Skip to main content Accessibility help

The use of the underpressure chamber in the treatment of patients with Menière's disease

  • G. W. Van Deelen (a1), J. Hulk (a1) and E. H. Huizing (a1)


Thirty-four Menière patients (43 ears) were treated in an underpressure chamber. Békésy audiometry and impedance audiometry were performed immediately before and after the exposure to underpressure. A hearing gain of more than 10 dB. was found in 19 per cent of the ears (8/43). In five ears this improvement lasted for a few days. Only one patient (2 per cent) reported a relief of tinnitus. In 9 out of the 30 patients (30 per cent) with recent vertiginous attacks a positive subjective effect on the vertigo was obtained.


Corresponding author

Department of Otorhinolaryngology, University Hospital Utrecht, P.O. Box 16250, 3500 CG Utrecht, The Netherlands.


Hide All
Angelborg, C. and Ägerup, B. (1975) Glycerol effects on the perilymphatic and cerebrospinal-fluid pressure. Acta Otolaryngologica, 79: 8187.
Beentjes, B. (1972) The cochlear aqueduct and the pressure of cerebrospinal and enolabyrinthine fluids. Acta Otolaryngologica, 73: 112120.
Carlborg, B. (1980) Pressure regulating mechanisms of the inner ear in the cat. Malmö. Thesis.
Carlborg, B. and Farmer, J. C. (1983) Effects of hyperosmolar solutions on the labyrinthine fluid pressures. Annals of Otology, Rhinology and Laryngology, Supplement 104.
Densert, B. and Densert, O. (1982) Overpressure in treatment of Meniére's disease. Laryngoscope, 92: 12851290.
Densert, O., Ingelstedt, S., Ivarsson, A. and Pedersen, K. (1975) Immediate restoration of basal sen-sorineural hearing (Mb Meniére) using a pressure chamber. Acta Otolaryngologica, 80: 93100.
Dohlman, G. F. (1976) On the mechanism of the Meniére attack. Archives of Oto-Rhino-Laryngology, 212: 301307.
Fraysse, B., Alonso, A. and House, W. (1980) Meniére's disease and endolymphatic hydrops. Clinical-Histopathological correlations. Annals of Otolaryngology, 89: 122.
Hallpike, C. S. and Cairns, H. (1938) Observations on the pathology of Meniére's syndrome. Journal of Laryngology and Otology, 53: 625655.
Ingelstedt, S., Ivarsson, A. and Tjernström, Ö. (1976) Immediate relief of symptom's during acute attacks of Meniére's disease, using a pressure chamber. Acta Otolaryngologica, 82: 368378.
Klockhoff, I. and Lindblom, U. (1967) Meniére's disease and hydrochlorothiazide (DichlotrideR): A critical analysis of symptoms and therapeutic effects. Acta Otolaryngologica, 63: 347365.
Klockhoff, I., Lindblom, U. and Stahle, J. (1974) Diuretic treatment of Meniére's disease: Longterm results with chlorthalidone. Archives of Otolaryngology, 100: 262265.
Palva, T. and Dammert, K. (1969) Human cochlear aqueduct. Acta Otolaryngologica, Supplement 246.
Paparella, M., Goycoolea, M., Meyrhoff, W. and Shea, D. (1979) Endolymphatic hydrops and otitis media. Laryngoscope, 89: 4358.
Politzer, A. (1878) Ueber den einfluss der Luftdrunkschwankungen in der Trommelhöle auf die Druckverhältnisse des Labyrinthinhaltes. In: Lehrbuch der Ohrenheilkunde für practische Arzte und Studirende. Verlag von Ferdinand Enke, Stuttgart, pp. 7880.
Ritter, F. N. and Lawrence, M. (1965) A histological and experimental study of cochlear aqueduct in the adult human. Laryngoscope, 75: 12241233.
Schuknecht, H. F. (1968) Pathology of Meniére's disease. Otolaryngologic Clinics of North America, 1: 331337.
Schuknecht, H. F. (1974) Pathology of the ear. Cambridge, Mass. Harvard University Press, pp. 263266.
Schuknecht, H. F., Benitez, J. T. and Beekhuis, J. (1962) Further observations on pathology of Meniére's disease. Annals of Otology, Rhinology and Laryngology, 71: 10391053.
Tjernström, Ö., Casselbrandt, M., Harris, S. and Ivarsson, A. (1979) Hearing improvement in attacks of Meniére's disease treated with pressure chamber. Advances in Oto-Rhino-Laryngology, 25: 5460.
Tjernström, Ö., Casselbrandt, M., Harris, S. and Ivarsson, A. (1980) Current status of pressure chamber treatment. Otolaryngologic Clinics of North America, 13: 723729.
Tonndorf, J. (1957) The mechanism of hearing loss in early cases of endolymphatic hydrops. Annals of Otology, Rhinology and Laryngology, 66: 766784.
Younger, R., Longridge, N. S. and Mekjavic, I. (1984) Effects of reduced atmospheric pressure on patients with fluctuating hearing loss due to Meniére's disease. Journal of Otolaryngology, 13: 7682.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed