The Physiologic Role of Corticosteroids in Menière's Disease: An Update on Glucocorticoid-mediated Pathophysiology and Corticosteroid Inner Ear Distribution.
Otol Neurotol
; 41(2): 271-276, 2020 Feb.
Article
em En
| MEDLINE
| ID: mdl-31821251
ABSTRACT
There are multiple treatment options for Ménière's disease (MD), including dietary modifications, aminoglycoside therapy, and surgery. All have limitations, ranging from limited effectiveness to permanent hearing loss. Corticosteroids have long been used to manage MD due to their relative efficacy and tolerability, but the exact mechanism for disease alleviation is uncertain. Until recently, the precise distribution and role that glucocorticoid receptors play in inner ear diseases have remained largely uninvestigated. Several studies propose they influence mechanisms of fluid regulation through ion and water homeostasis. This review will provide an update on the basic science literature describing the activity of endogenous glucocorticoids and exogenous corticosteroids in the inner ear and the relevance to MD, as well as early clinical trial data pertaining to the application of novel technologies for more effective administration of corticosteroids for the treatment of MD.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Otopatias
/
Orelha Interna
/
Doença de Meniere
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Ilhas Seychelles