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Updated: Apr 18, 2026

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
[Current aspects of ototoxicity. Ototoxic substances and their effects]
L E Walther1, R Hülse, K Lauer
1HNO-Gemeinschaftspraxis, Main-Taunus-Zentrum, 65843, Sulzbach (Taunus), Deutschland, Leif.Walther@hno-praxis-sulzbach.de.
Abstract:
Ototoxicity describes reversible or irreversible disorders of inner ear functions due to the influence of chemical, biological, or physical substances. Ototoxicity should be kept in mind during differential diagnosis of hearing loss, tinnitus, dizziness, and vertigo. In clinical practice, drug-induced ototoxic effects play a major role. The otorhinolaryngologist should also be involved in interdisciplinary cooperation, e.g., during treatment with antineoplastic chemotherapeutic agents with potential ototoxic side effects. In clinical practice, multimedication and interactions between different agents can complicate precise correlation in individual cases. Recent studies also show that noncellular components, such as otoconia, are extremely sensitive to chemical attacks.
Insights
Ototoxicity, or inner ear dysfunction, can result from various exposures. Recognizing drug-induced ototoxicity is crucial for diagnosing hearing loss and dizziness.
Area of Science:
- Otolaryngology
- Pharmacology
- Toxicology
Context:
- Ototoxicity encompasses reversible or irreversible inner ear dysfunctions.
- It is triggered by chemical, biological, or physical agents.
- Drug-induced ototoxicity is a significant clinical concern.
Purpose:
- To highlight the importance of considering ototoxicity in differential diagnoses.
- To emphasize the role of otorhinolaryngologists in managing ototoxic effects.
- To underscore the challenges posed by multimedication and drug interactions.
Summary:
- Ototoxicity involves inner ear damage from external substances, impacting hearing and balance.
- Clinical diagnosis of hearing loss, tinnitus, dizziness, and vertigo must consider ototoxicity.
- Antineoplastic chemotherapeutic agents and multimedication require interdisciplinary management due to ototoxic risks.
Impact:
- Enhances understanding of inner ear disorder causes.
- Promotes interdisciplinary collaboration in patient care.
- Informs clinical practice regarding drug-induced ototoxicity and its management.
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