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Clinical diagnosis of Ménière's disease: how useful are the American Academy of Otolaryngology Head and Neck Surgery Committee on Hearing and Equilibrium guidelines?

Published online by Cambridge University Press:  12 October 2007

E Stapleton  and
R Mills
E Stapleton*
Affiliation:
Otolaryngology Unit, University of Edinburgh, Scotland, UK
R Mills
Affiliation:
Otolaryngology Unit, University of Edinburgh, Scotland, UK
*
Address for correspondence: Ms Emma Stapleton, Department of Otolaryngology, University of Edinburgh, Lauriston Building, Edinburgh EH3 9HA, Scotland, UK. E-mail: [email protected]
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Abstract

Introduction:

Ménière's disease is a diagnosis requiring expert clinical judgment. There are several differences between the American Academy of Otolaryngology Head and Neck Surgery diagnostic guidelines and Prosper Ménière's original description of the disease.

Methods:

Six hundred and fifty patients attending a specialist balance clinic had their clinical profiles fully analysed according to each set of diagnostic criteria.

Results:

Application of the American Academy of Otolaryngology Head and Neck Surgery guidelines resulted in the diagnosis of three times more patients than did use of Ménière's diagnostic criteria. Treatment options for patients in both groups were similar. It is unlikely that the application of different diagnostic criteria would have an effect on the treatment of individual patients.

Discussion:

The American Academy of Otolaryngology Head and Neck Surgery guidelines are more sensitive and less specific in diagnosing Ménière's disease than Prosper Ménière's original description. Standardised criteria should be applied across published series, in order to make results accurate, comparable and useful in the long term. We would recommend the introduction of a stricter diagnostic category for definite Ménière's disease.

Keywords

Ménière's DiseaseOtological Diagnostic TechniquesVertigoTinnitus
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 8 , August 2008 , pp. 773 - 779
Copyright
Copyright © JLO (1984) Limited 2008

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References

1Menière, P. On a particular form of serious deafness depending on a lesion of the inner ear [in French]. Gazette Médicale de Paris 1861;16:29Google Scholar
2Atkinson, M. Ménière's original papers reprinted with an English translation together with commentaries and biographical sketch. Acta Otolaryngol Suppl 1961;162:1–78Google Scholar
3Committee on Hearing and Equilibrium. Ménière's Disease: criteria for diagnosis and evaluation of therapy for reporting. Trans Am Acad Ophthalmol Otolaryngol 1972;76:1462–4Google Scholar
4Committee on Hearing and Equilibrium. Ménière's Disease: criteria for diagnosis and evaluation of therapy for reporting. AAO-HNS Bulletin 1985;5:6–7Google Scholar
5Pearson, BW, Brackmann, DE. Committee on Hearing and Equilibrium guidelines for reporting treatment results in Ménière's Disease. Otolaryngol Head Neck Surg 1985;93:579–81CrossRefGoogle ScholarPubMed
6Committee on Hearing and Equilibrium. Ménière's Disease: criteria for diagnosis and evaluation of therapy for reporting. Otolaryngol Head Neck Surg 1995;113:181–5CrossRefGoogle Scholar
7Thorp, MA, Shehab, ZP, Bance, ML. The AAO-HNS Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Ménière's disease: have they been applied in the published literature of the last decade? Clin Otolaryngol 2003;28:173–6CrossRefGoogle ScholarPubMed
8Balkany, T, Pillsbury, H, Arenberg, I. Defining and Quantifying Ménière's disease. Otolaryngol Clin North Am 1980;13:589–95CrossRefGoogle ScholarPubMed
9Stahle, J, Arenberg, I, Goldman, G. Staging Ménière's Disease: description of a vertigo-disability profile. Am J Otol 1981;2:357–64Google ScholarPubMed
10Arenberg, I, Stahle, J. Staging Ménière's Disease (or any inner ear dysfunction) and the use of vertigogram. Otolaryngol Clin North Am 1980;13:643–56CrossRefGoogle ScholarPubMed
11Rose, AS, Ellison, GW, Myers, LW. Criteria for the clinical diagnosis of multiple sclerosis. Neurology 1976;26:20–2CrossRefGoogle ScholarPubMed
12Pearsall, J, Hanks, P., ed. The New Oxford Dictionary of English. Oxford: Oxford University Press, 2001Google Scholar
13Schuknecht, HF, Gulya, AJ. Endolymphatic hydrops, an overview and classification. Ann Otol Rhinol Laryngol 1983;106(suppl):1–20Google ScholarPubMed
14Stapleton, E. Etymology and otology – the dizzy clinic and the dictionary. Br Med J 2007;334:361CrossRefGoogle Scholar
15Rutka, JA, Barber, HO. Recurrent vestibulopathy: third review. J Otolaryngol 1986;15:105–7Google ScholarPubMed
16Oleson, J. The International Classification of Headache Disorders, 2nd edn: application to practice. Funct Neurol 2005;20:61–6Google Scholar
17Haid, CT, Watermeier, D, Wolf, SR. Clinical survey of Ménière's Disease 574 cases. Acta Otolaryngol Suppl 1995;520:251–5CrossRefGoogle ScholarPubMed
18Kim, HH, Wiet, RJ, Battista, RA. Trends in the diagnosis and management of Ménière's Disease: results of a survey. Otolaryngol Head Neck Surg 2005;132:722–6CrossRefGoogle ScholarPubMed
19Conlon, BJ, Gibson, WP. Electrocochleography in the diagnosis of Ménière's disease. Acta Otolaryngol 2000;120:480–3CrossRefGoogle ScholarPubMed
20Levine, S, Margolis, RH, Daly, KA. Use of electrocochleography in the diagnosis of Ménière's Disease. Laryngoscope 1998;108:993–1000CrossRefGoogle ScholarPubMed
21Ohashi, T, Takeyama, I. Clinical significance of SP/AP ratio in inner ear diseases. ORL J Otorhinolaryngol Relat Spec 1989;51:235–45CrossRefGoogle ScholarPubMed
22Ridenour, BD, Meyerhoff, WL, Wang, X. SP/AP ratio in normal ears effects of dehydration. Am J Otolaryngol 1993;14:24–30CrossRefGoogle ScholarPubMed
23Wexler, DB, Harker, LA, Voots, RJ. Monothermic differential caloric testing in patients with Ménière's Disease. Laryngoscope 1991;101:50–5CrossRefGoogle Scholar
24Dobie, RA, Snyder, JM, Donaldson, JA. Electronystagmographic and audiologic findings in patients with Ménières Disease. Acta Otolaryngol 1982;94:19–27CrossRefGoogle Scholar