Pragnya P Prusty¹, Santosh Kumar Swain², Satyabrata Panigrahi³*, Sibananda Mishra⁴ and Ramkrishna Pattanayak⁵

¹Clinical Audio-Vestibular Specialist, Department of Audio-vestibular Sciences, Institute of Health Sciences, Bhubaneswar, Odisha, India
²Professor and Head, Department of ENT, IMS and Sum Hospital, Siksha ‘O’ Anusandhan University, Bhubaneswar, Odisha, India
³Lecturer, Department of Audiology and Speech-Language Pathology, Institute of Health Sciences, Bhubaneswar, Odisha, India
⁴Professor, Department of Psychology, Institute of Health Sciences, Bhubaneswar, Odisha, India
⁵Department of Yogic Rehabilitation, Institute of Health Sciences, Bhubaneswar, Odisha, India

*Corresponding Author: Satyabrata Panigrahi, Lecturer, Department of Audiology and Speech-Language Pathology, Institute of Health Sciences, Bhubaneswar, Odisha, India.

Received: August 24, 2021; Published: September 06, 2021

Abstract

  Meniere’s disease (MD) is a chronic disorder of the inner ear that is characterized by intermittent attacks of loud tinnitus, a sense of pressure in the ear, vertigo and progressive permanent hearing loss in one or both ears. Anxiety and dizziness occur as co-morbid symptoms in a larger percentage of patients than would be expected from chance alone. The individual profile of Meniere’s disease in different patients makes it difficult to diagnose on the basis of symptomatology alone. The impact of Meniere’s disease on quality of life has highlighted the importance of an additional approach to support the diagnosis and intervention of Meniere’s disease. In this study, we discussed about the interface between Meniere’s disease, its audiological manifestations and psycho-social factors influencing the Quality of life. The two conditions are linked by overlapping neural circuits that include monoaminergic pathways and the parabrachial nucleus network, and they are functionally related via both somatopsychic and psychosomatic mechanisms. A unique strategy for patient management is discussed in this paper. The results confirmed that vertigo can the most debilitating symptom in Meniere’s disease. Correlating the clinical features of subject with Audiologic, Vestibular, Yogic and Psychological evaluation highlighted the clinical value of an interdisciplinary team approach for diagnosis and intervention.

  Effective patient management requires a better understanding of the physiological and psychological nature of the disease, as well the relationship that exists between the factors. The development of a generally acceptable plan for diagnosis and treatment poses a challenge for clinicians involved in the care of this condition. Therefore, we must constantly update our knowledge through interdisciplinary teamwork and research for the benefit of our patients with the help of increased understanding of the pathophysiology and psychophysiology of MD patient, management may become more effective.

Keywords: Meniere’s Disease; Multimodal Intervention; Hearing Rehabilitation; Pharmacological Treatment; Yogic Rehabilitation

References

1. Coker Newton J., et al. "Psychological profile of patients with Meniere's disease”. Archives of Otolaryngology–Head and Neck Surgery11 (1989): 1355-1357.
2. Furukawa Masashi., et al. "Psychological condition in patients with intractable Meniere's disease”. Acta Oto-Laryngologica 6 (2013): 584-589.
3. Green Jr, et al. "Quality of life instruments in Ménière's disease”. The Laryngoscope9 (2007): 1622-1628.
4. van Cruijsen Nynke., et al. "Analysis of cortisol and other stress-related hormones in patients with Meniere's disease”. Otology and Neurotology6 (2005): 1214-1219.
5. Fowler Edmund P and Adolf Zeckel. "Psychosomatic aspects of Meniere's disease”. Journal of the American Medical Association 15 (1952): 1265-1268.
6. Jacob Rolf G and Joseph M Furman. "Psychiatric consequences of vestibular dysfunction”. Current Opinion in Neurology1 (2001): 41-46.
7. Kirby Sarah E and Lucy Yardley. "Understanding psychological distress in Meniere's disease: a systematic review”. Psychology, Health and Medicine3 (2008): 257-273.

Citation

Citation: Satyabrata Panigrahi., et al. “Effectiveness of Multimodal Intervention on Audiological and Psycho-Social Profile of Meniere’s Disease: A Case Study".Acta Scientific Otolaryngology 3.10 (2021): 02-09.

Copyright

Copyright: © 2021 Satyabrata Panigrahi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.