Meniere’s disease

Treatment involves several stages:

1. A prevention of products increasing water retention in the labyrinth like Caffeine (C), Alcohol (A), Thein (T) and Salt (S); hence the mnemonic: CATS.
2. Medications: acetazolamide, Hydrochlorothiazide and Betahistidine.
3. In case of failure of drug treatment, surgical treatment can be offered. Dr Saliba researched Meniere’s disease and has developed a new surgical treatment that has given, in 96% of patients undergoing this treatment, a total shutdown of Meniere’s disease attacks. This group of patients had refractory medical treatment combined with prevention of CATS. The average number of attacks of these patients was 8 attacks per month in the preoperative period. Dr Saliba published in January 2015 on this new surgical treatment, where the hearing and vestibular functions can be preserved. It’s the blockage of the endolymphatic canal. There is no destruction of the labyrinth nor hearing.

Published articles:

1. Endolymphatic duct blockage: a randomized controlled trial of a novel surgical technique for Ménière’s disease treatment.
2. Endolymphatic duct blockage: quality of life assessment of a novel surgical technique for Ménière disease.

__________________________

Vertigo treatment
Benin Paroxysmal Positional Vertigo (BPPV)
Refractory BPPV to repositioning maneuvers
Imbalance of cervical origin or “cervicogenic dizziness”
Meniere’s disease
Vestibular neuritis / Labyrinthitis
Dehiscence of the superior canal
Perilymphatic fistula
Migraine and vertigo / Vestibular migraine