**3. Intratympanic steroid injection protocol**

Procedure is done under operation microscope. Head is turned 45° to the opposite side. EMLA® 5% cream (lidocaine Hcl + prilocaine) or 88% phenol can be used for local anesthesia. Twenty‐two or 25 gauge spinal needle can be used for injection. Myringotomy is made anterosuperior part of tympanic membrane to fill middle ear as long as possible. After intervention, the patient has to wait for 30–40 min as the head is turned 45° to the opposite side. During this time, the patient is requested not to speak and not to swallow as much as possible [12, 13].
