Response to the Letter to the Editor regarding “Clinical and audiometric outcomes of palisade cartilage myringoplasty under local anesthetic in an office setting” by Shoman N (Am J Otolaryngol. 2019;40(4):482-486

[...]it helps keep the cartilage itself as free as possible, which may improve sound conduction. [...]in the case of anterior marginal involvement, it may reduce the risk of significant blunting. Steroids may have the added advantage of a potential cochlear protective function in noise and mechanica...

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Bibliographic Details
Published in:American journal of otolaryngology 2020-05, Vol.41 (3), p.102439-102439, Article 102439
Main Author: Shoman, Nael M.
Format: Article
Language:English
Subjects:
Cartilage
Cochlea
Conduction
Dexamethasone
Eardrum
Local anesthesia
Mechanical properties
Middle ear
Myringoplasty
Steroid hormones
Steroids
Surgical outcomes
Trauma
Tympanoplasty
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Summary:[...]it helps keep the cartilage itself as free as possible, which may improve sound conduction. [...]in the case of anterior marginal involvement, it may reduce the risk of significant blunting. Steroids may have the added advantage of a potential cochlear protective function in noise and mechanical trauma [3,4], and in prior studies, middle ear infiltration of dexamethasone resulted in higher drug concentrations of steroid in the perilymph and cochlear tissues than those with other administration methods [5].
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2020.102439