期刊
AMERICAN JOURNAL OF OTOLARYNGOLOGY
卷 42, 期 1, 页码 -出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.amjoto.2020.102817
关键词
Meniere's disease; Intratympanic steroid; Intratympanic gentamicin; Endolymphatic hydrops; Vestibular migraine; Treatment of Meniere's disease; Endolymphatic sac shunt
Meniere's disease is a peripheral audiovestibular disorder characterized by vertigo, hearing loss, tinnitus, and aural fullness. Management includes medical and surgical treatment, but many patients can be managed using nonablative therapy, helping to preserve vestibular function.
Meniere's disease is a peripheral audiovestibular disorder characterized by vertigo, hearing loss, tinnitus, and aural fullness. Management of these symptoms includes medical and surgical treatment. Many patients with Meniere's disease can be managed using nonablative therapy, such as intratympanic steroids and endolymphatic shunt surgery, prior to ablative techniques such as intratympanic gentamicin. Recognition of concurrent migraine symptoms may aid in medical therapy and also underscore the importance of preserving vestibular function where possible. The goal of this review is to explain the importance of nonablative therapy options and discuss treatment protocols after medical failure.
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