Survey of Ménière's disease in a subspecialty referral practice.
Otolaryngol Head Neck Surg
; 137(2): 213-7, 2007 Aug.
Article
em En
| MEDLINE
| ID: mdl-17666243
ABSTRACT
OBJECTIVES:
To define the prevalence of definite Ménière's disease (MD) among patients presenting with characteristic symptoms and examine the utility of published diagnostic guidelines. STUDY DESIGN ANDSETTING:
Retrospective review in an academic referral practice.RESULTS:
The prevalence of definite MD in these 295 individuals was 64%. The next-largest group (23%) consisted of patients with only cochlear symptoms. Those initially classified as probable are usually reclassified as definite with extended follow-up. Of those with definite MD, the mean duration of disease at last follow-up was 7.6 years, 56% were female, 19% had bilateral disease, and 34% required surgical management for vertigo.CONCLUSIONS:
The 1995 AAO-HNS guidelines are useful for classification of MD according to certainty of diagnosis and severity of disease, though some modifications could be considered.SIGNIFICANCE:
Application of consistent diagnostic criteria is essential for epidemiological, genetic, or outcomes studies of Ménière's disease.
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Base de dados:
MEDLINE
Assunto principal:
Doença de Meniere
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article