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Letter to Editor concerning the "Therapeutic strategies in the treatment of Meniere's disease: the Italian Experience".

Abstract
In this letter, we discuss possible alternatives and future perspectives in the therapy of Meniere's disease. Special attention should be paid to the role of dietary restrictions for glucose in patients with Meniere's disease, as there is a strong evidence about the presence of insulin receptors in the saccule, the main structure affected by pathological changes due to endolymphatic hydrops; to the possible use of endogenous antisecretory factor administered in specially processed cereals; and to the effects of low-dose intratympanic gentamicin, especially in patients with intractable Meniere's disease.
AuthorsAlfonso Scarpa, Massimo Ralli, Pietro De Luca, Luisa Savignano, Federico Maria Gioacchini, Ettore Cassandro, Claudia Cassandro
JournalEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery (Eur Arch Otorhinolaryngol) Vol. 277 Issue 6 Pg. 1847-1848 (Jun 2020) ISSN: 1434-4726 [Electronic] Germany
PMID31912215 (Publication Type: Letter)
Chemical References
  • Gentamicins
Topics
  • Endolymphatic Hydrops (drug therapy)
  • Gentamicins
  • Humans
  • Italy
  • Meniere Disease (drug therapy)
  • Saccule and Utricle

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