<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032023000300236</article-id>
<article-id pub-id-type="doi">10.35366/111345</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dexametasona intratimpánica como tratamiento inicial de hipoacusia súbita neurosensorial]]></article-title>
<article-title xml:lang="en"><![CDATA[Intratimpanic dexamethasone as first line therapy for sensorineural sudden hearing loss]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guakil Haber]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kuri García]]></surname>
<given-names><![CDATA[Anuar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Enríquez]]></surname>
<given-names><![CDATA[Benjamín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Angeles Lomas  ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Seguridad Social del Estado de México y Municipios  ]]></institution>
<addr-line><![CDATA[Toluca Estado de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>21</volume>
<numero>3</numero>
<fpage>236</fpage>
<lpage>240</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032023000300236&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032023000300236&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032023000300236&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La hipoacusia súbita neurosensorial idiopática (HSNI) es una urgencia otológica caracterizada por una pérdida auditiva de por lo menos 30 dB en tres o más frecuencias audiométricas continuas en un periodo menor de 72 horas.  Objetivo:  determinar si la dexametasona intratimpánica es efectiva como terapia inicial en el tratamiento de hipoacusia súbita neurosensorial.  Material y métodos:  se realizó un estudio transversal, descriptivo y retrospectivo de pacientes con diagnóstico de hipoacusia súbita neurosensorial idiopática tratados con terapia intratimpánica con dexametasona 8 mg/2 mL por cinco dosis cada 24 horas.  Resultados:  se revisaron los resultados audiométricos de 104 pacientes tratados con terapia intratimpánica como tratamiento inicial, de los cuales 64% tuvieron una recuperación completa, 10% una recuperación parcial y 26% sin recuperación. El promedio de ganancia auditiva fue de 19 decibeles; sin embargo, las asociaciones de sexo, edad, comorbilidades y oído afectado no fueron estadísticamente significativas. Como complicaciones a la terapia intratimpánica, 21% presentaron mareo o vértigo agudo, autolimitado y un paciente tuvo otitis media aguda posterior a la aplicación de la terapia intratimpánica, no se presentaron otras complicaciones.  Conclusión:  la terapia intratimpánica con dexametasona en el tratamiento de hipoacusia súbita neurosensorial idiopática es un tratamiento efectivo con baja incidencia de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  sensorineural sudden hearing loss is an otological emergency characterized by a loss of at least 30 dB in three or more continuous audiometric frequencies in 72 hours or less.  Objective:  determine if intratympanic dexamethasone is effective as a first-line therapy in idiopathic sensorineural sudden hearing loss.  Material and methods:  a retrospective, transversal, and descriptive review of patients diagnosed with idiopathic sensorineural sudden hearing loss treated with intratympanic dexamethasone injection 8 mg/2 mL, applied daily for five days.  Results:  during the study, 104 patients treated with intratympanic dexamethasone injection as a first-line therapy were reviewed, 64% of which had a complete recovery, 10% a partial recovery, and 26% had no comeback. The average hearing improvement was 19 decibels, although an association with age, sex, affected side, and comorbidities wasn&#8217;t statistically significant. Regarding intratympanic injection-associated complications: 21% of patients reported acute, self-limited dizziness or vertigo. One patient presented acute otitis media, requiring oral antibiotics. No other complications were found.  Conclusions:  intratympanic dexamethasone injection is an effective first-line treatment for idiopathic sensorineural sudden hearing loss, with a low incidence of associated complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[otorrinolaringología]]></kwd>
<kwd lng="es"><![CDATA[hipoacusia súbita]]></kwd>
<kwd lng="es"><![CDATA[terapia intratimpánica]]></kwd>
<kwd lng="en"><![CDATA[otolaryngology]]></kwd>
<kwd lng="en"><![CDATA[sudden hearing loss]]></kwd>
<kwd lng="en"><![CDATA[intratympanic injection]]></kwd>
</kwd-group>
</article-meta>
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