Shinichi Iwasaki1, Hideo Shojaku2, Toshihisa Murofushi3, Toru Seo4, Tadashi Kitahara5, Hideki Origasa6, Yukio Watanabe7, Mamoru Suzuki8, Noriaki Takeda9. 1. Department of Otolaryngology & Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. 2. Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Toyama, 2630 Sugitani, Toyama 930-0194, Japan. Electronic address: hshojaku@med.u-toyama.ac.jp. 3. Department of Otolaryngology, Teikyo University Hospital Mizonokuchi, Kawasaki, Japan. 4. Department of Otolaryngology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Japan. 5. Department of Otolaryngology- Head and Neck Surgery, Nara Medical University, Kashihara, Japan. 6. Department of Biostatistics and Clinical Epidemiology, Faculty of Medicine, University of Toyama, Toyama, Japan. 7. Ohsawano Rehabilitation Facility for the Elderly Kagayaki, Toyama, Japan. 8. Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan. 9. Department of Otolaryngology, University of Tokushima School of Medicine, Tokushima, Japan.
Abstract
OBJECTIVE: We provided diagnostic and therapeutic strategies for Meniere's disease in accordance with Japanese Clinical Practice Guideline of Meniere's disease and delayed endolymphatic hydrops 2nd ed. Tokyo: Kanehara Shuppan; 2020 edited by the Japan Society for Equilibrium Research. METHODS: The Committee for Clinical Practice Guidelines was entrusted with a review of the scientific literature on the above topic. Clinical Questions (CQs) concerning the treatment for Meniere's disease were produced, and the literature according to each of them including CQ was searched. The recommendations are based on the literature review and the expert opinion of a subcommittee. RESULTS: Diagnosis criteria of Meniere's disease are classified into Meniere's disease with typical cochlear and vestibular symptoms, and atypical Meniere's disease with either cochlear symptoms or vestibular symptoms. Treatment of Meniere's disease was composed of lifestyle changes, medications such as anti-vertigo drugs and diuretics, middle ear positive pressure treatment, and selective destruction of the vestibule. CONCLUSION: Meniere's disease is diagnosed based on clinical histories and examination findings after processes of differential diagnosis. Treatment option of the disease should be selected in order of invasiveness, according to the severity of the disease and the response to each treatment.
OBJECTIVE: We provided diagnostic and therapeutic strategies for Meniere's disease in accordance with Japanese Clinical Practice Guideline of Meniere's disease and delayed endolymphatic hydrops 2nd ed. Tokyo: Kanehara Shuppan; 2020 edited by the Japan Society for Equilibrium Research. METHODS: The Committee for Clinical Practice Guidelines was entrusted with a review of the scientific literature on the above topic. Clinical Questions (CQs) concerning the treatment for Meniere's disease were produced, and the literature according to each of them including CQ was searched. The recommendations are based on the literature review and the expert opinion of a subcommittee. RESULTS: Diagnosis criteria of Meniere's disease are classified into Meniere's disease with typical cochlear and vestibular symptoms, and atypical Meniere's disease with either cochlear symptoms or vestibular symptoms. Treatment of Meniere's disease was composed of lifestyle changes, medications such as anti-vertigo drugs and diuretics, middle ear positive pressure treatment, and selective destruction of the vestibule. CONCLUSION: Meniere's disease is diagnosed based on clinical histories and examination findings after processes of differential diagnosis. Treatment option of the disease should be selected in order of invasiveness, according to the severity of the disease and the response to each treatment.