Etiology of fluctuating hearing loss

One of the clinical signs and symptoms of fluctuating hearing loss Meniere’s disease manifests itself. Meniere#39;s disease, also known as Meniere’s syndrome (Meniere’s syndrome, Meniere’s disease, otalgia, vertigo) Meniere#39;sdisease is an accumulation of fluid in the labyrinth of the inner ear and manifests as episodic vertigo, fluctuating hearing loss and tinnitus. In 1938, Hallpike and Cairns reported that the main pathological change in Meniere#39;s disease was fluid in the membranous vagus, and this finding has been confirmed by many authors. However, how membranous vagal effusion arises is difficult to explain. The known causes include the following factors: various infectious factors (bacterial, viral, etc.), injuries (including mechanical or acoustic injuries), otosclerosis, syphilis, genetic factors, allergies, tumors, leukemia, and autoimmune diseases. DeSousa (2002) referred to vestibular symptomatic disorders produced by known causes of membranous vagal effusion as Meniere’s syndrome. In contrast, Ménière’s disease is considered to be an idiopathic membranous vagal effusion. The main clinical manifestations of fluctuating hypoacusis are vertigo, tinnitus, deafness, internal head swelling and pain, as well as the presence of vegetative symptoms such as nystagmus, balance disorders, nausea, vomiting, slowed heart rhythm, decreased blood pressure, and pallor. When its vertigo is sudden rotation, it feels itself or the surrounding objects rotating, but the consciousness is clear. It recovers gradually after several hours or days, and attacks occur once every few weeks or years. Tinnitus is mostly a low-frequency tone, which can appear before vertigo and worsen during vertigo attacks. Deafness is not often felt in the early stages and is felt only after several attacks. Treatment of Meniere’s syndrome should be based on medication and surgery, combined with psychotherapy. Medication is usually used vasodilators, diuretics, sedatives, etc. Surgery can be used when the effect of medication is not effective, vertigo cannot be controlled, and hearing damage is severe. The above treatment should be combined with applicable psychotherapy to regulate emotions, improve patients’ awareness of Meniere’s syndrome, eliminate concerns and enhance confidence, especially before surgery, emotional regulation should be strengthened to eliminate fear and tension. After the disease is controlled, the psychological training of self should be strengthened to reduce the adverse emotional reactions caused by psychosocial stimuli and strengthen physical exercise to enhance the regulation ability of the body.