TREATMENT of any disease is the manner of applying remedies to cure; management is the manner of effecting control. Treatment implies specific etiologic therapy which brings the course of a disease to termination, while management suggests therapy aimed at suppressing symptoms, but without halting the progress of the disease. In Meniere's disease the lacking denominator is etiology and without it a sound approach to either medical or surgical treatment is lacking. But as etiologic factors responsible for the symptom complex unfold, so will specific modalities of treatment. A perilymph fistula following stapes surgery, for example, is clinically indistinguishable from Meniere's disease. Harrison has pointed this out at the Otosclerosis Study Group meeting in Chicago in 1966 and again at the 1967 Middle Section of the Triological.1 This is Meniere's disease, secondary to a perilymph fistula and the specific treatment is surgical closure of the fistula. On the other hand,
Clemis JD. Medical Management of Meniere's Disease. Arch Otolaryngol. 1969;89(1):90–94. doi:10.1001/archotol.1969.00770020092014
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: