Meniere’s vertigo is Meniere’s disease, there is no best way to treat it, common methods include internal medicine treatment, injection of steroids in the tympanic cavity, surgical conservative treatment, drug destructive treatment, surgical destructive treatment, etc. Treatment and medication should be in accordance with medical advice.
Meniere’s disease is an inner ear disease characterized by recurrent vertigo, fluctuating hearing loss, tinnitus and ear swelling and fullness, etc. Diagnosis relies on clinical symptoms and examinations of audiology and vestibular function.
1. Internal medicine treatment: improve lifestyle, low-salt diet, improve sleep, and in severe cases, combine with psychotherapy. Diuretics are the most commonly used first-line drugs, such as hydrochlorothiazide, acetazolamide, etc. Betahistine can also be used to improve vertigo.
2. Intratympanic glucocorticoid injection: second-line treatment option, commonly used dexamethasone, systemic glucocorticoid is not recommended.
3. Surgical conservative treatment: endolymphatic sac surgery is most commonly used, especially in young Meniere’s patients with functional hearing, and is preferred after failure of pharmacologic conservative treatment.
4. Pharmacologic destructive therapy: The most effective non-surgical treatment for vertigo in Meniere patients may be tympanic injections of gentamicin, but is associated with a risk of hearing loss.
5. Surgical destructive therapy: Labyrinthotomy and vestibular neurotomy are used in medically ineffective patients with refractory vertigo crisis, good contralateral vestibular function, and poor but functional hearing.
After the diagnosis of Meniere’s disease is confirmed, it is recommended to follow the standardized treatment prescribed by the doctor.