Conservative therapy: Middle ear overpressure treatment for intractable Meniere's disease

Abstract

The effect of middle ear pressure treatment with the Meniett device and tympanic membrane massage (TMM) device for intractable vertigo in patients with Meniere's disease was reviewed. Pressure treatment with the Meniett device is induced after the ventilation tube is placed. Three double-blinded clinical trials and five long-term follow-up studies showed improvement in patients' vertigo. No complication were reported in the previous studies. The effect of the TMM device was reported to be similar to that of the Meniett device. Both the Meniett and TMM devices are minimally invasive treatments for middle ear pressure recommended as second-line treatment for intractable vertigo in patients with Meniere's disease.