title: Menière's syndrome: an approach to therapy.
abstract: There are patients with symptoms similar to those of Menière's disease who do not have Menière's disease and therefore do not respond to conventional medical or conservative surgical management. Some have subtle disorders of carbohydrate and lipid metabolism and inner ear otosclerosis, which are responsible for the production of their symptoms. The response to dietary therapy confirms that glucose tolerance levels which are not diabetic nor hypoglycemic may be sufficiently significant in relation to inner ear function to produce the symptoms like those of Menière's Disease. Management of inner ear otosclerosis with supplemental sodium fluoride, calcium carbonate, and Vitamin D was also effective in controlling the symptoms in some patients.
authors.affiliation: Neurotologic Associates, P.C., New York, NY 10021, USA.
authors.forename: K H
authors.initials: KH
authors.lastname: Brookler
authors.forename: M B
authors.initials: MB
authors.lastname: Glenn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002119:Calcium Carbonate / Q000627:therapeutic use; D004035:Diet Therapy; D007758:Ear, Inner / Q000378:metabolism / Q000503:physiopathology; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000150:complications / Q000378:metabolism / Q000628:therapy*; D008875:Middle Aged; D010040:Otosclerosis / Q000188:drug therapy* / Q000378:metabolism / Q000503:physiopathology; D012720:Severity of Illness Index; D012969:Sodium Fluoride / Q000627:therapeutic use; D016896:Treatment Outcome; D014280:Triglycerides / Q000097:blood; D014807:Vitamin D / Q000627:therapeutic use
chemical_list: D014280:Triglycerides; D014807:Vitamin D; D012969:Sodium Fluoride; D002119:Calcium Carbonate