The efficacy of etidronate, a bisphosphonate, was assessed as a treatment for the inner ear symptoms of otosclerosis in a retrospective case review of 896 patients diagnosed with otosclerosis, with primary complaints of dizziness, hearing loss, tinnitus or Meniere's syndrome. The diagnosis of otosclerosis was based on small-pixel computed tomography of the temporal bones. Of the 896 patients placed on an etidronate protocol, 545 were followed for more than six months and were analyzed. The symptomatic response to etidronate, as well as audiologic and computerized rotary chair results were used in the assessment. Patients who were previously on sodium fluoride were separately analyzed. In this preliminary study etidronate appeared to be an effective treatment for the neurotologic symptoms of otosclerosis. Prospective blinded efficacy studies of the bisphosphonates in the treatment of otosclerosis should be undertaken.

Adolescent↗

PubMed1996

CHE guidelines for Meniere's disease.

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Humans↗

PubMed1995

Menière's syndrome: an approach to therapy.

There are patients with symptoms similar to those of Menière's disease who do not have Menière's disease and therefore do not respond to conventional medical or conservative surgical management. Some have subtle disorders of carbohydrate and lipid metabolism and inner ear otosclerosis, which are responsible for the production of their symptoms. The response to dietary therapy confirms that glucose tolerance levels which are not diabetic nor hypoglycemic may be sufficiently significant in relation to inner ear function to produce the symptoms like those of Menière's Disease. Management of inner ear otosclerosis with supplemental sodium fluoride, calcium carbonate, and Vitamin D was also effective in controlling the symptoms in some patients.

Adolescent↗

PubMed1991

Practical method of reporting test results in neurotologic disorders.

A more practical method of reporting the neurotologic test results became desirable in the course of preparing case reports. This need grew out of the necessity to organize neurotologic tests results in a simple, easily understandable, nonredundant manner. Tests organized in this manner were vestibular and auditory tests. Vestibular tests included electronystagmography, rotational testing, and posturography. Auditory tests included pure-tone testing, speech testing, impedance testing, and auditory brainstem responses.

Hearing Tests↗

PubMed1991

Standardization of electronystagmography.

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Electronystagmography↗

PubMed1990

The dizzy patient: etiologic treatment.

The basis for the vestibular complaint in dizzy patients should be viewed as having an etiology rather than a description of its clinical presentation. Effective treatment of vestibular disorders is based on the stabilization of the vestibular abnormality, to allow for central vestibular compensation. While not all of the etiologies for dizziness have been described, there are effective etiologic treatments available. These fit into categories of neurotransmitters, blood sugar and blood fat control, hormones, minerals, and treatments for autoimmune dizziness.

Autoimmune Diseases↗

PubMed1990

Etiologic diagnosis in neurotologic disease.

The inner ear is a converter (transducer) of mechanical to electrical energy for both hearing and balance functions. This task is accomplished as a result of the presence of the chemicals within the perilymph and endolymph. Maintaining normal hearing and balance function is dependent upon the availability of the proper chemicals to perform this transduction task. The inner ear functions as an internal body organ and its efficiency in regard to performing its tasks related to hearing and balance function are chemically dependent upon many body systems.

Ear, Inner↗