Journal article
Clinical Practice Guideline: Meniere's Disease
Otolaryngology-head and neck surgery, v 162(2_SUPPL), pp S1-S55
01 Apr 2020
PMID: 32267799
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective
Meniere's disease (MD) is a clinical condition defined by spontaneous vertigo attacks (each lasting 20 minutes to 12 hours) with documented low- to midfrequency sensorineural hearing loss in the affected ear before, during, or after one of the episodes of vertigo. It also presents with fluctuating aural symptoms (hearing loss, tinnitus, or ear fullness) in the affected ear. The underlying etiology of MD is not completely clear, yet it has been associated with inner ear fluid (endolymph) volume increases, culminating in episodic ear symptoms (vertigo, fluctuating hearing loss, tinnitus, and aural fullness). Physical examination findings are often unremarkable, and audiometric testing may or may not show low- to midfrequency sensorineural hearing loss. Conventional imaging, if performed, is also typically normal. The goals of MD treatment are to prevent or reduce vertigo severity and frequency; relieve or prevent hearing loss, tinnitus, and aural fullness; and improve quality of life. Treatment approaches to MD are many and typically include modifications of lifestyle factors (eg, diet) and medical, surgical, or a combination of therapies.
Purpose
The primary purpose of this clinical practice guideline is to improve the quality of the diagnostic workup and treatment outcomes of MD. To achieve this purpose, the goals of this guideline are to use the best available published scientific and/or clinical evidence to enhance diagnostic accuracy and appropriate therapeutic interventions (medical and surgical) while reducing unindicated diagnostic testing and/or imaging.
Metrics
Details
- Title
- Clinical Practice Guideline: Meniere's Disease
- Creators
- Gregory J. Basura - University of Michigan–Ann ArborMeredith E. Adams - University of MinnesotaAshkan Monfared - George Washington UniversitySeth R. Schwartz - Virginia Mason Medical CenterPatrick J. Antonelli - University of FloridaRobert Burkard - University at Buffalo, State University of New YorkMatthew L. Bush - University of KentuckyJulie Bykowski - University of California, San DiegoMaria Colandrea - Duke UniversityJennifer Derebery - House ClinicElizabeth A. Kelly - Boys Town National Research HospitalKevin A. Kerber - University of Michigan–Ann ArborCharles F. Koopman - C. S. Mott Children's HospitalAmy Angie Kuch - Vestibular Disorders Association, Portland, Oregon, USA.Evie Marcolini - Dartmouth CollegeBrian J. McKinnon - Drexel UniversityMichael J. Ruckenstein - University of PennsylvaniaCarla V. Valenzuela - Washington University in St. LouisAlexis Vosooney - Minnesota West Community & Technical CollegeSandra A. Walsh - Consumers United for Evidence-Based Healthcare, Baltimore, Maryland, USA.Lorraine C. Nnacheta - American Academy of Otolaryngology — Head and Neck SurgeryNui Dhepyasuwan - American Academy of Otolaryngology — Head and Neck SurgeryErin M. Buchanan - American Academy of Otolaryngology — Head and Neck Surgery
- Publication Details
- Otolaryngology-head and neck surgery, v 162(2_SUPPL), pp S1-S55
- Publisher
- Sage
- Number of pages
- 56
- Grant note
- AAO-HNSF
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000526372800001
- Scopus ID
- 2-s2.0-85083247890
- Other Identifier
- 991019168961104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Otorhinolaryngology
- Surgery