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  • Title: Management of Meniere's disease. Surgery may help if medication fails.
    Author: Goldenberg RA.
    Journal: Postgrad Med; 1984 Mar; 75(4):133-8. PubMed ID: 6701119.
    Abstract:
    Meniere's disease is the classic triad of fluctuating hearing loss, episodic vertigo, and severe tinnitus. It usually occurs unilaterally, although about 15% to 20% of patients may have bilateral disease. The disease involves a series of acute exacerbations followed by a period of remission; it progresses until the ear has essentially "burned itself out," causing symptoms to subside. Treatment of Meniere's disease should be tailored to the severity of symptoms and the patient's life-style. Initial treatment involves conservative medical management and psychologic support. If this fails, endolymphatic shunt surgery is effective in alleviating symptom in the majority of patients.
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