What are conservative therapies for Ménière disease?

Updated: Mar 13, 2017
  • Author: Hesham M Samy, MD, PhD; Chief Editor: Robert A Egan, MD  more...
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Answer

Most patients respond to conservative therapy with salt restriction and diuretics. Corticosteroids, given orally or intratympanically, can be used to stabilize active disease and to recover speech discrimination, especially when used in early stages of the disease. Intratympanic gentamicin (chemical labyrinthectomy) is a minimally invasive procedure that has emerged as an effective method for treating the disabling vertigo of Ménière disease when hearing loss and speech discrimination have progressed to severe levels. Gentamicin is also very effective in treating Tumarkin attacks of Ménière disease.


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