Ménière's Disease
Evidence and Outcomes
Description:... 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.
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