한국에서 메니에르병의 치료 방침에 대한 다기관 연구Multicenter study on the treatment pattern of Ménière’s disease in Korea
- Other Titles
- Multicenter study on the treatment pattern of Ménière’s disease in Korea
- Authors
- 홍성광; 고의경; 김규성; 박경호; 박홍주; 안성기; 안중호; 이원상; 임기정; 정재윤; 정원호; 한규철; 채성원; 구자원
- Issue Date
- 2008
- Publisher
- 대한평형의학회
- Keywords
- Ménière’s disease; Pharmacotherapy; Surgery; Aminoglycosides
- Citation
- Research in Vestibular Science, v.7, no.2, pp.174 - 181
- Journal Title
- Research in Vestibular Science
- Volume
- 7
- Number
- 2
- Start Page
- 174
- End Page
- 181
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/124266
- ISSN
- 2092-8882
- Abstract
- Background and Objectives: It is hard to determine the efficacy of several treatment options of Ménière’s
disease since dynamic course of the disease and diverse rate of recurrence. Few modalities are regarded as
‘effective’ in the viewpoint of evidence based medicine. Study was conducted to know the current status of
treatment options for Ménière’s disease.Materials and Methods: A multicenter survey was conducted using questionnaires to collect information on
current status of treatment patterns in Ménière’s disease. The questionnaire answered by neurotologic surgeons
working at 12 institutes in Korea was analyzed.
Results: Low salt diet was always instructed to their patients, but 8 out of 12 responders (67%) did not
emphasis on the amount of dietary salt. Duration of pharmacotherapy was ranged from 3 to 12 months. Intratympanic
steroid injection was performed in 8 institutes (67%). Every institute agreed on the role of intratympanic
gentamicin application. Treatment options for intractable patients were asked. Endolymphatic sac surgery, intratympanic
steroid, Meniette device and intratympanic aminoglycoside injection were answered in patients who hope
to preserve residual hearing. On the contrary, in patients without serviceable hearing, intratympanic jnjection of
aminoglycosides (9/12, 75%) dominated as the next treatment option.
Conclusions: Most institutes provide similar patterns of practice in medical treatment. The application of
intratympanic aminoglycoside is also agreed in intractable patients without serviceable hearing. However, thoughts
about the role and detailed methods of the surgical and adjunctive treatment options were not agreed, especially
in intractable patients with good hearing. Further clinical studies and discussions would be necessary to provide
consensus for the best treatment of Ménière’s disease in Korea.
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