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Review
. 2012 Oct;20(5):416-9.
doi: 10.1097/MOO.0b013e328357a6c8.

Endolymphatic hydrops perspectives 2012

Nathan E Pierce  1 , Patrick J Antonelli
Affiliations
Review

Endolymphatic hydrops perspectives 2012

Nathan E Pierce et al. Curr Opin Otolaryngol Head Neck Surg. 2012 Oct.

Abstract

Purpose of review: Endolymphatic hydrops remains a significant cause of morbidity secondary to vertigo, hearing loss, and tinnitus. The purpose of this report is to summarize the most clinically relevant publications on endolymphatic hydrops over the past 2 years.

Recent findings: Hydrops has historically been a diagnosis of exclusion, but recent efforts has shown a role for MRI with intratympanic gadolinium. Cochrane reviews of intratympanic dexamethasone and gentamicin found inadequate level 1 evidence to support their use.

Summary: High-level evidence to guide therapy is lacking. MRI holds potential for definitive diagnosis.

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