Abstract
In this letter, we discuss possible alternatives and future perspectives in the therapy of Meniere’s disease. Special attention should be paid to the role of dietary restrictions for glucose in patients with Meniere’s disease, as there is a strong evidence about the presence of insulin receptors in the saccule, the main structure affected by pathological changes due to endolymphatic hydrops; to the possible use of endogenous antisecretory factor administered in specially processed cereals; and to the effects of low-dose intratympanic gentamicin, especially in patients with intractable Meniere’s disease.
References
Quaranta N et al (2019) Therapeutic strategies in the treatment of Meniere’s disease: the Italian experience. Eur Arch Otorhinolaryngol. 272(7):1943–1950
Gioacchini FM et al (2018) Hyperglycemia and diabetes mellitus are related to vestibular organs dysfunction: truth or suggestion? A Literature review. Acta Diabetol 55(12):1201–1207
Scarpa A, Ralli M, Viola P, Cassandro C, Alicandri-Ciufelli M, Iengo M, Chiarella G, de Vincentiis M, Cavaliere M, Cassandro E (2019) Food-induced stimulation of the antisecretory factor to improve symptoms in Meniere’s disease: our results. Eur Arch Otorhinolaryngol. https://doi.org/10.1007/s00405-019-05682-4
Scarpa A et al (2019) Clinical application of cVEMPs and oVEMPs in patients affected by Meniere’s disease, vestibular neuritis and benign paroxysmal positional vertigo: a systematic review. Acta Otorhinolaryngol Ital 39(5):298–307
Scarpa A et al (2019) Low dose intratympanic gentamicin administration for unilateral Meniere disease using a method based on clinical symptomatology: Preliminary results. Am J Otolaryngol. 40(6):102289
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Informed consent
Not applicable.
Research involving human and participants and/or animals
Not applicable.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Scarpa, A., Ralli, M., De Luca, P. et al. Letter to Editor concerning the “Therapeutic strategies in the treatment of Meniere’s disease: the Italian Experience”. Eur Arch Otorhinolaryngol 277, 1847–1848 (2020). https://doi.org/10.1007/s00405-019-05774-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-019-05774-1