الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
Intratympanic injections therapy of inner ear disease is safe,inexpensive, and easy to perform. High inner ear medication concentrations can be achieved while minimizing systemic side effects. Most delivery methods are minimally invasive and can be performed in the office Vertigo control rates for Meniere’s disease have been excellent in comparison with other ways of treatments allowing intratympanic therapy to become one of the most prominent lines of treatment for Meniere’s disease. Side effects of ototoxicity occurring in approximately 30% of patients remain as one of the primary hurdles to overcome. Intratympanic treatment of tinnitus with corticosteroids or gentamicin should be considered as an option of treatment in selected tinnitus patients, alone or in combination with standard modalities of management such as tinnitus retraining therapy, masking, and hearing aid amplification. Many inner ear perfusion methods of treatment exist. Each technique has its associated advantages and disadvantages, and the surgeon must decide which technique to use in concordance with the patient’s disease and expectations. In the future, new medications likely will be developed to treat certain types of inner ear disease, including SSNHL, tinnitus, and various forms of vertigo