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Intratympanic (IT) injections (performed in anteroinferior/posteroinferior quadrant with or without a second paracentesis in anterosuperior/anteroinferior quadrant to act as a vent for the middle air escape during the injection of the solution).
2
Drug deposition onto absorbable material (absorbable gelatin sponge, Poly Lactic-co-Glycolic acid implantsa placed in round window niche.
3
Ventilation tube placement for drug instillation in the form of ear drops.
4
Placement of Silverstein MicroWick and Round Window Microcatheter for sustained drug delivery.b