Title: Comparative Study between Low Level Laser Therapy and Intra Tympanic Steroids Injection in Treatment of Tinnitus
Background: Persistent tinnitus can result in serious problems and morbidity, especially at the psychological and socio-professional levels. Although many treatments exist for the resolution of tinnitus symptomatology, total eradication of symptom rarely occurs. The aim of the work: To compare the effectiveness of two new promising techniques in treating tinnitus; low level laser therapy versus intra tympanic dexamethasone injection.
Patients and Methods: A comparative randomized clinical trial included 40 patients suffering from tinnitus for more than 6 months. They were divided into two groups randomly with every other patient consecutively; group [1] included 20 patients received steroids injection [0.5 ml of 4 mg\ml dexamethasone] on six sessions twice weekly, and group [2] included 20 patients who obtained low level laser therapy transmeataly with wave length 650 nm and laser output 5 mW for 7 sessions. Assessment of treatment included tinnitus handicap inventory [THI], visual analogue scale of loudness [VAS-L], pure tone audiometry and tympanometry for evaluation before and after therapy.
Results: THI after treatment was lowered in group 2 more than group 1, but this result did not reach statistical significance [P=0.076]. Quality of life in group 2 after treatment was statistically significantly better than in group 1 [better results after treatment as regard questions assessing sleeping at night, interfering with daily work and concentration].
Conclusion: Low level laser therapy is more effective and safer than intratympanic steroid injection in treating chronic tinnitus with duration more than 6 months. This text is commonly used as placeholder text in the design and typesetting industry. It has no real meaning, allowing designers and developers to focus on the layout and presentation of content without being distracted by the actual words.
Mona AbdElhamid Eltobgy was born on September 5, 1993, in Bltim city – Egypt. Studied medicine in faculty of medicine Cairo University 2011-2017. Worked in the Egyptian minstry of health for about 6 years since 2019 . Had the masters degree in otorhinolaryngology from faculty of medicine cairo for girls . AlAzhar university , 2024.