title: Long-term effects of the Meniett device in Japanese patients with Meniere's disease and delayed endolymphatic hydrops reported by the Middle Ear Pressure Treatment Research Group of Japan.
abstract: CONCLUSIONS
  The Meniett device is a minimally invasive and safe treatment that may be used to provide longer-term reduction of vestibular symptoms in patients with delayed endolymphatic hydrops (DEH) as well as those with Meniere's disease (MD).
  
  
  OBJECTIVE
  The effects of the Meniett device were evaluated in patients with a diagnosis of definite MD or DEH according to the 1995 AAO-HNS criteria.
  
  
  METHODS
  Twenty-nine ears of 28 patients with MD and 5 ears of 5 patients with DEH (ipsilateral type 4, contralateral type 1) were treated with the Meniett device by the Middle Ear Pressure Treatment Research Group of Japan. All of the patients had failed to respond to medical treatment including diuretics before the pressure treatment.
  
  
  RESULTS
  Sixteen (57%) patients with MD and all five (100%) patients with DEH remained entirely free from vertigo spells; nine (32%) patients with MD responded with a significant decrease in the frequency of vertigo spells. In regard to hearing, 25 ears (74%: MD, n = 21; ipsilateral DEH, n = 4) had stable hearing levels; only 4 ears (12%: MD, n = 3; contralateral DEH, n = 1) showed a significant hearing improvement. No complications were attributable to the Meniett device.
authors.affiliation: Department of Otolaryngology, University of Toyama, Japan. hshojaku@med.u-toyama.ac.jp
authors.forename: Hideo
authors.initials: H
authors.lastname: Shojaku
authors.forename: Yukio
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Mineta
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Aoki
authors.forename: Masahito
authors.initials: M
authors.lastname: Tsubota
authors.forename: Kazumichi
authors.initials: K
authors.lastname: Watanabe
authors.forename: Fumiyuki
authors.initials: F
authors.lastname: Goto
authors.forename: Koichiro
authors.initials: K
authors.lastname: Shigeno
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018159:Endolymphatic Hydrops / Q000628:therapy*; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008575:Meniere Disease / Q000628:therapy*; D008875:Middle Aged; D010036:Otolaryngology / Q000295:instrumentation*; D011312:Pressure; D013995:Time; D016896:Treatment Outcome; D055815:Young Adult