Article: Value and safety of steroids in treating ear disease.(Panel Presentations And Discussion)

During this session, formal presentations were made by Dr. Rutka, Prof. Deitmer, and Dr. Dohar. These presentations were followed by a general discussion.

John Rutka, MD, FRCSC

It appears to me that steroids are a very important component in resolving otic inflammation and infection more rapidly. However, the world literature provides conflicting messages as to their potential toxicity. Some animal studies have indicated that steroids might be toxic to the inner ear. (1-3) On the other hand, Parnes et al have been using high-dose dexamethasone--up to 30 and 40 mg/ ml--in humans for the treatment of Cogan's syndrome and sudden autoimmune sensorineural ...

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