Comparative analysis of the effectiveness of the alternatives current treatments in Meniere’s disease

Mónica P. Jiménez; Susana G. Pérez; José C. Torres; Carlos M. Zarate; Rubén Beltrán; Fátima F. Figueroa; Felix Osuna; José M. Zepeda; Carlos A. López

doi:10.18203/issn.2454-5929.ijohns20220487

Authors

Mónica P. Jiménez School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico http://orcid.org/0000-0002-1741-4117
Susana G. Pérez School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico
José C. Torres School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico
Carlos M. Zarate School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico
Rubén Beltrán School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico
Fátima F. Figueroa School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico
Felix Osuna School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico
José M. Zepeda School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico
Carlos A. López School of Medicine, Autonomous University of Guadalajara, Guadalajara, Jalisco, Mexico

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20220487

Keywords:

Treatment, Otorhinolaryngology, Ménière, Efficacy and comparatives

Abstract

The objective is to compare the efficacy of the treatments currently used in Ménière's disease, assessing their advantages and disadvantages. A bibliographic review was carried out with 11 original articles, of which 10 are in English and 1 in Spanish, from 3 years to date in Journal of Vestibular Research, Otology & Neurotology, European Archives Oto-Rhino-Laryngology, American Journal of Otolaryngology, Laryngoscope Investigative Otolaryngology, Journal of Neurology, Iranian Journal of Otorhinolaryngology, Revista Ciencia y Salud, respectively. The following books were consulted Harrison's Principles of Internal Medicine; Oído, nariz, garganta y cirugía de cabeza y cuello; Diagnóstico y tratamiento en otorrinolaringología. Cirugía de cabeza y cuello; and, Tratado de otorrinolaringología y patología cervicofacial. Medical treatment with dexamethasone, gentamicin, betahistine and diuretics was evaluated, as well as surgical treatment with endolymphatic sac surgery, vestibular neurectomy and labyrinthectomy. Treatment is individualized, however, betahistine is recommended as the first option, followed by IT gentamicin for the control of vertigo.

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