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Intermittent Pressure Therapy of Intractable Ménière's Disease Using the Meniett Device: A Preliminary Report
Author(s) -
Gates George A.,
Green J. Douglas
Publication year - 2002
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200208000-00029
Subject(s) - vertigo , medicine , surgery , medical therapy
Hypothesis Treatment with the Meniett device, which applies intermittent micropressure pulses to the inner ear through a tympanostomy tube, is effective in controlling vertigo in people with intractable Ménière's disease. Study Design Short‐term, preliminary descriptive report. Methods Ten patients with intractable vertigo despite adequate medical therapy elected to use the Meniett device. After placement of a standard tympanostomy tube, the patient self‐administers the Meniett device three times daily. Results The follow‐up ranged from 3 to 11 months with an average of 8 months. All 10 patients responded to the therapy with vertigo control in 9 of 10 and a 50% reduction in the 10th case. There was a mean hearing gain of 6 dB, which was statistically significant. There were no major complications. Two subjects required tube reinsertion during the 8 months of follow‐up. Conclusions Use of the Meniett device is an effective and safe option for people with intractable vertigo from Ménière's disease.