Office-based Meniere's disease management

Office management of Meniere's disease (MD) is highly varied in the published literature with relatively little of its management established by double-blind, randomized, cross-over studies. Guidelines for diagnosis have been updated to a degree of recent and standards for reporting outcomes continue to be the AAO-HNS 1995 criteria. Low-salt diet, diuretics, allergy management, antivirals, migraine management, increased water intake, sedatives, and psychoactive medications have at least some evidence of benefit. Imaging is important as tumor can present as MD, but imaging can also be used to affirm the diagnosis of MD, as well.