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Ménière's disease clinical subtypes in a population from the USA

Published online by Cambridge University Press:  20 December 2019

J Crossley ,
A S Hussaini ,
H J Kim  and
M Hoa
J Crossley*
Affiliation:
Georgetown University School of Medicine, Washington, DC, USA Department of Otolaryngology – Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA
A S Hussaini
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA
H J Kim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA
M Hoa
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, MedStar Georgetown University Hospital, Washington, DC, USA
*
Author for correspondence: Dr J Crossley, Department of Otolaryngology – Head and Neck Surgery, MedStar Georgetown University Hospital, 1st Floor, Gorman Building, 3800 Reservoir Road NW, Washington, DC20007, USA E-mail: jrc270@georgetown.edu
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Abstract

Objective

To ascertain the distribution of Ménière's disease phenotype subgroups in a US-based cohort, based on a recently introduced classification scheme utilising a Spanish and Portuguese cohort.

Methods

A retrospective, cross-sectional, single-institutional chart review was conducted. The electronic medical records of Ménière's disease patients were identified using International Classification of Diseases codes at a tertiary referral centre and reviewed to extract subgroup-defining features. Patients with definite Ménière's disease as per American Academy of Otolaryngology–Head and Neck Surgery criteria were categorised into one of five subgroups, for unilateral and bilateral Ménière's disease.

Results

Eighty-one patients with definite Ménière's disease were identified. Seventy-two cases of unilateral Ménière's disease were observed: 52.8 per cent were type 1, 20.8 per cent were type 2, 4.2 per cent were type 3, 18.1 per cent were type 4, and 4.2 per cent were type 5. This cohort differed significantly in distribution to a comparison Mediterranean cohort (p < 0.01). Nine cases of bilateral Ménière's disease were observed.

Conclusion

The distribution of unilateral Ménière's disease subtypes in this US population was different from that observed in a European population.

Keywords

NeurotologyMeniere DiseaseClassification
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 1 , January 2020 , pp. 24 - 28
Copyright
Copyright © JLO (1984) Limited, 2019

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Footnotes

Dr J Crossley takes responsibility for the integrity of the content of the paper

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