ENT for Onco Surgery

  1. Meniere's syndrome

The classic findings of Meniere's syndrome consists of

episodic vertigo, with discrete vertigo spells lasting 20 minutes to several hours in association

with fluctuating low-frequency sensorineural hearing loss,

tinnitus, and 

sensation of aural pressure.

The investigations include pure tone audiometry and an MRI scan to exclude an acoustic neuroma.

The vestibular evoked myogenic potential (VEMP) . Cervical VEMP (cVEMP) is an inhibitory sacculocolic reflex test that shows characteristic changes in symptomatic ears of patients with MD and may detect early saccular hydrops before the onset of classic Meniere symptoms [Ocular VEMP (oVEMP) engages both utricular and saccular afferent nerve fibers and may also be useful in assessment of Meniere patients.