Meniere's disease treated by grommet insertion

Journal article


Kanegaonkar, R., Najuko-Mafemera, A., Hone, R. and Tikka, T. 2019. Meniere's disease treated by grommet insertion. Annals of the Royal College of Surgeons of England. 101 (8), pp. 602-605.
AuthorsKanegaonkar, R., Najuko-Mafemera, A., Hone, R. and Tikka, T.
Abstract

INTRODUCTION: Menière’s disease (MD) is an uncommon cause of sudden profound vertigo. A variety of medical and surgical treatments have been used to manage this condition. This study reviewed the outcomes of patients treated with grommet insertion and transtympanic steroid injection.

METHODS: Patients diagnosed with MD between 2007 and 2017 were identified, and case notes and audiological data were retrieved for those managed by grommet (ventilation tube) insertion with and without transtympanic steroid injection.

RESULTS: Thirty-three patients were identified as being diagnosed with MD. Grommet insertion resulted in cessation or improvement of attacks in 91% of cases. The mean follow-up duration was 33.8 months (median: 29 months). The mean hearing threshold across the low frequencies improved from 57.2dBHL to 49.4dBHL (p=0.031). Following the intervention, improved tinnitus was reported in 80% of cases. Twelve patients (36%) reported aural fullness prior to grommet insertion; all reported improved symptoms following the procedure.

CONCLUSIONS: Early grommet insertion with transtympanic steroid injection, combined with customised vestibular physiotherapy, may provide an alternative first-line strategy for MD, preventing further true MD attacks. In some patients, it may significantly improve hearing thresholds.

Year2019
JournalAnnals of the Royal College of Surgeons of England
Journal citation101 (8), pp. 602-605
PublisherRoyal Society of Medicine
ISSN0035-8843
Official URLhttps://doi.org/10.1308/rcsann.2019.0099
Publication dates
Online11 Sep 2019
Print08 Nov 2019
Publication process dates
Deposited20 Aug 2019
Accepted29 Mar 2019
Accepted author manuscript
File Access Level
Open
Output statusPublished
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https://repository.canterbury.ac.uk/item/890q1/meniere-s-disease-treated-by-grommet-insertion

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Accepted author manuscript
2018-0598_Hone.pdf
File access level: Open

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