Autoimmune Disease of the Inner Ear Follow-up

Updated: Sep 22, 2022
  • Author: Neeraj N Mathur, MBBS, MS, DNB, MAMS, FAMS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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  • Fifty percent of patients with Autoimmune ear disease have an excellent response to steroids. Those with vestibular symptoms only are in particular responsive to steroids. Those with systemic disease have a lower response rate. [15]

  • Patients who demonstrate improvement in hearing in response to immunosuppressive therapy have a better prognosis than those who do not improve. The natural history of untreated immune-mediated inner ear disease is unknown at this time.


Patient Education

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  • Inform patients with immune-mediated inner ear disease that regular follow-up care with their otolaryngologist is necessary to correlate subjective hearing fluctuations with objective audiometric data. This information helps guide immunosuppressive therapy, which needs to be monitored closely by a rheumatologist or immunologist.

  • For excellent patient education resources, visit eMedicineHealth's Brain and Nervous System Center. Also, see eMedicineHealth's patient education article Ménière Disease.