Clinical Practice Guideline: Ménière’s Disease
Otolaryngology–Head and Neck Surgery
Basura, G. J., Adams, M. E., et al. (2020).
Otolaryngology–Head and Neck Surgery, 162(2 Suppl), S1-S55.
This is an updated clinical practice guideline from the American Academy of Otolaryngology-Head and Neck Surgery providing recommendations for all healthcare providers on the diagnosis and management of Meniere's disease in adults.
American Academy of Otolaryngology–Head and Neck Surgery Foundation
"Clinicians should obtain an audiogram when assessing a patient for the diagnosis of Meniere’s disease" (Strong Recommendation, p. S15).
"Clinicians should not routinely order vestibular function testing or electrocochleography to establish the diagnosis of Meniere’s disease" (Recommendation Against, p. S17).
"Clinicians should counsel patients, or refer to a clinician who can counsel patients, with Meniere’s disease and hearing loss on the use of amplification and hearing assistive technology" (Recommendation, p. S38).
"Clinicians should diagnose definite or probable Meniere’s disease in patients presenting with 2 or more episodes of vertigo lasting 20 minutes to 12 hours (definite) or up to 24 hours (probable) and fluctuating or nonfluctuating sensorineural hearing loss, tinnitus, or pressure in the affected ear, when these symptoms are not better accounted for by another disorder" (Recommendation, p. S10).
"Clinicians should educate patients with Meniere’s disease about the natural history, measures for symptom control, treatment options, and outcomes" (Recommendation, p. S19). "Clinicians should educate patients with Meniere’s disease on dietary and lifestyle modifications that may reduce or prevent symptoms" (Recommendation, p. S24).
