Navigating the challenges of Meniere disease

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AN ESTIMATED 10 to 150 per 100,000 persons have Meniere disease (MD).1 Various organizations put the number at around 615,000 people in the United States.2-4 It's characterized by ear pressure or fullness, tinnitus, fluctuating hearing loss, and vertigo. Although usually unilateral, it can affect both ears and its underlying etiology is unknown.1-4
To help the patient with MD achieve an optimal quality of life, nurses need an understanding of MD's pathophysiology and treatment approaches. This disease's hearing and balance symptoms, especially vertigo, can cause significant morbidity. Managing the frequency and intensity of vertigo may be a challenge for some patients. A case study presented here describes a patient with MD who received intratympanic gentamicin (ITG) to manage intractable vertigo.

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