Medical management of Menière's disease.

The medical management of Menière's disease appears to be a misunderstood and controversial subject. There are those physicians who state that all cases can be controlled by medical means and that surgery is never indicated. Another group of investigators now emphasizes early surgical intervention without a medical trial. These conflicting views have led the authors to review all of their cases of Meniére's disease (almost 1,000) in relation to medical management. The medical regime and its rationale are presented in detail. The results of this therapy are discussed in the context of control of vertigo, relief of tinnitus and pressure, and the stabilization of hearing.