Therapeutic options in Meniere's disease

Area of Science:

• Otolaryngology
• Neurosurgery

Background:

• Meniere's disease treatment historically focused on vertigo.
• Recent shifts emphasize hearing conservation alongside vertigo management.

Purpose of the Study:

• To review current otological literature on medical and surgical treatments for Meniere's disease.
• To evaluate treatment efficacy based on hearing improvement and vertigo relief.

Main Methods:

• Systematic review of otological literature.
• Tabulation of reported medical and surgical treatment options.

Main Results:

• Endolymphatic sac decompression and drainage surgery shows promise for hearing improvement and vertigo relief in early Meniere's disease.
• Vestibular neurectomy with Scarpa's ganglion excision is effective for nonreversible hearing deficits with salvageable hearing.

Conclusions:

• Treatment efficacy evaluation for Meniere's disease now prioritizes hearing outcomes over vertigo alone.
• Specific surgical interventions offer distinct benefits depending on disease stage and hearing status.