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Surgical Induction of Endolymphatic Hydrops by Obliteration of the Endolymphatic Duct
Published on: January 22, 2010
Menière's disease treated by grommet insertion.
R G Kanegaonkar1,2, A Najuko-Mafemera1, R Hone1
1Medway NHS Foundation Trust, UK.
Annals of the Royal College of Surgeons of England
|September 12, 2019
Summary
Grommet insertion with transtympanic steroid injection effectively treated Menière
Area of Science:
- Otolaryngology
- Neurology
Background:
- Menière's disease (MD) is an uncommon condition causing vertigo.
- Various treatments exist, but this study focuses on grommet insertion and transtympanic steroid injection.
Purpose of the Study:
- To review outcomes of Menière's disease patients treated with grommet insertion and transtympanic steroid injection.
Main Methods:
- Retrospective review of 33 Menière's disease patients diagnosed between 2007-2017.
- Analysis of case notes and audiological data for patients receiving grommet insertion with or without transtympanic steroid injection.
Main Results:
- 91% of patients experienced cessation or improvement of vertigo attacks.
- Significant improvement in low-frequency hearing thresholds (p=0.031).
- 80% reported improved tinnitus and 100% with pre-existing aural fullness reported improvement.
Conclusions:
- Grommet insertion with transtympanic steroid injection may be a viable first-line treatment for Menière's disease.
- This intervention can prevent further attacks and improve hearing.
- Combination with vestibular physiotherapy is suggested for optimal outcomes.
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