Cost-effectiveness varies between adults and children.
TRIO Best Practices » Otology/Neurotology
There is evidence that steroid use may be beneficial to improve hearing preservation.
Betahistine is widely used in Europe and the rest of the world in the treatment of Ménière’s disease.
Literature review does not support routine use of tomography (CT) prior to planned primary stapedotomy in patients with adult-onset CHL/MHL.
Newer studies assess the effect of cochlear implants on independent risk factors for dementia associated with hearing loss, including cognition, depression, and physical activity.
CT and MRI are widely available and afford excellent anatomic resolution.
ESS can be considered in patients that are refractory to medical management as a non-destructive option, as risk to hearing is low.
Management remains controversial because there is no universally accepted consensus on the threshold for surgical intervention, appropriate treatment strategy, frequency of surveillance, and ablative versus excisional management