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Evaluation of a three-stage management program for Menière's disease
M Raivio1, M Bunne, B Jørgensen
1Department of Oto-Rhino-Laryngology, County Hospital of Boden, Sweden.
The American Journal of Otology
|November 1, 1989
Summary
A three-stage Menière
Area of Science:
- Otolaryngology
- Neurology
Background:
- Menière's disease presents significant management challenges.
- A comprehensive treatment program was evaluated in a resource-limited setting.
Purpose of the Study:
- To assess the efficacy of a three-stage Menière's disease management program.
- To evaluate treatment outcomes in a peripheral county without specialized neurosurgical facilities.
Main Methods:
- A cohort of 106 patients with Menière's disease participated.
- Treatment involved diuretics, endolymphatic sac surgery, and intratympanal gentamicin.
- Patients were evaluated using the 1972 American Academy of Ophthalmology and Otolaryngology (AAOO) classification.
Main Results:
- Only 12 patients reported persistent vertigo post-treatment.
- The study population may represent severe cases of Menière's disease.
Conclusions:
- The three-stage program demonstrated potential effectiveness in managing Menière's disease.
- The observed outcomes may be influenced by a placebo effect due to focused patient attention and treatment.