TY - JOUR A1 - Honeder, Clemens A1 - Engleder, Elisabeth A1 - Schöpper, Hanna A1 - Gabor, Franz A1 - Reznicek, Gottfried A1 - Wagenblast, Jens A1 - Gstoettner, Wolfgang A1 - Arnoldner, Christoph T1 - Sustained release of triamcinolone acetonide from an intratympanically applied hydrogel designed for the delivery of high glucocorticoid doses T2 - Audiology & neurotology : basic science and clinical research in the auditory and vestibular system and diseases of the ear N2 - The pharmacokinetic properties and tolerability of a triamcinolone acetonide poloxamer 407 hydrogel for intratympanic application were investigated in a guinea pig model. Evaluation of in vivo release kinetics showed very high initial perilymph drug levels, with clinically relevant levels present for a minimum of 10 days. Assessment of auditory brainstem response thresholds showed a minimal, delayed and transient threshold shift, which was apparent on day 3 and resolved by day 10. No relevant histological changes of the middle and inner ear structures were noted, and hair cell counts showed no significant differences between treated and untreated ears. Thus, the triamcinolone-acetonide-loaded poloxamer 407 hydrogel is an effective vehicle for sustained high-dose inner ear glucocorticoid delivery. KW - Intratympanic drug delivery KW - Glucocorticoids KW - Triamcinolone acetonide KW - Round window membrane KW - Inner ear therapy KW - Perilymph Y1 - 2014 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/34391 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-343914 SN - 1421-9700 SN - 1420-3030 N1 - This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only. VL - 19 SP - 193 EP - 202 PB - Karger CY - Basel ER -