ABSTRACT Aim: The aim of the study is to compare the effectiveness of systemic steroid and systemic steroid + intratympanic steroid treatment in sudden hearing loss. Material and Method: The files of the patients that diagnosed sudden idiopathic sudden hearing loss from January 2018 to January 2021 and whose treatment was started before 10th day of the hearing loss were reviewed retrospectively. The patients were divided into two groups; those using systemic steroids and those using systemic steroids + intratympanic steroids. Pre-treatment audiograms and audiograms at least 1 month after the treatment were evaluated. Findings were analyzed statistically.