Virtual Conference
Rhinoplasty & Nasal Reconstruction

Sriram Nathan

Manipal Hospital, India

Title: Myringotomy with grommet and dexamethasone instillation as a treatment for Sudden Sensorineural Hearing Loss (SNHL)


Sudden sensorineural hearing loss is a common problem in a busy ENT practice. Steroid either oral or injectable either IV or intratympanic is the chief modality of treatment. The common practice is to give intratympanic injection of steroid which is both painful and cumbersome to patients who after the experience of the initial instillation are frequently averse to repeat the procedure over and over again with variable signs of improvement in hearing. We have been averting this whole situation of frequent injection by placing a grommet via a small one time procedure. The steroid is then instilled via drops which is both safe and painless to the patient.

All the patients in our study showed improvement in hearing of varying degrees. Myringotomy with grommet and Dexamethsone instillation is a better technique to the painful and cumbersome technique of Intratympanic Injection which is the routinely used technique for now. We would urge our Otologists colleagues to widely adopt this technique.


Sriram Nathan, A Gold medallist in ENT working as a senior ENT and Head and Neck Surgeon at the Manipal Hospitals, Bengaluru. The ex consultant of ENT at Narayana Hrudyalaya, Bengaluru and Trained at KKR ENT Hospitals one of the best ENT hospitals in Chennai. Has written many articles in the Journals and cited by several articles. He has been a presenter in many conferences all over. He is a trained skull base and thyroid surgeon also and also done a fellowship in Allergy and Immunology. More recently he has completed the certification in COVID awarded by the Government of India.