When Meniere’s disease’s vertigo attacks are too frequent and medical treatment options fail, surgical treatment options should be considered. Meniere’s disease is progressive, and there is not a known cure, and all treatment options are symptomatic. Also the possibility of bilateral involvement is another well-known characteristic of this condition as well as its effect on hearing. Some of the patients have progressive hearing loss with vertigo attacks. In order to decide a surgical procedure for these patients, clinicians must be aware of the natural course of Meniere’s disease. In order to their effects on vestibular system, there are two types of surgical procedures. Nondestructive surgeries aim to alter the course of disease, and destructive surgeries aim to control symptoms while eliminating all vestibular functions of the effected ear.
Part of the book: Meniere's Disease
Meniere’s disease or syndrome is one of the most common inner ear diseases. Meniere’s disease is characterized by episodic vertigo, sensorineural hearing loss that fluctuates during episodes, tinnitus, and ear fullness. Ideal treatment should stop vertigo attacks, restore hearing, get rid of tinnitus and ear fullness. Treatment options are decided upon the remaining hearing, severity, and intensity of vertigo attacks. Meniere’s disease is progressive on hearing levels of the patient; some of them develop profound hearing loss that also could affect the other ear. In order to plan a treatment scheme for patient, these conditions should be assessed. It has a destructive and progressive nature, so the first step of treatment should contain more conservative treatment options. If symptom control could not be obtained, destructive treatment options should be considered.
Part of the book: Meniere's Disease