Meniett therapy may avoid vestibular neurectomy in disabling Meniere's disease.
CONCLUSIONS
In those patients for whom vestibular neurectomy has been selected due to the disabling recurrence of vertigo spells, Meniett therapy has been shown to allow avoidance of this surgical procedure in a fairly high percentage of patients with Meniere's disease (MD). Our data would also support a better result when pressure treatment is acting on MD of short duration.


OBJECTIVE
To test the possibility that low pressure treatment (Meniett) could avoid vestibular neurectomy in patients with MD that was refractory to medical treatment.


METHODS
The setting was a tertiary referral centre in a university hospital. Thirty-six MD patients, for whom vestibular neurectomy was indicated, underwent Meniett treatment and composed a group in which a long-term (>2 years) follow-up was achieved. Additionally, different durations of MD ('young' and 'old' MD) were distinguished and analysed separately.


RESULTS
Twenty-five patients (69.4%) were treated satisfactorily by using Meniett treatment and therefore avoided vestibular neurectomy. In half of them only one cycle of treatment was necessary.
Barbara
Maurizio
M
II Medical School, University La Sapienza, Rome, Italy. maurizio.barbara@uniroma1.it
Monini
Simonetta
S
Chiappini
Ilaria
I
Filipo
Roberto
R
D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D000075202:Contraindications; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D008875:Middle Aged; D013506:Otologic Surgical Procedures; D017060:Patient Satisfaction; D010812:Physical Stimulation / Q000295:instrumentation; D026741:Physical Therapy Modalities / Q000295:instrumentation*; D011312:Pressure; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014725:Vestibular Nerve / Q000601:surgery*