Table I.
Partial list of inner ear diseases potentially amenable to intracochlear drug delivery, along with salient comments regarding the patient population and broad requirements for each condition.
| Inner Ear Disease | Considerations for Drug Delivery |
|---|---|
| Sensorineural Hearing Loss | Largest patient population May require extended delivery of multiple compounds for regeneration |
| Noise-Induced Hearing Loss | Large and rapidly growing patient population May require timed-sequenced delivery High priority for Department of Defense |
| Sudden Sensorineural Hearing Loss | Rapid intervention required Therapeutics suitable for local delivery may already exist |
| Autoimmune Inner Ear Disease | Small patient population but urgent need Therapeutics suitable for local delivery may already exist |
| Menieres Disease | Relatively large patient population May require patient-controlled burst delivery |
| Tinnitus | Very large patient population with complex spectrum |
| Cisplatin Ototoxicity Protection | Very important for pediatric population Therapeutics suitable for local delivery may already exist Duration of delivery weeks to months |
| Radiation-Induced Ototoxicity Protection | Occurs in large percentage of patients with range of head and neck tumors Duration of delivery weeks to months |
| Cranial Nerve Schwannoma | Potential alternative to surgery May require extended delivery |