Hello Thank you for trusting HCM Dear In any case of sudden deafness, the treating physician is the one in the best position to make treatment recommendations. If all other factors are equal, oral prednisone remains the standard treatment. Oral treatment costs substantially less and causes less discomfort than IT(intra tympanic) treatment, he noted. However, if there are medical contraindications to oral steroids, IT treatment is equally effective. Many doctors have begun to prescribe simultaneous combination therapy with both oral and IT treatment. We know this exposes patients to both sets of side effects, but we do not know if it improves hearing outcome. So both are equally effective and but not adviced at a s time to avoid side effects. Invasive techniques are little risk please consult your doctor he will examine decide right treatment to you. Take care