简介：ThisarticlereviewstheeffectivenessofintratympaniccorticosteroidsforvertigocontrolinM_eni_ere'sdiseaseat2-yearsfollow-upaccordingtotheguidelinesexpressedbytheAmericanAcademyofOtolaryngology-Head&NeckSurgery.DespitetheincreaseduseofintratympaniccorticosteroidsforvertigocontrolinM_eni_ere'sdiseasethereisdebateastotheireffectiveness,particularlycomparedtogentamicin.Evenso,afterjustasinglecourseofinjections,corticosteroidscanreliablyprovidecompletevertigocontrol(ClassA)at2-yearsinabout50%ofcasesasindicatedinarecentdouble-blindrandomizedcontrolledclinicaltrial(Pateletal.,2016).Buttheeffectivenessofintratympaniccorticosteroidstrulyincreaseswhentreatmentisprovided'as-needed',wherebycompletevertigocontrolisestablishedinupto91%ofcases.Onthebasisofavailableliterature,thereisgoodevidencetorecommendtheuseofintratympanicsteroidtreatmentforvertigocontrolinM_eni_ere'sdisease,butpatientsmustbemonitoredfornon-response.Therationalefortreatingpatientsas-neededandthepossiblereasonsforcorticosteroidnonresponsearediscussed.

简介：［摘要］目的评价MiniFive龈下刮治器结合盐酸米诺环素治疗磨牙牙周牙髓联合病变的的临床疗效。方法32例患者的32个牙周牙髓联合病变患牙随机分为两组。实验组患牙在根管治疗及牙周基础治疗后联合应用两种Gracey手工刮治器进行龈下刮治和根面平整，上派力奥3次，每次间隔7-10天不等；对照组患牙在根管治疗及牙周基础治疗后单独应用标准型Gracey手工刮治器进行龈下刮治，冲洗后上碘甘油。比较两组患牙治疗后8周的探诊深度（PD）、龈沟出血指数（BI）、菌斑指数（PLI）三项临床指标。结果①．两组患牙的PD、BI、PLI均有改善（P＜0．05）；②．实验组指标的改善更明显，（P＜0．05）。结论应用MiniFive型Gracey手工刮治器结合派力奥治疗磨牙牙周牙髓联合病变，能取得较好的临床效果，值得临床推广。