acupuncture and biofeedback, with disappointing results.Patients should be warned about the side effects of vertigo and vomiting, which subsides gradually with every new instillation, and that the tinnitus may not disappear but will be alleviated, enabling them to cope more easily with the disease and lead a more normal life.

Keywords

TinnituslignocaineMiddle ear ventilation tubes
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 7 , July 1992 , pp. 603 - 606
Copyright
Copyright © JLO (1984) Limited 1992

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Footnotes

Presented at the IVth International Tinnitus Seminar, 27–30 August, 1991, Bordeaux, France.

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