Saved in:
| Main Authors: | , |
|---|---|
| Format: | Artículo Open Access |
| Published: |
Wiley
2024
|
| Subjects: | |
| Online Access: | https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.656 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1867004589488734208 |
|---|---|
| author | Davide Brotto Marco Greggio |
| author_facet | Davide Brotto Marco Greggio Davide Brotto Marco Greggio |
| collection | Wiley Open Access |
| contents | Intratympanic Gels for Inner Ear Disorders: A Scoping Review of Clinical Trials Davide Brotto Marco Greggio Otolaryngology–Head and Neck Surgery AbstractObjectiveIntratympanic injections are a safe, well tolerated procedure routinely performed by ENT's specialists. Intratympanic injections of gels have the potential to deliver therapeutics into the cochlea through the round window membrane prolonging the release of drugs in the inner ear compartment. Aim of the present review is to summarize clinical trials testing pharmacological treatments for inner ear pathologies through intratympanic gel formulations.Data SourcesOnline databases (Google scholar and PubMed) and registers (Clinicaltrials.gov and Euclinicaltrial) were used to identify clinical trials performed between 1990 and 2022.Review MethodsPRISMA criteria have been followed. Clinical trials testing gel formulations administered through local intratympanic injections and targeting inner ear disorders were included. All the reports were identified by the authors working in pairs sequentially selecting only studies respecting the inclusion criteria.ResultsA total of 45 clinical studies have been noticed; the gels for intratympanic injection are in the form of poloxamers or hyaluronic acid combinations; the trials found target different kind of inner ear disorders: acquired‐stable SNHL, tinnitus, acute sudden SNHL, Meniere disease, cisplatin induced ototoxicity and hearing preservation in patients undergoing cochlear implant surgery.ConclusionFew studies listed do not provide the specific kind of gel formulation used but only report the intratympanic delivery vehicle as “gel” or “thermogel”. Multiple clinical studies have been targeting several forms of inner ear disorders by injecting different compounds through poloxamer and hyaluronic acid formulations. Larger and more advanced clinical stages are necessary to confirm the efficacy of these chemical compounds. 10.1002/ohn.656 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/ohn.656 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_ohn_656 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Intratympanic Gels for Inner Ear Disorders: A Scoping Review of Clinical Trials Davide Brotto Marco Greggio Otolaryngology–Head and Neck Surgery Intratympanic Gels for Inner Ear Disorders: A Scoping Review of Clinical Trials Davide Brotto Marco Greggio Otolaryngology–Head and Neck Surgery AbstractObjectiveIntratympanic injections are a safe, well tolerated procedure routinely performed by ENT's specialists. Intratympanic injections of gels have the potential to deliver therapeutics into the cochlea through the round window membrane prolonging the release of drugs in the inner ear compartment. Aim of the present review is to summarize clinical trials testing pharmacological treatments for inner ear pathologies through intratympanic gel formulations.Data SourcesOnline databases (Google scholar and PubMed) and registers (Clinicaltrials.gov and Euclinicaltrial) were used to identify clinical trials performed between 1990 and 2022.Review MethodsPRISMA criteria have been followed. Clinical trials testing gel formulations administered through local intratympanic injections and targeting inner ear disorders were included. All the reports were identified by the authors working in pairs sequentially selecting only studies respecting the inclusion criteria.ResultsA total of 45 clinical studies have been noticed; the gels for intratympanic injection are in the form of poloxamers or hyaluronic acid combinations; the trials found target different kind of inner ear disorders: acquired‐stable SNHL, tinnitus, acute sudden SNHL, Meniere disease, cisplatin induced ototoxicity and hearing preservation in patients undergoing cochlear implant surgery.ConclusionFew studies listed do not provide the specific kind of gel formulation used but only report the intratympanic delivery vehicle as “gel” or “thermogel”. Multiple clinical studies have been targeting several forms of inner ear disorders by injecting different compounds through poloxamer and hyaluronic acid formulations. Larger and more advanced clinical stages are necessary to confirm the efficacy of these chemical compounds. 10.1002/ohn.656 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Intratympanic Gels for Inner Ear Disorders: A Scoping Review of Clinical Trials |
| topic | Otolaryngology–Head and Neck Surgery |
| url | https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.656 |