Sudden Sensorineural Hearing Loss (SSNHL) is an emergency issue in the field of ENT.The present study was designed to compare the therapeutic effects of 3 modalities among 150 subjects: group1) receiving oral prednisolone for 10 days (75mg). They will also be administered 0.6ml of placebo at days 1,5,9, and 13 intratympanically. group2) receiving 0.6ml of methyl prednisolone intratympanically at days 1,5,9, and 13 as well placebo orally. group3) receing prednisolone as group 1 and methyl prednisiolone as group 2 protocol. Meanwhile, serum level of TG, cholesterol, FBS, HBA1C, LDL, HDL, ESR, RF, ANA, and FTA-ABS will be assessed.