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dc.contributor.authorAssimakopoulos, D.en
dc.contributor.authorPatrikakos, G.en
dc.date.accessioned2015-11-24T19:06:06Z-
dc.date.available2015-11-24T19:06:06Z-
dc.identifier.issn0022-2151-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/20299-
dc.rightsDefault Licence-
dc.subjectAbsorptionen
dc.subjectAdministration, Topicalen
dc.subjectAnti-Bacterial Agents/*administration & dosage/pharmacokineticsen
dc.subjectGentamicins/*administration & dosage/adverse effects/pharmacokineticsen
dc.subjectHumansen
dc.subjectMeniere Disease/*drug therapy/physiopathologyen
dc.subjectTreatment Outcomeen
dc.subjectTympanic Membraneen
dc.subjectVertigo/drug therapy/etiologyen
dc.titleTreatment of Meniere's disease by intratympanic gentamicin applicationen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1258/002221503321046586-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/12590850-
heal.identifier.secondaryhttp://journals.cambridge.org/download.php?file=%2FJLO%2FJLO117_01%2FS0022215103000021a.pdf&code=52845f7135ed1fffead73b8e039e5e6c-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2003-
heal.abstractMeniere's disease is a vestibular disorder characterized by episodic vertigo, tinnitus, fluctuant hearing loss, and ear fullness, with vertiginous attacks being the most disabling complaint. The effectiveness of conservative treatment has been variable, while surgical techniques provide more permanent relief from vertigo, but pose possible morbidity and cochlear risk. Intratympanic administration of gentamicin has been proposed as an alternative for patients with debilitating Meniere's disease who have failed to respond to standard medical treatment. The goal of such treatment is to control vertigo by partially or completely destroying the vestibular system, while at the same time maintaining hearing. In this review we present the current medical literature on pathophysiology, pharmacokinetics, administration methods, dosage, treatment protocols, and problems related to intratympanic administration of gentamicin for patients with MD. Intratympanic gentamicin administration is a simple medical modality for treatment of persistent vertigo in patients with Meniere's disease. According to recent world research protocols, we propose the instillation of gentamicin by transtympanic injection, as a quick, easy, well-tolerated, ambulatory and cost-effective technique. Drug solution concentrations should be dependent on the frequency, intensity and duration of vertigo spells, as well as the degree of existing hearing loss, thus providing progressive vertigo relief with a low possibility of secondary deafness.en
heal.journalNameJournal of Laryngology and Otologyen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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