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What causes
Sudden Hearing Loss?

Sudden hearing loss or deafness is believed to be caused by either a virus, a tiny blood clot in the inner ear, Meniere’s disease or, rarely, a tumor growing on the hearing nerve.

How is it treated?

It is best treated by an Otologist (Ear Specialist) as soon as possible after the hearing loss occurs. Most of the medical literature shows excellent improvement of hearing if the hearing loss is treated within the first 72 hours. Treatment should not be delayed for more than 6 weeks, since the literature shows poorer results after this time.

The treatment options include giving high doses of corticosteroids (Prednisone) for several weeks, injections of corticosteroids into the middle ear, or both. The recommended treatment is to use both methods, but it is important to speak with your otologist regarding which option is best for you and your specific condition.

Some patients may experience several side effects from oral steroids, such as mood changes, weight gain, increase in blood glucose levels, increase in blood pressure, insomnia, anxiety, irritability, and possible hip injury. It is important to talk to your otologist regarding these side effects before committing to the oral steroid regimen.

Many patients decide to undergo the steroid injections instead as it acts locally in the ear and avoids some of the systemic side effects. However, this option may require several re-injection procedures over the course of a few weeks, which some patients find hard to tolerate.

What is the MircoWick Procedure?

The MicroWick is an ingenious method to deliver the steroid into the middle ear without causing the weekly discomfort of an injection. Furthermore, instead of just 1 injection a week, the patients with a MicroWick have the privilege of treating the inner ear with steroids 3 times a day in the comfort of their own home, further increasing the chances of effective treatment.

Why is the MicroWick better than oral steroids or injection?

We usually offer the MicroWick as a supplement treatment to oral steroids, or when oral steroids are contraindicated for the patient.

The MicroWick is advantageous as the presence and concentration of the steroids in the inner ear is much higher than when taken orally. The steroids go directly into the  inner ear without affecting the entire body. The fact that the patient receives 3 doses a day further increases their chances of receiving adequate treatment of the inner ear.

In patients with Hypertension, ulcers or diabetes, taking oral steroids may be harmful and so we are able to treat the patient without using the oral steroids.

MicroWick Treatment Technique

The MicroWick is placed through the eardrum after anesthetizing the ear with a local anesthetic, zylocaine. The procedure takes about 15 to 30 minutes and is done in the office minor operating room.


Opening through the eardrum

Opening through the eardrum

A laser is used to make the opening through the eardrum over the round window which is like the cornea of the eye. If there are adhesions over the window, they are removed painlessly with a small instrument.


MicroWick insertion

MicroWick insertion

The MicroWick is inserted and rests against the round window.
After confirming the correct positioning of the MicroWick, the doctor places the pertinent otic medications in the ear or injects them directly into the MicroWick.



Sustained therapy and monitoring

Sustained therapy and monitoring

The patient puts three drops of Dexamethasone drops in the ear three times a day, usually for one month. This ensures that the inner ear receives a constant dosage of steroids throughout the day and for several weeks.

How good are the results?

The results in the literature indicate that the earlier the treatment, the better the result. For best results, you should seek treatment with 48 to 72 hours of hearing loss. Treatment should not be delayed for more than 6 weeks, but in some cases we may offer the MicroWick treatment even if the deafness is several months old.

Still have questions regarding the condition?

While the information in this website may be helpful, it will never fully relate ear treatment to you. If you are facing any ear problem, please call our office and one of our representatives will talk to you.



What are patient say about us

Thanks to the expert care and skillful ear surgery I received, my life has been transformed. I can hear clearly again, and I’m forever grateful for the life-changing experience provided by the talented team


“You’ve changed the way I hear and feel and will forever be so grateful.”

"I am truly amazed by this total process… You and your staff have been great. I can hear things that I have not been able to hear in years. After 15 years of hearing aids and only a little help I was afraid that I was going to have to medically retire due to not being able to hear. With my Cochlear implant, I know that I can work until I am ready to retire. Thank you so much!!!"


“Dr. Nazarian, who gave me back the wonderful gift of hearing!”

“Since the very first time of seeing Dr. Nazarian, I feel that I have been in the best of care- and from the first day and through the my surgery, I have felt that Dr. Nazarian is a very compassionate and caring doctor- more than I have ever seen. I feel very fortunate to have been referred to Dr. Nazarian. He is the best!”

A.P. ,

“He’s the greatest surgeon and physician I have ever had the pleasure of being cared for.

"I was referred to Dr. Nazarian by my ENT in San Fernando valley after my ear drum failed to heal on its own. I didn’t know what to expect. He explained everything and was extremely compassionate to my situation. He not only reconstructed for me a completely new ear drum but gave me a better ear than I was born with. Thank you Dr. Nazarian for being the best!"


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