Meniere's Disease at the University of Iowa: 1973 to 1980

Abstract

The goals of treatment in Meniere's disease are hearing preservation and control of vertigo. Controversy abounds with regard to the most expeditious and efficacious means of attaining these goals. Low-salt diet, diuretic therapy, endolymphatic-mastoid shunt, and middle cranial fossa vestibular neurectomy are all modes of treatment employed for Meniere's disease at the University of Iowa. This review of our experience from 1973 to 1980 summarizes the efficacy of each therapeutic option.

Get full access to this article

View all access options for this article.

References

1. Kimura

: Experimental pathogenesis of hydrops. Arch Otorhinolaryngol 1976; 212: 263–275.

2. Furstenberg

Lashmet

Lathrop

: Meniere's symptom complex: Medical treatment. Ann Otol Rhinol Laryngol 1934; 43: 1035–1046.

3. Boles

Rice

Hybels

: Conservative management of Meniere's disease: Furstenberg regimen revisited. Ann Otol Rhinol Laryngol 1975; 84: 513–517.

4. Klockhoff

Lindblom

Stahle

: Diuretic treatment of Meniere disease. Arch Otolaryngol 1974; 100: 262–265.

5. Morrison

: The surgery of vertigo: Saccus drainage for idiopathic endolymphatic hydrops. J Laryngol Otol 1976; 90: 87–93.

6. Snow

Kimmelman

: Assessment of surgical procedures for Meniere's disease. Laryngoscope 1979; 89: 737–747.

7. Paparella

Hanson

: Endolymphatic sac drainage for intractable vertigo (method and experiences). Laryngoscope 1976; 86: 697–703.

8. Arenberg

: Endolymphatic sac valve implant surgery: III. Preliminary results in 61 cases (66 ears). Laryngoscope 1979; 89 (suppl 17):26–39.

9. Fisch

: Surgical treatment of vertigo. J Laryngol Otol 1976; 90: 75–86.

10.

10. Garcia-lbanez

Garcia-lbanez

Beitran de Seals

: Hearing results after vestibular neurectomy. Audiology 1979; 18: 145–146.

11.

11. Alford

(chairman), Committee on Hearing and Equilibrium: Report of subcommittee on equilibrium and its measurement: Meniere's disease: Criteria for diagnosis and evaluation of therapy for reporting. Trans Am Acad Ophthalmol Otolaryngol 1972; 76: 1462–1464.

12.

12. Harker

McCabe

: Iowa results of acoustic neuroma operations. Laryngoscope 1978; 88: 1904–1911.

13.

13. Glasscock

Miller

: Middle fossa vestibular nerve section in the management of Meniere's disease. Laryngoscope 1977; 87: 529–541.