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Aural fullness and transtympanic ventilation tubes in Ménière's disease: a scoping review

Published online by Cambridge University Press:  07 June 2019

C Sevilla ,
J Goody ,
D M Baguley  and
A V Kasbekar
C Sevilla*
Affiliation:
School of Medicine, University of Nottingham, UK
J Goody
Affiliation:
School of Medicine, University of Nottingham, UK
D M Baguley
Affiliation:
Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, UK NIHR Biomedical Research Centre, University of Nottingham, UK Nottingham Audiology Services, Nottingham University Hospitals NHS Trust, UK
A V Kasbekar
Affiliation:
Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, UK NIHR Biomedical Research Centre, University of Nottingham, UK Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, UK
*
Author for correspondence: Mr Christian Sevilla, 40 Castle Gardens, Nottingham NG7 1HH, UK E-mail: [email protected]
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Abstract

Background

Ménière's disease often presents with aural fullness, for reasons that are currently not well understood. Transtympanic ventilation tube insertion has been historically used for the management of this symptom, though the nature and mechanism of effectiveness is unclear.

Objective

To give an overview of the data available on the effects of ventilation tube insertion on aural fullness in Ménière's disease.

Methods

The databases PubMed, Embase, Medline, Scopus, Web of Science, Central and Google Scholar were searched to identify relevant records. Records were subsequently analysed and data extracted.

Results

Only two studies directly measured the effect of ventilation tube insertion on aural fullness, while three others measured it as a placebo to assess another treatment. Considerable heterogeneity was found amongst the studies, including conflicting conclusions.

Conclusion

There is a paucity of evidence investigating the effect of grommet insertion on aural fullness in Ménière's disease. This work directs future research into this topic.

Keywords

OtolaryngologyEaracheMeniere DiseaseMiddle Ear VentilationEndolymphatic Hydrops
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 6 , June 2019 , pp. 450 - 456
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr C Sevilla takes responsibility for the integrity of the content of the paper

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