Menieres Disease课件.pptVIP

Treatment - Medical Symptomatic treatment Antivertiginous, antiemetics, sedatives, antidepressants, and psychiatric Local Overpressure Therapy pulsing pressure in the middle ear The mechanism of vertigo reduction is unclear may facilitate endolymph absorption 2000 approved for use by the FDA Treatment- Medical Intratympanic Injection Dexamethasone or gentamicin for control of vertigo symptoms Gentamicin a vestibulotoxicity that is high relative to its cochleotoxicity control vestibular symptoms while sparing hearing Dexamethasone Meniere’s disease has an autoimmune component Treatment- Surge