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Moderator, Dr. Brian F. McCabe: Meniere's disease seems to be very complex in its causation and treatment.
First of all, do you believe there is a place for medical management of Meniere's disease? Dr. Clemis.
Dr. Jack D. Clemis: Most definitely.
Dr. William H. Wilson: I can answer the same.
Dr. Wallace Rubin: The same.
Dr. John J. Shea: Yes.
Moderator Mccabe: Now what percent of patients with Meniere's disease respond, in your experience, to nonsurgical management and never need an operation?
Dr. Clemis: I would estimate that greater than 95% of our patients are managed medically and less than 5% end up as surgical candidates.
Dr. Wilson: My figures run the same. A percentage of that 95%, however, must be considered to be spontaneous remissions. I do not always take credit for controlling their disease through medical management.
Dr. Rubin: Less than 10% surgical.
Dr. Shea: It would be about
McCabe BF, Clemis JD, Rubin W, Shea JJ, Wilson WH. Medical Management of Meniere's Disease. Arch Otolaryngol. 1973;97(2):142–146. doi:10.1001/archotol.1973.00780010148010
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