Diagnostic and therapeutic strategy in Meniere's disease. Guidelines of the French Otorhinolaryngology-Head and Neck Surgery Society (SFORL)

被引：17
|
作者：
Nevoux, J. [1 ]
Franco-Vidal, V. [2 ]
Bouccara, D. [3 ]
Parietti-Winkler, C. [4 ]
Uziel, A. [5 ]
Chays, A. [6 ]
Dubernard, X. [6 ]
Couloigner, V. [7 ]
Darrouzet, V. [2 ]
Mom, T. [8 ]
机构：
[1] Serv ORL & Chirurg Cervicofaciale, 78 Ave Gen Leclerc, F-94275 Le Kremlin Bicetre, France
[2] Univ Bordeaux, Hop Pellegrin, Serv ORL, F-33076 Bordeaux, France
[3] Univ Paris 06, CHU Pitie Salpetriere, AP HP, Inserm,UMRS 1159,Serv ORL, F-75013 Paris, France
[4] Univ Loraine, CHU Nancy, Serv ORL, EA 3450,DevAH, F-54035 Nancy, France
[5] CHU Montpellier, Hop Gui de Chauliac, Serv ORL, F-34090 Montpellier, France
[6] CHU Reims, Serv ORL & Chirurg Face & Cou, Reims, France
[7] Serv ORL Pediat & Chirurg Cervicofaciale, 149 Rue Sevres, F-75015 Paris, France
[8] Univ Auvergne, CHU Gabriel Montpied, Lab Biophys Neurosensorielle, Inserm,UMR 1107,Serv ORL, Clermont Ferrand, France
来源：
EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES | 2017年 / 134卷 / 06期
关键词：
Meniere's disease; Diagnostic criteria; Diagnostic tests; Treatment; OTOACOUSTIC EMISSIONS; ELECTROCOCHLEOGRAPHY;
D O I：
10.1016/j.anorl.2016.12.003
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Objectives: The authors present the guidelines of the French Otorhinolaryngology-Head and Neck Surgery Society (Society francaise d'oto-rhino-laryngologie et de chirurgie de la face et du cou: SFORL) for diagnostic and therapeutic strategy in Meniere's disease. Methods: A work group was entrusted with a review of the scientific literature on the above topic. Guidelines were drawn up, then read over by an editorial group independent of the work group. The guidelines were graded according to the literature analysis and recommendations grading guide published by the French National Agency for Accreditation and Evaluation in Health (January 2000). Results: Meniere's disease is diagnosed in the presence of the association of four classical clinical items and after eliminating differential diagnoses on MRI. In case of partial presentation, objective audiovestibular tests are recommended. Therapy comprises medical treatment and surgery, either conservative or sacrificing vestibular function. Medical treatment is based on lifestyle improvement, betahistine, diuretics or transtympanic injection of corticosteroids or gentamicin. The main surgical treatments, in order of increasing aggressiveness, are endolymphatic sac surgery, vestibular neurotomy and labyrinthectomy. (C) 2016 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：441 / 444
页数：4
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