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Role of Intratympanic steroids in the Management of meniere’s Disease—A Review of 151 Cases

International Journal of Otolaryngology and Head & Neck surgery 2016年第2期5卷 108-113页

作者： D. s. Deenadayal D. Vidyasagar Vyshanavi Bommakanti Karuna Goel Nabeelah Naeem Department of Otolaryngology and Head and Neck surgery Yashoda Hospital Secunderabad India

Objective: To assess the outcomes of hearing and vertigo in patients with meniere’s disease who were treated with intratympanic methylprednisolone. study Design: Retrospective study. setting: Tertiary referral hospital. Methods: In our study with 151 patients [191 ears] were diagnosed as menieres as per 1995 AAO-HNs guidelines. As an office based procedure these patients were treated with intratympanic methyl prednisolone. Results: There was a 98.6% improvement in the vertigo control rate, a 73.82% improvement in hearing and 29.31% had a definitive improvement in tinnitus. Conclusion: We conclude from our study that intratympanic steroid injection significantly controls vertigo, tinnitus and improves hearing in meniere’s disease with minimal complications. Hence, it can be tried as a first line treatment for patients with meniere’s disease.

关键词： meniere’s Intratympanic steroids Methyl Prednisolone

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Integrating cupping therapy in the management of tinnitus and dizziness:a pilot study

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TMR Non-Drug Therapy 2021年第2期4卷 32-38页

作者： Zainab Almusleh Maha Al sulaiteen Khalid AHadi Entissar Hassan Amna Ali Jaleel Charalil senior Consultant Hearing&Balance DisordersHamad Medical CorporationDohaQatar specialist Hearing&Balance Disorders Hamad Medical CorporationDohaQatar Hearing&Balance technician Hamad Medical CorporationDohaQatar

Background:Cupping therapy is one of integrative medicine modalities which is used by several *** mechanism of action is not well known but there are several theories explained how it can play a rule in the treatment of *** recent years,huge advances have taken place in understanding of inner ear pathophysiology causing sensorineural hearing loss,tinnitus,and *** articles providing evidence of acupuncture treating dizziness and vertigo but no studies of cupping *** aim of this pilot study was to evaluate the safety and efficacy of integrating wet cupping therapy in the management of tinnitus and dizziness associated with ear ***:This is a prospective interventional pilot study in which pre and post intervention outcomes(tinnitus handicap inventory and dizziness handicap inventory)were assessed and compared.27 patients diagnosed with Ménière's disease and idiopathic tinnitus or tinnitus secondary to inner ear pathology were included in this study and received usual medical treatment and wet cupping ***:There was a significant improvement after 6 sessions of cupping in tinnitus handicap inventory and dizziness handicap inventory but not in patient’s *** adverse events were reported in this ***:Wet cupping therapy demonstrates a promising effectiveness in reducing discomforts of both dizziness and tinnitus.A large scale randomized controlled trial is recommended.

关键词： Cupping therapy Inner ear disease Tinnitus meniere’s disease Dizziness

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Comparison of Transtympanic and Extratympanic Electrocochleography

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International Journal of Otolaryngology and Head & Neck surgery 2013年第5期2卷 160-164页

作者： Alan K. Dobbs Wesley W. O. Krueger sheryl Bishop Ear Institute of Texas San Antonio USA University of Texas Medical Branch Galveston USA

Electrocochleography (ECoG) has been an important tool in the diagnosis of meniere’s disease or endolymphatic hydrops. There are two methods employed, transtympanic and extratympanic. Many have regarded the results of these methods as being equally reliable. The purpose of this study is to determine any differences in sensitivity between the two methods. In this study patients with known endolymphatic hydrops or meniere’s disease underwent ECoG testing with both the extratympanic method and the transtympanic method on the same day in the same ear. The results show a significant difference between the two methods, with the transtympanic wave values being smaller and therefore more sensitive than the extratympanic method. In addition, transtympanic ECoG resulted in better waveform morphology and better correlation with the audiometric findings in endolymphatic hydrops and meniere’s disease. The results emphasize the superior role of transtympanic ECoG over extratympanic ECoG as a valuable component in the confirmation of meniere’s disease or endolymphatic hydrops along with history and audiometric findings characteristic of the disease. Implications of the study promote the use of transtympanic ECoG rather than extratympanic ECoG in patients with symptoms suggestive of meniere’s disease or endolymphatic hydrops.

关键词： meniere’s Disease Endolymphatic Hydrops Transtympanic Electrocochleography Extratympanic Electrocochleography ECoG

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