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Round-Window Microcatheter-Administered Microdose Gentamicin: Results from Treatment of Tinnitus Associated with
1Department of Defense Spatial Orientation Center, Department of Otolaryngology, Naval Medical Center, San Diego, CA.
Abstract:
In this study, we review the results of Menière's disease treatment using microdose gentamicin delivered directly to the round window using the Round Window Microcatheter (IntraEar, Inc., Denver, CO). A total of 18 patients were studied, with follow-up ranging from 6 to 18 months. In 15 of 18 patients (83%), tinnitus was improved significantly throughout the follow-up period. Vertigo was eliminated in all patients, and pressure was relieved in 17 of 18 (94%). Ihese preliminary data suggest that Round Window Microcatheter-delivered gentamicin is a safe and effective treatment for the reduction of tinnitus, vertigo, and pressure associated with Menière's disease.
Insights
Microdose gentamicin delivered via the Round Window Microcatheter effectively treated Menière
Area of Science:
- Otolaryngology
- Neurosurgery
- Pharmacology
Background:
- Menière's disease is a chronic inner ear disorder.
- Symptoms include vertigo, tinnitus, and aural pressure.
- Current treatments have limitations.
Purpose of the Study:
- To evaluate the efficacy and safety of microdose gentamicin delivered via the Round Window Microcatheter for Menière's disease.
Main Methods:
- 18 patients with Menière's disease were treated.
- Microdose gentamicin was delivered directly to the round window.
- Follow-up ranged from 6 to 18 months.
Main Results:
- Vertigo was eliminated in 100% of patients.
- Tinnitus improved in 83% of patients.
- Aural pressure was relieved in 94% of patients.
Conclusions:
- Round Window Microcatheter-delivered gentamicin is a safe and effective treatment.
- This method significantly reduces Menière's disease symptoms.
- Further research is warranted.
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