Meniere's Disease: Prevalence of Contralateral Ear Involvement

House, John W.; Doherty, Joni K.; Fisher, Laurel M.; Derebery, M. Jennifer; Berliner, Karen I.

doi:10.1097/00129492-200604000-00011

Cited by 124 publications

(89 citation statements)

References 32 publications

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“…Another risk is that the treatment prescribed to control vertigo secondarily affects hearing in patients with severe hearing loss in the contralateral ear. In other published research papers, the probability of bilateral involvement has been estimated to range between 2 and 78% [House et al, 2006], which means that there is a great difference in the estimations and, above all, in the duration of the follow-up. This has important clinical implications for both advising the patient and planning treatment.…”

Section: Bilateralitymentioning

confidence: 96%

Evolution of Symptoms in Ménière’s Disease

Belinchon

Pérez-Garrigues

Tenias³

2011

Audiol Neurotol

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Objective: To investigate the sequence and correlation of symptoms of Ménière’s disease (MD) depending on their order of manifestation. Methods: Descriptive, longitudinal study of the symptoms in 237 tertiary hospital patients who had been diagnosed with definite MD according to the criteria of the American Academy of Otolaryngology. Patients were followed for 1–31 years. Results: Disease began with the three classic symptoms in only 40% of the patients. We recorded the mean, median and maximum time needed to complete the symptoms as well as the time elapsed in some patients from disease onset in one ear to bilateral involvement. Conclusions: We reckon that this study may be of great help in ruling out a diagnosis of MD when the patient presents with only one or two symptoms of the triad. Furthermore, regarding the planning of treatment, the time interval between unilateral and bilateral involvement (5–7 years) is very important since bilateral involvement has great repercussions on treatment, especially surgical treatment.

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Section: Bilateralitymentioning

confidence: 96%

Evolution of Symptoms in Ménière’s Disease

Belinchon

Pérez-Garrigues

Tenias³

2011

Audiol Neurotol

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“…Epidemiological studies have shown that some patients with unilateral Meniere's disease progress to bilateral disease several years after the initial disease onset [18,19] . Furthermore, some studies have reported histological abnormalities in the contralateral ear in clinically diagnosed unilateral Meniere's disease [17,20] .…”

Section: Discussionmentioning

confidence: 99%

Diameter of the Medial Side of the Cochlear Aqueduct Is Narrower in Meniere's Disease: A Radiologic Analysis

Song

Kang²,

Lee³

et al. 2016

Int Adv Otol

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OBJECTIVE:This study aimed to measure the radiological dimensions of the cochlear aqueduct in Meniere's disease and in low-frequency hearing loss (LFHL) patients and control patients. MATERIALS and METHODS:Groups of 26 patients (32 ears, including 6 with bilateral involvement) with Meniere's disease, 14 patients (18 ears) with LFHL, and 23 patients with unilateral chronic otitis media, as controls, were enrolled. For the measurements, high-resolution computed tomography (HRCT) of the temporal bone was performed. The cochlear aqueduct was evaluated for the following six parameters: medial opening (MO), petrous apex (PA), otic capsule (OC), lateral opening (LO), distance of the cochlear aqueduct (DC), and length of the cochlear aqueduct (LC). RESULTS:The PA, OC, DC, and LC were not significantly different between the groups. LO could not be measured because the LO was not visible in all cases. The MO diameter was narrower in the Meniere's disease group than in the LFHL group (p=0.001) and in the controls (p=0.035). When the dimensions of both ears were measured in patients with unilateral Meniere's disease, no statistically significant difference was found. CONCLUSION:Compared to LFHL and controls, the MO of the cochlear aqueduct was significantly smaller in the Meniere's disease group.

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“…16,[32][33][34] House et al determinam uma prevalência de casos de DMB de 24%, sendo o aparecimento simultâneo em ambos os ouvidos em 11% dos casos e, em 14% dos casos, um aparecimento progressivo. 35 Num estudo a decorrer no nosso serviço, analisado pela última vez no final de 2015, numa amostra de 151 casos identificados com DM, segundo os critérios da AAO-HNS (1995), encontramos uma percentagem de casos de DMB de 12,6%.…”

Section: Idade De Aparecimento Dos Sintomas E Idade De Diagnósticounclassified

“…35 Paparella e Griebie reportam que 50% dos casos de DMB têm iní-cio de envolvimento do ouvido contralateral durante os primeiros dois anos após o início do aparecimento dos sintomas. Dos restantes, 27% têm início nos primeiros cinco anos e os remanescentes 23% até um intervalo máximo de 25 anos.…”

Section: Tempo De Envolvimento Do Ouvido Contralateralunclassified

Epidemiologia da Doença de Ménière: Revisão da Literatura

Ribeiro¹,

Caroça

Paço

2017

Gaz Med

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A doença de Ménière é uma patologia crónica do ouvido interno caracterizada por sintomas vestibulares episódicos associados a hipoacusia neurossensorial, acufeno e plenitude auricular. Tendo sido descrita há mais de 150 anos por Prosper Ménière, ainda hoje em dia a sua epidemiologia continua a ser um enorme desafio para os profissionais que tentam compreender melhor esta doença. Desde a Segunda Guerra Mundial que várias sociedades e grupos de estudo têm tentado aprofundar o conhecimento desta patologia, nomeadamente a sua prevalência e incidência. Contudo, devido à dificuldade de uniformização dos critérios de diagnóstico, estes valores apresentam grande variabilidade. Com o seu aparecimento na meia-idade, a doença de Ménière apresenta-se inicialmente como uma doença unilateral, não se encontrando tendência para uma maior expressividade quanto à lateralidade. Com o passar dos anos, verifica-se uma tendência clara para a bilateralidade da doença de Ménière, em que o tempo de envolvimento do ouvido contralateral pode variar de dois meses a mais de 20 anos. Por outro lado, com o passar dos anos, ocorre uma redução no impacto dos sintomas, nomeadamente através de mudanças no estilo de vida e tratamento médico ou cirúrgico. O sistema imunológico, a enxaqueca, a alergia e o sistema nervoso autónomo estão também associados aos doentes com doença de Ménière. De um modo geral, é consensual que existe um maior predomínio da doença de Ménière na raça caucasiana, quanto ao género, um ligeiro predomínio da doença de Ménière no sexo feminino é reportado na grande maioria dos estudos. Evidências epidemiológicas e genómicas suportam uma suscetibilidade genética.

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Meniere's Disease: Prevalence of Contralateral Ear Involvement

Cited by 124 publications

References 32 publications

Evolution of Symptoms in Ménière’s Disease

Evolution of Symptoms in Ménière’s Disease

Diameter of the Medial Side of the Cochlear Aqueduct Is Narrower in Meniere's Disease: A Radiologic Analysis

Epidemiologia da Doença de Ménière: Revisão da Literatura

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