Endolymphatic hydrops perspectives 2012
- 1 October 2012
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Current Opinion in Otolaryngology & Head and Neck Surgery
- Vol. 20 (5), 416-419
- https://doi.org/10.1097/moo.0b013e328357a6c8
Abstract
Endolymphatic hydrops remains a significant cause of morbidity secondary to vertigo, hearing loss, and tinnitus. The purpose of this report is to summarize the most clinically relevant publications on endolymphatic hydrops over the past 2 years. Hydrops has historically been a diagnosis of exclusion, but recent efforts has shown a role for MRI with intratympanic gadolinium. Cochrane reviews of intratympanic dexamethasone and gentamicin found inadequate level 1 evidence to support their use. High-level evidence to guide therapy is lacking. MRI holds potential for definitive diagnosis.Keywords
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