An international survey of the diagnosis and management of Ménière's disease amongst otolaryngology consultants

Journal article


Koumpa, Foteini-Stefania, Parihar, Shivani, Neumann, Codruta, Ovnat Tamir, Sharon, Galera Ruiz, Hugo, Brunet, Aina, Fenton, John E, Korres, George, Praetorius, Mark and Kanegaonkar, Rahul G 2024. An international survey of the diagnosis and management of Ménière's disease amongst otolaryngology consultants. The Journal of International Advanced Otology. 20 (5), pp. 411-416. https://doi.org/10.5152/iao.2024.231469
AuthorsKoumpa, Foteini-Stefania, Parihar, Shivani, Neumann, Codruta, Ovnat Tamir, Sharon, Galera Ruiz, Hugo, Brunet, Aina, Fenton, John E, Korres, George, Praetorius, Mark and Kanegaonkar, Rahul G
AbstractMénière's Disease (MD) is a disease that may be difficult to diagnose and manage. Our UK survey showed variability in the practice of UK Otolaryngology consultants. We hence surveyed Otolaryngology consultants internationally, to assess their confidence levels in diagnosing MD, their use of the AAO-HNS guidelines and current diagnostic and treatment modalities. An online questionnaire was distributed internationally over four weeks. The questionnaire asked respondents to anonymously rank their confidence in diagnosing MD, identify the minimum investigations required to make a diagnosis, describe their use of the AAO-HNS criteria, share their preferred treatment modalities for acute attacks, and state their 1st and 2nd-line preventative treatment options. A total of 173 responses were collected with 77% of respondents reporting high levels of confidence in diagnosing MD. Most respondents stated the minimum tests required were "History, Otoscopy, Clinical Vestibular testing, and Pure Tone Audiometry" although some chose as few as 1 test. Regarding the use of the AAO-HNS criteria, responses ranged from "always" (20.2%) to "never" (22.5%). Cinnarizine was the first-line treatment for acute attacks followed by betahistine. Betahistine (30.1%) and dietary restrictions (28.3%) were recommended almost equally as first-line preventative measures. The most popular second-line measure was intratympanic steroids injection (30.1%). Our survey revealed disparities in the diagnosis of MD and its management, like the results of our previously conducted UK survey. This suggests the need for an international consensus regarding the diagnosis and subsequent management strategies for this disease.
KeywordsDiagnosis; Guidelines; Inner ear; Ménière's disease ; Vertigo
Year2024
JournalThe Journal of International Advanced Otology
Journal citation20 (5), pp. 411-416
PublisherAves
European Academy of Otology and Neurology
The Politzer Society
ISSN2148-3817
Digital Object Identifier (DOI)https://doi.org/10.5152/iao.2024.231469
Official URLhttps://www.advancedotology.org/en/an-international-survey-of-the-diagnosis-and-management-of-m-ni-re-s-disease-amongst-otolaryngology-consultants-131953
Publication dates
Print26 Sep 2024
Publication process dates
Deposited24 Oct 2024
Publisher's version
License
File Access Level
Open
Output statusPublished
Additional information

Publications router.

Permalink -

https://repository.canterbury.ac.uk/item/99745/an-international-survey-of-the-diagnosis-and-management-of-m-ni-re-s-disease-amongst-otolaryngology-consultants

Download files


Publisher's version
JIAO_20231469_nlm_new_indd.pdf
License: CC BY 4.0
File access level: Open

  • 7
    total views
  • 2
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Cost awareness of anaesthetic consumable items among the National Health Service (NHS) staff and the financial impact on the NHS
Divekar, Omkaar, Kumar, Abhinav, Divekar, Nandita and Kanegaonkar, Rahul 2024. Cost awareness of anaesthetic consumable items among the National Health Service (NHS) staff and the financial impact on the NHS. Cureus. 16 (7), p. e63906. https://doi.org/10.7759/cureus.63906
A survey of the estimated cost of surgical consumable items within trauma and orthopaedic departments
Divekar, Omkaar, Pandya, Krushi, Divekar, Anand B. and Kanegaonkar, Rahul 2024. A survey of the estimated cost of surgical consumable items within trauma and orthopaedic departments. Cureus. 16 (7), p. e63793. https://doi.org/10.7759/cureus.63793
Tragus based vagus nerve stimulation for stress reduction
Mouli, Surej, Palaniappan, Ramaswamy, Ollis, Jane, McLoughlin, Ian, Kanegaonkar, Rahul and Arora, Sunil 2021. Tragus based vagus nerve stimulation for stress reduction. in: Proceedings of the 14th International Joint Conference on Biomedical Engineering Systems and Technologies - (Volume 4) SCITEPRESS - Science and Technology Publications.
Auricular reconstruction: where are we now? A critical literature review
Humphries, S., Joshi, A., Webb, R. and Kanegaonkar, R. 2021. Auricular reconstruction: where are we now? A critical literature review. European Archives of Oto-Rhino-Laryngology. https://doi.org/10.1007/s00405-021-06903-5
Dizziness and vertigo: an introduction and practical guide
Kanegaonkar, R. and Tysome, J. Kanegaonkar, R. and Tysome, J. (ed.) 2014. Dizziness and vertigo: an introduction and practical guide. CRC Press.
Comparing diagrammatic recording versus traditional written account of tympanomastoid procedures: completion of a second audit cycle of 25 cases: Our experience
Kum, F. and Kanegaonkar, R. 2014. Comparing diagrammatic recording versus traditional written account of tympanomastoid procedures: completion of a second audit cycle of 25 cases: Our experience. Clinical Otolaryngology & Allied Sciences. 40 (3), pp. 266-269. https://doi.org/10.1111/coa.12365|
The D+R Balance application: a novel method of assessing postural sway
Yvon, C., Najuko-Mafemera, A. and Kanegaonkar, R. 2015. The D+R Balance application: a novel method of assessing postural sway. The Journal of Laryngology & Otology. 129 (8), pp. 773-778. https://doi.org/10.1017/S0022215115000912
Environmental factors that affect the Fukuda stepping test in normal participants
Munnings, A., Chisnall, B., Oji, S., Whittaker, M. and Kanegaonkar, R. 2015. Environmental factors that affect the Fukuda stepping test in normal participants. The Journal of Laryngology & Otology. 129 (5), pp. 450-453. https://doi.org/10.1017/S0022215115000560
Assessing the Unterberger test: introduction of a novel smartphone application
Whittaker, M., Mathew, A., Kanani, R. and Kanegaonkar, R. 2014. Assessing the Unterberger test: introduction of a novel smartphone application. The Journal of Laryngology & Otology. 128 (11), pp. 958-960. https://doi.org/10.1017/S0022215114002539
Meniere's disease treated by grommet insertion
Kanegaonkar, R., Najuko-Mafemera, A., Hone, R. and Tikka, T. 2019. Meniere's disease treated by grommet insertion. Annals of the Royal College of Surgeons of England. 101 (8), pp. 602-605.