Alexandros G .Sfakianakis,ENT,Anapafeos 5 Agios Nikolaos Crete 72100 Greece,00302841026182

Δευτέρα 25 Ιανουαρίου 2021

Therapeutic options in Meniere's disease: Our experience

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Arch Otolaryngol
1977 Oct;103(10):589-93. doi: 10.1001/archotol.1977.00780270057007.
Therapeutic options in Meniere's disease
I K Arenberg, R F Bayer
PMID: 303093 DOI: 10.1001/archotol.1977.00780270057007


Emphasis on treatment in Meniere's disease has recently shifted from a concentration on the vertiginous component alone to include conservation or improvement of hearing as well. This presentation tabulates the current otological literature's reports of both the medical and surgical options available in the treatment of Meniere's disease. The authors conclude that these more recent reports deemphasize the importance of the vertiginous component, while emphasizing the importance of the hearing component in evaluation of the efficacy of any therapeutic modality. Furthermore, these reports indicate that endolymphatic sac decompression and drainage surgery alone offers a considerable chance for conservation or improvement in hearing, as well as relief of vertigo in early cases of reversible, fluctuating hearing deficits. In nonreversible or nonfluctuating hearing deficits with hearing worth conserving, vestibular neurectomy with excision of Scarpa's ganglion yields the best results.

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Publication date: Available online 23 January 2021

Source: American Journal of Otolaryngology

Author(s): Pietro De Luca, Claudia Cassandro, Massimo Ralli, Arianna Di Stadio, Pasquale Viola, Ettore Cassandro, Alfonso Scarpa

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