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Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease
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Positive pressure therapy for Ménières disease.
Jorge Holmberg1, Martín de Amesti1, Andrés Rosenbaum2
1Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Proyecto Epistemonikos, Santiago, Chile.
Medwave
|April 16, 2019
Summary
Positive pressure therapy for Ménière's disease may slightly worsen hearing and offers no significant benefit for vertigo intensity. Its effectiveness for functionality and reducing vertigo attacks remains uncertain due to very low-certainty evidence.
Area of Science:
- Otolaryngology
- Neurology
- Internal Medicine
Background:
- Ménière's disease involves inner ear issues causing vertigo, hearing loss, and tinnitus.
- Positive pressure therapy is a treatment option, but its efficacy is debated.
Purpose of the Study:
- To evaluate the effectiveness of positive pressure therapy for Ménière's disease.
Main Methods:
- A comprehensive search was conducted in the Epistemonikos database, encompassing multiple health information sources.
- Data from five systematic reviews, including five randomized trials, were analyzed.
- A meta-analysis was performed, and findings were summarized using the GRADE approach.
Main Results:
- Positive pressure therapy appears to slightly impair hearing.
- The therapy showed minimal to no effect on vertigo intensity.
- Evidence regarding improvements in functionality or reduction in vertigo attacks was of very low certainty.
Conclusions:
- Positive pressure therapy is unlikely to be beneficial for Ménière's disease symptoms.
- Further high-quality research is needed to clarify the role of positive pressure therapy.
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