Non-vertiginous fluctuating hearing loss

Not all fluctuating hearing loss is due to Eustachian insufficiency. Not all sensorineural loss is untreatable. Fluctuating hearing loss due to endolymphatic hydrops is discussed, and the use of a low sodium diet, diuretics and vasodilators in the treatment of this disorder is described. To be effective, the treatment must be initiated early. Five typical cases are described, showing the typical presentation and response to treatment.