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欧洲梅尼埃病诊断与治疗立场声明。

European Position Statement on Diagnosis, and Treatment of Meniere's Disease.

作者信息

Magnan Jacques, Özgirgin O Nuri, Trabalzini Franco, Lacour Michel, Escamez Antonio Lopez, Magnusson Mans, Güneri Enis Alpin, Guyot Jean Philippe, Nuti Daniele, Mandalà Marco

机构信息

Past Head of ORL and Head and Neck Surgery Hopital Nord, Aix Marseille University, Marseille, France.

Department of Otolaryngology, Bayındır Hospital, Ankara, Turkey.

出版信息

J Int Adv Otol. 2018 Aug;14(2):317-321. doi: 10.5152/iao.2018.140818.

DOI:10.5152/iao.2018.140818
PMID:30256205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6354459/
Abstract

Meniere Disease keeps challenges in its diagnosis and treatment since was defined by Prosper Meniere at the beginning of 19th Century. Several classifications and definition were made until now and speculations still exist on its etiology. As the etiology remains speculative the treatment models remain in discussion also. The European Academy of Otology and Neurotology Vertigo Guidelines Study Group intended to work on the diagnosis and treatment of Meniere's disease and created the European Positional Statement Document also by resuming the consensus studies on it. The new techniques on diagnosis are emphasized as well as the treatment models for each stage of the disease are clarified by disregarding the dilemmas on its treatment. The conservative, noninvasive and invasive therapeutic models are highlighted.

摘要

自19世纪初被普罗珀·梅尼埃定义以来,梅尼埃病在诊断和治疗方面一直面临挑战。迄今为止,已经有了多种分类和定义,但其病因仍存在诸多推测。由于病因仍不明确,治疗模式也仍在讨论中。欧洲耳科学与神经耳科学眩晕指南研究小组旨在研究梅尼埃病的诊断和治疗,并通过恢复对此的共识研究,创建了《欧洲立场声明文件》。该文件强调了诊断新技术,同时通过忽略治疗中的困境,明确了疾病各阶段的治疗模式。文件突出了保守、非侵入性和侵入性治疗模式。

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本文引用的文献

1
Genetic contribution to vestibular diseases.前庭疾病的遗传贡献。
J Neurol. 2018 Oct;265(Suppl 1):29-34. doi: 10.1007/s00415-018-8842-7. Epub 2018 Mar 26.
2
Intratympanic (IT) Therapies for Menière's Disease: Some Consensus Among the Confusion.梅尼埃病的鼓室内治疗:混乱中的一些共识
Curr Otorhinolaryngol Rep. 2017 Jun;5(2):132-141. doi: 10.1007/s40136-017-0153-5. Epub 2017 May 3.
3
In vivo imaging of saccular hydrops in humans reflects sensorineural hearing loss rather than Meniere's disease symptoms.在体成像显示人类的囊状水瘤与感音神经性听力损失相关,而不是梅尼埃病的症状。
Eur Radiol. 2018 Jul;28(7):2916-2922. doi: 10.1007/s00330-017-5260-7. Epub 2018 Mar 21.
4
International consensus (ICON) on treatment of Ménière's disease.梅尼埃病治疗的国际共识(ICON)
Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Feb;135(1S):S29-S32. doi: 10.1016/j.anorl.2017.12.006. Epub 2018 Jan 12.
5
Regulation of Fn14 Receptor and NF-κB Underlies Inflammation in Meniere's Disease.Fn14受体与核因子κB的调控是梅尼埃病炎症的基础。
Front Immunol. 2017 Dec 13;8:1739. doi: 10.3389/fimmu.2017.01739. eCollection 2017.
6
Evaluation of endolymphatic hydrops using 3-T MRI after intravenous gadolinium injection.静脉注射钆对比剂后使用3-T磁共振成像评估内淋巴积水。
Eur Arch Otorhinolaryngol. 2017 Dec;274(12):4103-4111. doi: 10.1007/s00405-017-4739-9. Epub 2017 Sep 25.
7
Comparative study between the caloric vestibular and the video-head impulse tests in unilateral Menière's disease.单侧梅尼埃病中热量前庭试验与视频头脉冲试验的比较研究
Acta Otolaryngol. 2017 Nov;137(11):1178-1182. doi: 10.1080/00016489.2017.1354395. Epub 2017 Jul 25.
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Caffeine intake and Menière's disease: Is there relationship?咖啡因摄入与梅尼埃病:两者有关联吗?
Nutr Neurosci. 2018 Nov;21(9):624-631. doi: 10.1080/1028415X.2017.1327636. Epub 2017 May 19.
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Am J Otolaryngol. 2017 May-Jun;38(3):285-290. doi: 10.1016/j.amjoto.2017.01.023. Epub 2017 Jan 20.