Gentamicin and other ototoxic antibiotics for the transtympanic treatment of Menière's disease.
Severe unilateral cases of Menière's disease can be successfully treated with ototoxic antibiotics. Among them gentamicin sulfate gives the safest results. With the aid of a small syringe this antibiotic is introduced into the external auditory canal 5 times/day. From there it reaches the middle ear through a ventilating tube by using a Politzer bag. Gentamicin then penetrates the round and oval windows, where it influences inner ear function. Of 92 patients treated during the past 20 years, more than 90% have had no further attacks after therapy.
Lange
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Städtische HNO-Klinik, Wuppertal, Federal Republic of Germany.
D001309:Auditory Threshold / Q000187:drug effects; D004334:Drug Administration Schedule; D004432:Ear, Middle / Q000187:drug effects; D005500:Follow-Up Studies; D005839:Gentamicins / Q000008:administration & dosage*; D006801:Humans; D008575:Meniere Disease / Q000188:drug therapy*; D008876:Middle Ear Ventilation; D004856:Postural Balance / Q000187:drug effects
D005839:Gentamicins