Meniere's Disease
Conditions
Keywords
Meniere, vertigo, overpressure treatment, caloric irrigation, hearing levels, vertigo severity, functional disability scale
Brief summary
The purpose of this study to date, is that no causal therapy for Meniere's disease has been discovered. Local overpressure treatment for Meniere's disease is a new treatment form that has been shown in animal and human experiments to reduce the endolymphatic hydrops, a condition that is generally believed to be the pathologic hallmark of Meniere's disease. This study analyzes the efficacy of local overpressure treatment by measuring subjective vertigo severity and objective audiovestibular function parameters.
Detailed description
Randomized double-blind controlled trial. Patients with unilateral Meniere's disease that suffer from recurring vertigo attacks are allocated to either a verum or a placebo device and are treated for 4 months. Before during and after the treatment period, subjective and objective audiovestibular function parameters are measured.
Interventions
pulsed pressure application, up to 12 cm H20 column, 3 times daily for 5 minutes, generated by Meniett device and conducted to middle ear cavity via tympanostomy tube
device seemingly identical to active device, manufactured by Medtronic. 3 times daily for 5 minutes.Produces similar sound effect, but without pulsed pressure elevation.
Sponsors
Study design
Eligibility
Inclusion criteria
* unilateral definite Meniere's disease according to the AAO-HNS criteria
Exclusion criteria
* previous destructive treatment (gentamicin, saccotomy, vestibular neurectomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in vertigo score from pre-therapy to post-therapy. (Vertigo score = summation of daily vertigo severity over 4 weeks. Daily vertigo score = a number between = and 4.) | 4 months |
Secondary
| Measure | Time frame |
|---|---|
| Pure tone audiometric thresholds | 4 months |
| Speech recognition hearing levels | 4 months |
| Horizontal semicircular canal paresis | 4 Months |
| Subjective Daily Activity levels (Number between 0 and 4) | 4 Months |
Countries
Germany