They are the gatekeepers and they don't admit a lot of things.
dude if we would have gotten dexamethasone shots when we were in the acute stage we may not even have tinnitus right now.
The BTA has a mention of dexamethasone being ineffective in tinnitus but neither they nor the study they cite mentions if the subjects were in the acute stage or the chronic stage.
"Intratympanic membrane injections have been attracting some interest. The steroid dexamethasone was used on 27 patients, with 27 others in the control group receiving a saline injection. There was some improvement in both groups, but there was no significant difference between them "
Source:
https://www.tinnitus.org.uk/2018-at...lliance-tinnitus-priority-setting-partnership
From the actual study:
"The effectiveness rates of ITDI for refractory tinnitus reported in the tinnitus questionnaires, in the THI, and in the loudness matching test were all 33.3% in the steroid group, and 26.7%, 40.0%, and 26.7% in the saline group, respectively."
"Conclusions
ITDI [(intratympanic dexamethasone injections)] may not be effective for refractory tinnitus. The indication of ITDI for tinnitus needs to be limited to specific cases."
Source:
Choi SJ, Lee JB, Lim HJ, In SM et al. Intratympanic dexamethasone injection for refractory tinnitus: prospective placebo-controlled study. Laryngoscope. 2013: Nov 123(11): 2817-22. doi: 10.1002/lary.24126
re·frac·to·ry
Dictionary result for refractory
/rəˈfrakt(ə)rē/
adjective
FORMAL
- 1.
stubborn or unmanageable.
"his refractory pony"
synonyms: obstinate, stubborn, stubborn as a mule, mulish, bull-headed, pigheaded, obdurate, headstrong, self-willed, wayward, willful, perverse, contrary, recalcitrant, obstreperous, disobedient, insubordinate, rebellious, mutinous, defiant, stiff-necked, intractable, intransigent, unyielding, unmalleable, unmanageable, ungovernable, unpersuadable;
2.
resistant to a process or stimulus.
So it looks like the BTA cited a study where they used dexamethasone on CHRONIC tinnitus cases, IN WHICH IT IS NOT EFFECTIVE and downplayed its effectiveness in the only mention of it on their entire site, if you search for dexamethasone.
This flies in the face of another study that showed great success with dexamethasone as well as IGF-1 in acute stage SSHL.
'In the IGF-1 group, 66.7% (95% confidence interval [CI], 52.9–78.6%) of the patients showed hearing improvement compared to 53.6% (95% CI, 39.7–67.0%) of the patients in the Dex group (P= 0.109). The difference in changes in pure-tone average hearing thresholds over time between the two treatments was statistically significant (P= 0.003). No serious adverse events were observed in either treatment group. "
"The positive effect of topical IGF-1 application on hearing levels and its favorable safety profile suggest utility for topical IGF-1 therapy in patients with sudden deafness."
Source:
So not only is the BTA completely wrong about dexamethasone injections but they also completely ignore research into igf-1 injections which are even superior to that!
View attachment 26516
These people are not helping the situation. They are not moving us towards a cure. AND THEY JUST HIRED A TERRIBLY UNFUNNY COMEDIAN TO BE THEIR SPOKESPERSON SO THEY CAN MAKE A JOKE ABOUT HOW OUR LIVES ARE RUINED.
"
a higher proportion of patients with 30 dB HL improvements in pure-tone average hearing thresholds was measured for the IGF1 group than in that the intra-tympanic steroids group. "
Source:
Insulin-like growth factor 1: A novel treatment for the protection
or regeneration of cochlear hair cells Kohei Yamahara, Norio Yamamoto* , Takayuki Nakagawa, Juichi Ito Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-
8507, Japan
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