Posted on 07/09/2024 9:27:34 PM PDT by ConservativeMind
Endolymphatic duct blockage (EDB) is more effective than intratympanic methylprednisolone (ITMP) injection for controlling vertigo symptoms among patients with Meniere disease (MD), according to a study.
Issam Saliba, M.D. and colleagues conducted a retrospective study to compare the effectiveness of EDB and ITMP injection to control refractory MD symptoms. Overall, 36 patients received ITMP injection and 52 underwent EDB.
The researchers found that at 24 months postoperatively, 90.4 and 43.4% of the EDB and ITMP groups, respectively, had complete control of vertigo. No significant difference was seen in tinnitus or aural fullness control. The reduction in tinnitus and aural fullness frequency at 24 months was significant within the EDB group; for the ITMP group, only the reduction in tinnitus was significant.
Compared with preoperative levels, at 24 months, pure-tone average, bone conduction average, and speech discrimination score were significantly worse in the ITMP group. In the EDB group, pure-tone average was stable, with no difference relative to the ITMP group; bone conduction average and speech discrimination score were stable and better, respectively, than that seen in the ITMP group. No significant difference was seen in vestibular paresis before and after treatment in each group.
"Endolymphatic duct blockage surgery for the treatment of refractory Meniere's disease is an effective procedure that results in excellent vertigo control, significant improvement of aural fullness and tinnitus, and preserved hearing function at the postoperative period of 24 months," the authors write.
(Excerpt) Read more at medicalxpress.com ...
I know a few here have Meniere disease.
i get a touch of the vertigo every now and again, and thank God for the Epley maneuver...
I was diagnosed with it two years ago. I was grateful and thankful to find out this is what I had because the symptoms were frightening. By God’s Grace He directed me to a great ENT who helped me treat it mostly with a low sodium diet.
CAN YOU HEAR ME NOW?????
TINNITUS RING LIST!.................
EH? Whassat you say there sonnyboy?
This is outstanding news! I suffer from Menniere’s and would not wish it upon my worst enemy (okay, maybe a few key “leaders” and politicos).
It is the reason Huey Lewis stopped doing live shows. It’s a horrible thing.
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