Consensus ; Humans ; Meniere Disease/therapy*

Diagnosis, Differential ; Humans ; Meniere Disease ; diagnosis ; therapy ; Vertigo ; diagnosis ; therapy

OBJECTIVE: To compare the effect difference between acupuncture combined with western medication and simple western medication for Meniere's disease. METHODS: Ninety-six patients with Meniere's disease were randomly assigned into a combination group (48 cases, 12 cases dropping) and a medication group (48 cases, 9 cases dropping). Betastatin mesylate tablets (once 12 mg, 3 times a day) and mecobalamin tablets (once 0.5 mg, 3 times a day) were prescribed orally in the two groups. Acupuncture was used in the combination group, twice a week, 20 min a time, and the acupoints were Baihui (GV 20), Fengchi (GB 20), Tinggong (SI 19), Hegu (LI 4), Quchi (LI 11), Zusanli (ST 36), Fenglong (ST 40), Taichong (LR 3), Taixi (KI 3) and Tianshu (ST 25). All the treatment was given for continuous 12 weeks. The symptoms were observed by dizziness handicap inventory (DHI), tinnitus handicap inventory (THI), pure tone audiometry score and stuffy ear visual analogue scale (VAS). The effects were compared in the aspects of dizziness, hearing and activity. RESULTS: The scores of DHI, THI, pure tone audiometry and VAS scores after treatment were lower than those before treatment in the two groups (all <0.05), with lower scores of the above 4 indexes in the combination group after treatment (all <0.05). The difference values before and after treatment of the 4 indexes in the combination group were higher than those in the medication group (all <0.05). The effective rates of dizziness, hearing and activity in the combination group were 97.2% (35/36), 91.7% (33/36), 88.9% (32/36), which were better than 71.8% (28/39), 74.4% (29/39) and 69.2% (27/39) in the medication group (all <0.05). CONCLUSION Acupuncture combined with conventional medication achieve better effect than simple conventional medication.
Acupuncture Therapy ; Humans ; Meniere Disease ; therapy ; Tinnitus ; Treatment Outcome

Administration, Topical ; Ear, Inner ; pathology ; Humans ; Meniere Disease ; therapy

The incidence of vertigo increases with both aging and changing lifestyles among Chinese. Apart from well established medical and surgical treatment, a number of non-surgical treatment modalities have been available recently.
Female ; Humans ; Male ; Meniere Disease ; drug therapy ; therapy ; Vertigo ; drug therapy ; therapy

Acupuncture Points ; Acupuncture Therapy ; Humans ; Male ; Meniere Disease ; therapy ; Middle Aged ; Treatment Outcome

OBJECTIVE: To investigate the incidence of anxiety and depression state in patients with Meniere's disease, to provide objective evidence for curing Meniere's disease effectively. METHOD: Hamilton anxiety scale and Hamilton depression scale were used to quantitatively analyze the anxiety and depression state of 60 patients with untreated definite Meniere's disease and 20 normal controls. RESULT: The scores of patients with Meniere's disease was significantly higher than that of normal controls (P < 0.05). There was no significant difference in scores between the males and females in Meniere's disease patients (P > 0.05). CONCLUSION Patients with Meniere's disease experienced high level of anxiety and depression. The treatment should not only focus on the physiological disorder but also the psychiatric and emotional problems.
Anxiety ; diagnosis ; Depression ; diagnosis ; Female ; Humans ; Male ; Meniere Disease ; psychology ; therapy ; Psychiatric Status Rating Scales

Meniere's disease (MD), a kind of common disease of otology, is based on the endolymphatic hydrops. The clinical features of MD are intermittent episodes of vertigo, fluctuating sensorineural hearing loss, tinnitus and ear fullness. With the in-depth exploration of the disease, the diagnosis and treatment of MD has made a series of research results. In this paper, the related literature and research reports in recent years were reviewed.
Endolymphatic Hydrops ; Hearing Loss, Sensorineural ; Humans ; Meniere Disease ; diagnosis ; therapy ; Tinnitus ; Vertigo

OBJECTIVETo investigate the short-term efficacy and safety of transtympanic pressure treatment in the management of recalcitrant vertigo in Meniere disease in order to lead to the further long-term treatment.

METHODSUsing cross-sectional case study, eighteen patients with medically intractable and active Meniere disease were opted to manage with Meniett pulse generator. A standard ventilation tube was inserted in the affected ear and the treatment period with Meniett pulse generator was 8 weeks. Patients indicated on the symptom report card and six-point functional scale the maximum level of vertigo, activity and stress. Hearing was assessed by pure tone average thresholds (PTA), moreover, electrocochleogram and vestibular caloric were performed.

RESULTSOf eighteen patients, the changes of vertigo severity, vertigo frequency, sick day and six-point functional scale between after and before treatment with Meniett were statistically significant (P < 0.05), moreover, the changes of--SP/AP between after and before treatment with Meniett were statistically significant (P < 0.05). No change in vestibular function was noted. Two of 18 patients showed a significant PTA increase of 10dB or more and hearing was stable in the remainder of patients 4 weeks after treatment with Meniett. Twelve of 18 patients showed a significant PTA increase of 10dB or more and hearing was stable in the remainder of patients 8 weeks after treatment with Meniett. There were no complications during 6-month follow-up with Meniett.

CONCLUSIONSMeniett seemed to be a safe, effective and non-destructive level of therapy, which could reduce vertiginous symptoms and functional handicap and showed an improvement of hearing in patients with medically intractable Meniere disease. This method was recommended before attempting any surgical or chemical vestibular ablation procedure.

Aged ; Cross-Sectional Studies ; Female ; Humans ; Male ; Meniere Disease ; therapy ; Middle Aged ; Pulse ; Treatment Outcome ; Vertigo ; therapy

OBJECTIVE: To investigate individual management for Meniere's disease and analyze outcomes of nonsurgical and surgical management of Meniere's disease. METHOD: Patients with Meniere's disease were staged according to hearing and quality of life. The individual management according to the staging was established, including outpatient treatment (lifestyle change, medical management and intratympanic steroids), endolymphatic sac decompression or drainage, vestibular neurectomy and labyrinthectomy. The characteristics of patients who underwent surgical management were analyzed. The functional outcomes of surgery in dizziness, hearing loss and quality of life were evaluated for 12-month postoperative follow-up. RESULT: Twenty patients underwent intratympanic injection of dexamethasone. Dizziness improved in 70% (14/20), tinnitus improved in 41% (7/17), and aural fullness improved in 36% (4/11). There were 55 patients who underwent surgical managements for 57 times. Endolymphatic sac decompression or drainage was carried out in 27 patients for 28 times, vestibular neurectomy in 26 patients and labyrinthectomy in 3 patients. Vertigo control rate was 75% in patients with endolymphatic sac decompression or drainage, 100% in vestibular neurectomy and 100% in labyrinthectomy at 12-month postoperative follow-up. CONCLUSION The non-surgical management and endolymphatic sac decompression or drainage can improve vertigo and ameliorate quality of life. Vestibular neurectomy and labyrinthectomy are effective surgical managements to eliminate vertigo. The management of Meniere's disease depends on several factors: stages of vertigo and hearing, quality of life, surgical contraindications and subjective desire. Therefore, the management for Menieres disease must be individualized for each patient.
Adult ; Aged ; Drainage ; Female ; Humans ; Male ; Meniere Disease ; surgery ; therapy ; Middle Aged ; Quality of Life ; Treatment Outcome ; Vertigo ; surgery ; therapy