Meniere’s Disease: Nonsurgical Treatment

Abstract

Meniere's disease or syndrome is one of the most common inner ear diseases. Meniere's disease is characterized by episodic vertigo, sensorineural hearing loss that fluctuates during episodes, tinnitus, and ear fullness. Ideal treatment should stop vertigo attacks, restore hearing, get rid of tinnitus and ear fullness. Treatment options are decided upon the remaining hearing, severity, and intensity of vertigo attacks. Meniere's disease is progressive on hearing levels of the patient; some of them develop profound hearing loss that also could affect the other ear. In order to plan a treatment scheme for patient, these conditions should be assessed. It has a destructive and progressive nature, so the first step of treatment should contain more conservative treatment options. If symptom control could not be obtained, destructive treatment options should be considered.

Diagnosis dan Penatalaksanaan Penyakit Meniere

“…AAO-HNS merekomendasikan pembatasan kafein 100 mg/hari. 14,16 -Betahistin Betahistin banyak digunakan di Eropa sebagai agen pengobatan lini pertama penyakit Meniere. Betahistin merupakan agonis H1 dan antagonis H3 dan dapat meningkatkan aliran darah melalui stria vascularis ke koklea.…”