Sismanis A, Hughes G B, Abedi E
Laryngoscope. 1986 Jan;96(1):9-13. doi: 10.1288/00005537-198601000-00002.
The coexistence of otosclerosis and Meniere's disease is well documented; however, otosclerosis may not be recognized in patients presenting mainly with Meniere's symptoms and, therefore, treatment may not be effective. In this paper, eight patients with otosclerosis and Meniere's disease are presented. The diagnosis of coexisting otosclerosis and Meniere's was initially missed in most of these patients. Medical and surgical treatment had been unsuccessful. Diagnostic and therapeutic guidelines for management of these patients are discussed. Our preliminary conclusions are: 1. otosclerosis should be diagnosed in patients with Meniere's disease, especially when bilateral or when suggested by clinical and/or laboratory findings, and 2. the addition of sodium fluoride to diet-diuretic management of such patients appears effective.
耳硬化症与梅尼埃病并存已有充分记载；然而，在主要表现为梅尼埃病症状的患者中，耳硬化症可能未被识别，因此治疗可能无效。本文介绍了8例耳硬化症与梅尼埃病并存的患者。在这些患者中，大多数最初都未诊断出同时存在耳硬化症和梅尼埃病。药物和手术治疗均未成功。讨论了这些患者的诊断和治疗指南。我们的初步结论是：1. 梅尼埃病患者应诊断出耳硬化症，特别是双侧患病或有临床和/或实验室检查结果提示时；2. 在此类患者的饮食 - 利尿剂治疗中添加氟化钠似乎有效。
