AI Article Synopsis
- The study evaluates the effectiveness of ventilation tube (VT) placement for controlling vertigo in patients with Ménière disease (MD) who did not respond to standard medical treatments.
- In a trial with 76 patients over three years, 61.8% of those who received VT placement showed improvement in vertigo control, unlike the control group which continued to experience symptoms.
- The findings suggest that VT placement is a safe and effective option for managing severe MD, particularly in older patients or those hesitant to undergo more invasive procedures.
Article Abstract
Objective: The treatment of choice for Ménière disease (MD) aims at preventing severity and frequency of vertigo attacks. The purpose of this study was to evaluate the effectiveness of ventilation tube (VT) placement on vertigo control in patients affected by MD with no response to standard medical therapy.
Methods: 76 consecutive outpatients diagnosed with definite MD who failed medical therapy received VT insertion at the Department of Otolaryngology Head and Neck Surgery, "Ospedale del Mare", Naples, Italy, with a 3-year follow up.
Results: Over the long term, VT placement was effective in controlling vertigo in 61.8% of patients. In the control group treated with standard preventive care (SPC) alone, all patients continued to experience recurrent vertigo during the entire study. Comparison of survival curves by using the log-rank test shows that significant differences in survival exist between subjects treated with VT placement and the control sample (p = 0.001).
Conclusions: Our long-term follow-up confirms that VT placement is an effective and safe management option in intractable definite MD, especially in the elderly or in those refusing more invasive treatments.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569656 | PMC |
| http://dx.doi.org/10.14639/0392-100X-N1705 | DOI Listing |
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