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Intratympanic gentamicin in Ménière's disease: our experience
L Pérez Delgado1, J Fraile Rodrigo, P Astier Peña
1Otorhinolaryngology, Miguel Servet University Hospital, Zaragoza, Spain. layipez@hotmail.com
Aims:
To analyse intratympanic gentamicin injection as a treatment option in patients with monolateral Ménière's disease resistant to medical treatment.
Material And Methods:
Longitudinal, prospective, descriptive study of response to gentamicin treatment in 71 patients diagnosed with Ménière's disease and treated medically for more than a year, unsuccessfully. American Academy of Otolaryngology-Head and Neck Surgery criteria were used for diagnosis and follow up.
Results:
Complete vertigo control was obtained in 65.6 per cent of patients, and complete or substantial control in 84.37 per cent. Thirteen patients (18.3 per cent) suffered significant hearing loss.
Conclusion:
This intratympanic gentamicin injection protocol enabled effective vertigo control in most patients, and represents a good alternative to more aggressive techniques for the treatment of Ménière's disease which does not respond to medical treatment.
