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Abstract

Background: Several reviews have looked at treatment(s) for Meniere?s syndrome/disease (MS/D) characterized by episodic vertigo, fluctuating hearing loss, tinnitus and aural fullness, and there is no strong evidence to support any particular medical or surgical intervention. Objective: To evaluate the evidence and trends on published literature on the treatment of Meniere?s syndrome/disease in the last two decades. Search strategy: A literature search was performed using the PubMed database. Combinations of ??Meniere?? or ??endolymphatichydrops?? combined with ??treatment?? or ?management?. Evaluation methods: Studies were evaluated to report trends in the management of this condition, the differing levels of evidence published far for each treatment modality, evaluate whether AAOHNS-CHE guidelines had been correctly employed and whether the Randomized Controlled Trials (RCT?s) were compliant with the CONSORT guidelines. We found that the evidence base on published literature on MS/D had improved over the last decade. There was an increase in emphasis on Quality of life studies, and a significant increase in the number of RCT?s with an improvement in their quality. There was a decline in surgery, and an increase in the use of the Meniett device and in the use of intratympanic steroid therapy.

Biography

Mohammed Iqbal Syed completed his MBBS and a Master?s degree in Otolaryngology from the Pune University in India. He completed his specialist training (DLO and FRCS) from the United Kingdom and was awarded a travelling fellowship to the University Hospital in Zurich and the TWJ clinical fellowship in Otology/Skull base surgery at the University of Toronto. He has published over 25 peer reviewed papers and presently is a Consultant in Otology and Skull base surgery at the Royal Infirmary/Western Infirmary in Edinburgh.