Local pressure protocol, including Meniett, in the treatment of Ménière's disease: short-term results during the active stage.
Treatment of Ménière's disease (MD) is still controversial and pressure changes transmitted to the inner ear have been reported to have effects similar to those of other non-surgical therapies. This paper reports on a clinical trial of MD patients which has been carried out using a portable piece of equipment, called Meniett, which delivers a pulsed, controlled, positive pressure to the middle ear, provided that a ventilation tube (VT) has previously been inserted. A comparison was made of the number of vertigo spells during the 2 months before treatment and during the 40-day treatment period. In addition, within this latter period a comparison was made between use of VT and use of VT + Meniett. Use of VT only had a positive effect in 90% of patients, with either absence (n = 10: 50%) or marked reduction (n = 8; 40%) in episodes of vertigo. When Meniett was also applied, stabilization of the positive effect on vertigo was registered, with a concomitant improvement in hearing threshold in 2 patients (10%). Although a longer and more reliable long-term follow-up of this treatment is needed, it is possible to propose the use of this therapeutic approach as it has been proven to induce a dramatic improvement in the symptoms affecting patients with Ménière's disease during reactivation of the disease.
Barbara
M
M
Institute of Otorhinolaryngology, University of Rome La Sapienza I & II, Rome, Italy. maurizio.barbara@uniromal.it
Consagra
C
C
Monini
S
S
Nostro
G
G
Harguindey
A
A
Vestri
A
A
Filipo
R
R
D000328:Adult; D000465:Algorithms; D001300:Audiometry, Evoked Response / Q000379:methods; D001309:Auditory Threshold / Q000502:physiology; D002985:Clinical Protocols; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D008876:Middle Ear Ventilation / Q000295:instrumentation*; D011312:Pressure; D012720:Severity of Illness Index; D013997:Time Factors; D014717:Vertigo / Q000175:diagnosis / Q000628:therapy