Review Article

Otology versus Otosociology

Table 3

Methodology in Ménière disease: otology versus otosociology.

OtologyOtosociology

AetiologyWithin the earIn the environment
Inner earSocial environment

PathogenesisWithin the earInteraction
UnknownStress, ischaemia

DiagnosisIdiopathicBased on evidence
Ménière diseaseRecurrent audiovestibular stroke

TreatmentSymptomaticBiopsychosocial
Medical: corticosteroids, vasodilators Surgical.Social, cultural, psychological, and medical