What is Menieres? 

Meniere’s disease is due to a disorder of the inner ear which consists of two sections: the cochlea concerned with hearing, and the vestibular organ concerned with balance. There are four main symptoms of Meniere’s disease: hearing loss, attacks of vertigo, tinnitus and a feeling of fullness inside the affected ear.


What causes Meniere’s disease?

Meniere’s disease is associated with endolymphatic hydrops or an over accumulation of one of the inner ear fluids. The cause is unknown but is suspected to be multifactorial. 


See below: 

- Information from Sean Flanagan, a well known ENT and surgeon specialising in Meniere's Disease

-Treatment ladder and stages of Meniere's Disease by renowned Professor William Gibson

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Professor William Gibson

Professor William Gibson

Professor William Gibson

Prof Gibson is a renowned ear, nose and throat (ENT) surgeon, . 

He is a world expert in both Meniere’s disease and cochlear implantation.  His Meniere’s Treatment ladder is divided into three parts:  

Part I - Introduction and explanation of the most benign therapies covering reassurance, diet,  diuretics/urea and betahistine.   

Part 2 - Continues with an explanation on oral steroids, grommets, overpressure and Intratympanic therapies. 

Part 3 - Provides four steps in the Meniere’s Treatment ladder, surgical options. 

Find out more

Sean Flanagan

Professor William Gibson

Professor William Gibson

This article by Dr Sean Flanagan, a well known and respected ENT surgeon.  Hs is  Fellow of the Royal Australasian College of Surgeons in the Specialty of Otolaryngology, Head and Neck Surgery.  His many interests include chronic ear disease in particular hearing loss, Cochlear implants, balance disorders, Meniere's Disease and assessment and management of tinnitus 

Find out more

The Meniere's Treatment Ladder

Prof Gibson is a renowned ear, nose and throat (ENT) surgeon, . 

He is a world expert in both Meniere’s disease and cochlear implantation.  His Meniere’s Treatment ladder is divided into three parts:  

Part I - Introduction and explanation of the most benign therapies covering reassurance, diet,  diuretics/urea and betahistine.   

Part 2 - Continues with an explanation on oral steroids, grommets, overpressure and Intratympanic therapies. 

Part 3 - Provides four steps in the Meniere’s Treatment ladder, surgical options. 

Meniere's Treatment Ladder - Part 1 (docx)Download
Meniere's Treatment Ladder (April 2018) - Part 2 (pdf)Download
Menire's Treatment Ladder (April 2018) - Part 3 (pdf)Download

Dr Sean Flanagan - Meniere's Disease

This article by Dr Sean Flanagan, a well known and respected ENT surgeon.  Hs is  Fellow of the Royal Australasian College of Surgeons in the Specialty of Otolaryngology, Head and Neck Surgery.  His many interests include chronic ear disease in particular hearing loss, Cochlear implants, balance disorders, Meniere's Disease and assessment and management of tinnitus 

Sean Flanagan - Meniere's Disease (2018),pdf (pdf)Download