European Archives of Oto-Rhino-Laryngology

, Volume 267, Issue 9, pp 1371–1376

Medical management of Ménière’s disease: a 10-year case series and review of literature

  • C. Martín González
  • F. M. González
  • A. Trinidad
  • A. Ibáñez
  • M. Pinilla
  • A. Martínez Ruiz-Coello
  • A. Rodríguez Valiente
  • C. López-Cortijo
Otology

DOI: 10.1007/s00405-010-1265-4

Cite this article as:
Martín González, C., González, F.M., Trinidad, A. et al. Eur Arch Otorhinolaryngol (2010) 267: 1371. doi:10.1007/s00405-010-1265-4

Abstract

Ménière’s disease is frequent in our area. It is a disabling pathology that affects the patient’s quality of life. Its etiology and pathophysiology remain unclear and there are some therapeutic alternatives with controversial results. We present our series and treatment protocol for Ménière’s disease and discuss the current evidence regarding its medical treatment. In the last 10 years, 252 patients were diagnosed with Ménière’s disease based on their symptoms, and the results of tonal audiometry, videonystagmography and caloric stimulation tests. All cases received medical treatment according to our management protocol. Ménière’s disease is more frequent in women (54.76%); 83.73% of cases are unilateral. Among these, vertigo was observed in 93.7%, hearing loss in 88.1%, tinnitus in 86.1% and pathologic caloric stimulation tests in 71% (88.27% with a reduced vestibular response). A 5-year follow-up was performed in 89.6% of the patients. Subjective improvement as reported by patients was achieved in 94.4% of the cases. There is great controversy about the medical treatment of Ménière’s disease. We found no evidence for the most adequate medical treatment among the different alternatives described in literature. The patient’s acceptance and understanding of the disease is very important.

Keywords

Ménière’s disease Endolymphatic hydrops Vertigo Tinnitus Videonystagmography Betahistine Intratympanic gentamicin Meniett 

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • C. Martín González
    • 1
  • F. M. González
    • 1
  • A. Trinidad
    • 1
  • A. Ibáñez
    • 1
  • M. Pinilla
    • 1
  • A. Martínez Ruiz-Coello
    • 1
  • A. Rodríguez Valiente
    • 1
  • C. López-Cortijo
    • 1
  1. 1.Department of OtolaryngologyHospital Universitario Puerta de Hierro-MajadahondaMajadahondaSpain

Personalised recommendations