Meniere's disease: Medical management, rationale for vestibular preservation and suggested protocol in medical failure

Christopher, Laura H.; Wilkinson, Eric P.

doi:10.1016/j.amjoto.2020.102817

Cited by 15 publications

(12 citation statements)

References 55 publications

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“…Various treatment strategies have been applied to patients with MD according to the severity and types of disease [ 7 ]. The modality of treatment options includes surgeries of endolymphatic sac decompression or vestibular neurectomy, prescription of medicines of betahistine, diuretics, anxiolytics, and lifestyle modifications [ 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Smoking Is Positively Related and Alcohol Consumption Is Negatively Related to an Increased Risk of Meniere’s Disease

Kim

Chung

Yoo

et al. 2022

JCM

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A few prior researchers presumed the impacts of smoking and alcohol on the risk of Meniere’s disease (MD). This study investigated the relationship between smoking, alcohol consumption, and obesity with Meniere’s disease in an adult population. The ≥40-year-old population in the Korean National Health Insurance Service-Health Screening Cohort 2002–2019 was analyzed. A total of 15,208 patients with MD were matched with 499,658 comparison participants. The current smoking, alcohol consumption, and past medical histories were collected. Body mass index (BMI) was grouped into underweight, normal, overweight, obese I, and obese II. The odds of histories of smoking and alcohol consumption and the BMI group for MD were analyzed using conditional logistic regression analysis. These associations were further analyzed in subgroups of age, sex, smoking, alcohol consumption, and BMI. In the overall adult population, smoking and alcohol consumption did not show an association with MD. Being underweight was linked with lower odds for MD (adjusted OR [aOR] = 0.80, 95% CI = 0.68–0.93, p = 0.004). In the male group, smoking was positively associated with MD (aOR = 1.08, 95% CI = 1.00–1.17, p = 0.043), while alcohol consumption was negatively related to MD (aOR = 0.87, 95% CI = 0.81–0.94, p < 0.001). Being underweight was related to a lower risk of MD. In adult men, smoking was predicted to increase, while alcohol consumption was predicted to decrease the risk of MD.

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Section: Introductionmentioning

confidence: 99%

Smoking Is Positively Related and Alcohol Consumption Is Negatively Related to an Increased Risk of Meniere’s Disease

Kim

Chung

Yoo

et al. 2022

JCM

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“…Meniere's disease, also known as idiopathic endolymphatic hydrops, is a disease of the inner ear characterised by idiopathic membranous vagal hydrops involving the auditory and vestibular end organs, with the main clinical manifestations being recurrent episodes of vertigo, undulating hearing loss, tinnitus, and ear swelling [ 1 , 2 ]. With the accelerated pace of life in modern society, increased work pressure, and deterioration of the living environment, Meniere's disease shows a trend of gradual aggravation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Meniere’s Disease and Acute Low-Tone Sensorineural Hearing Loss

Li¹,

Han

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To analyse the vestibular function characteristics of patients with Meniere's disease and acute hypophonic sensorineural hearing loss in order to find more reliable and objective ancillary tests that will reduce misdiagnosis and missed diagnoses. Methods. From January 2021 to December 2021, 60 healthy adults who underwent physical examination in our hospital were included in the control group, 60 patients with Meniere's disease were included in Study Group A, and 60 patients with acute low-tone sensorineural hearing loss were recruited in Study Group B. All participants underwent the caloric test (CT), video-head impulse test (vHIT), headshaking test (HST), and vestibular-evoked myogenic potential (VEMP) testing, which includes ocular vestibular-evoked myogenic potential (oVEMP) and cervical vestibular-evoked myogenic potential (cVEMP). Results. Statistical analyses of unilateral weakness and directional preponderance (DP) in the two groups of patients found no significant differences between the two groups ( P > 0.05 ). There was no statistically significant difference in the abnormal rate of vHIT and HST results between the two study groups ( P > 0.05 ). There was no significant difference in the wave latencies, interwave intervals, and amplitudes of cVEMP and oVEMP, among the three groups ( P > 0.05 ). Conclusion. This study found that factors affecting CT, vHIT, HST, and VEMP results included age, head posture and position during testing, stimulus type, manipulation method, and control of muscle tone, and also those that are related to the testing instrument, statistical software, and manipulation procedures, resulting in different excitation rates and testing parameters. The small sample size prevented a comprehensive assessment of the differences in vestibular function between patients with Meniere's disease and acute hypotonic sensorineural hearing loss, and a larger sample size will be investigated in the future to provide useful insight into the diagnosis, treatment and differentiation of Meniere’s disease, and acute hypotonic sensorineural hearing loss.

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“…Afecta principalmente a adultos entre 30 y 60 años (11). El tratamiento puede ser médico o quirúrgico e incluye el uso de antihistamínicos, benzodiacepinas, anticolinérgicos, cambios dietarios (limitar sal, cafeína y alcohol) y hasta cirugía del saco endolinfático (12).…”

Section: Etiologíaunclassified

Pérdida de la audición en el adulto:

Conejo

Madrigal

Villalobos

2021

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El estudio de carga global de enfermedad de 2015 determinó que la pérdida de audición es la cuarta causa de discapacidad globalmente, afectando a 6-8% de la población mundial. La pérdida de audición periférica se clasifica en conductiva, neurosensorial o mixta. Su principal efecto es la afectación de la comunicación y el principal factor de riesgo es la edad. Dentro de las causas de pérdida de la audición se encuentran procesos degenerativos relacionados con la edad, mutaciones genéticas, exposición a ruidos altos o medicamentos ototóxicos y condiciones crónicas. Su inicio es insidioso y debido a la estigmatización de la enfermedad el diagnóstico usualmente es tardío. La rehabilitación de la persona con pérdida de audición debe manejarse de forma integral; sumado al uso de aparatos auditivos, debe asegurarse el bienestar psicológico del paciente y su compatibilidad con el dispositivo para de ese modo, mejorar la calidad de vida del paciente.

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Meniere's disease: Medical management, rationale for vestibular preservation and suggested protocol in medical failure

Cited by 15 publications

References 55 publications

Smoking Is Positively Related and Alcohol Consumption Is Negatively Related to an Increased Risk of Meniere’s Disease

Smoking Is Positively Related and Alcohol Consumption Is Negatively Related to an Increased Risk of Meniere’s Disease

The Relationship between Meniere’s Disease and Acute Low-Tone Sensorineural Hearing Loss

Pérdida de la audición en el adulto:

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