Hello and welcome to the zero to finals podcast. My name is Tom and in this episode I'm going to be

talking to you about Manyair's disease. And you can find written notes on this topic at

zero definals.com slash manyairs disease or in the ear, nose and throat section of the zero definals surgery book. So let's get

straight into it. Many air's disease is a long-term inner ear disorder that causes recurrent

attacks of vertigo and symptoms of hearing loss, tinnitus, and a feeling of fullness in the ear.

A tom tip for you, remember the typical triad of symptoms in Manyer's disease,

as this is commonly tested in exams. And these three symptoms are hearing loss, vertigo and tinnitus.

Let's start with the pathophysiology.

Many air's disease is associated with the excessive build-up of endolymph in the

labyrinth of the inner ear, which causes a higher pressure than normal within the labyrinth and

disrupts the sensory signals. This increased pressure of the endolymph is called endolymphatic high drops.

So what's the presentation?

The typical patient is 40 to 50 years old, presenting with unilateral episodes of vertigo,

hearing loss and tinnitus.

Vertigo in Mania's disease comes in episodes. These last for 20 minutes to several hours

before they settle. These episodes can come in clusters over several weeks, followed by prolonged

periods, often months, without vertigo symptoms.

Vertigo is not triggered by movement or posture in Meniere's disease.

The hearing loss in Meniere's disease typically fluctuates at first associated with the vertigo

attacks, then gradually it becomes more permanent.

It is a sensory neural hearing loss, generally unilateral, and it affects the lower frequencies first.

Tinnitus initially occurs with episodes of vertigo before eventually becoming more permanent,

...