About The Book

Meniere’s disease is the most poorly understood and controversial of the inner ear disorders and yet no critical review of the literature currently exists. Previously accepted models of pathophysiology have been discredited, yet no new mechanisms have been established. Evaluation of treatments has been complicated by the high placebo response of the disorder together with the disease’s capricious clinical course. As a result of all these issues, the literature pertaining to Meniere’s disease is clouded by anecdotal reports, invalid studies, and science of dubious quality. As a result of these factors, practicing otolaryngologists are understandably confused about how they should best evaluate and treat these patients.

Michael Ruckenstein’s new book clarifies the current state of understanding of the disorder and develops an evidence-based treatment strategy, using a number of challenging case presentations to illuminate the text. As the principal author of this landmark reference, he brings to bear his extensive expertise in the field as researcher and clinician, collaborating with a number of world-renowned contributing authors.

About The Author

Michael J. Ruckenstein, MD, MSc, FACS, FRCS, is Professor and Vice Chairman of the Department of Otorhinolaryngology—Head and Neck Surgery at the University of Pennsylvania, where he directs the Residency Training Program, the Balance Center, and the Center for Implantable Hearing Devices. He holds a specialty certification in otolaryngology—head and neck surgery and a subspecialty certification in neurotology from the American Board of Otolaryngology. He has an active clinical practice focusing on medical and surgical diseases of the ear and skull base. His research focuses on the development of quality of life measures for diseases such as acoustic neuromas and Ménière disease, as well as the pathophysiology of inner ear disease.

Table Of Contents

  • Introduction.
  • Historical Perspective.
  • Epidemiology.
  • Pathophysiology.
  • Histopathology.
  • Clinical Presentation.
  • Differential Diagnosis.
  • Diagnostic Evaluation:
    • Audiometric Testing;
    • Vestibular Function Testing;
    • Serologic and Immunologic Testing;
    • Radiologic Testing.
  • Treatment:
    • Medical;
    • Surgical;
    • Rehabilitation;
    • Psychiatric.
  • Challenging Case Presentations.
  • Conclusions and Future Perspectives.
  • Index

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