Position Statement: Micropressure Therapy
the Meniett device) in certain cases of Meniere’s disease. Micropressure therapy can be used as a second level therapy when medical treatment has failed. The device represents a largely non-surgical therapy that should be available as one of the many treatments for Meniere…
Position Statement: Electrocochleography
Arenberg IK (Ed.). Kugler Publications, Amsterdam/New York, 1993:477-485. Kitahara, M., T. Takeda, et al. Electrocochleography in the diagnosis of Meniere's disease. Meniere's disease. Pathogenesis, diagnosis and treatment. . Vosteen KH, Schuknecht H and P. C. e. al. New York, Thieme-Stratton…
Ménière’s Disease: New Clinical Practice Guideline to Enhance Diagnostic Accuracy and Treatment
discusses the background on possible causes of Ménière’s disease, disorders that present similarly to it, and the ways in which the disease can progress. “The guideline aims to reduce the subjectivity of diagnosis and treatment for Ménière’s disease and to provide some objective…
CPG Test Page
opportunities in postoperative pain management of common otolaryngologic surgical procedures Read more Purpose: To improve the quality of the diagnostic workup and treatment outcomes of Ménière’s disease (MD) Read more Purpose: To identify quality improvement opportunities in the management of nosebleeds and to create…
CPG: Ménière’s Disease - Research Needs
Research Needs section from Ménière’s Disease CPG Clinical epidemiologic studies to standardize categories of disease stage, severity, and treatment response, as well as optimal follow-up time frames for outcome assessment. Development and validation of clinically relevant measures of QOL. Identification of true pathophysiology…
Clinical Practice Guideline: Ménière’s Disease
here for instructions on how to customize these handouts. Frequently Asked Questions (FAQs) about Ménière’s Disease Frequently Asked Questions (FAQs) about Ménière’s Disease Triggers Frequently Asked Questions (FAQs) about Ménière’s Disease Frequently Asked Questions (FAQs) about Ménière’s Disease Triggers Preguntas Frecuentes…
Clinical Practice Guideline: Ménière’s Disease
This guideline was published in the April 2020 issue of Otolaryngology–Head and Neck Surgery. Clinical Practice Guideline: Ménière’s Disease published in Otolaryngology–Head and Neck Surgery on April 8. This clinical practice guideline (CPG) is intended for all for all health care providers…
CPT for ENT: Gentamicin Injections
The administration of gentamicin injections is a common procedure performed by otolaryngologists for severe cases of vertigo when observed in some patients with Meniere’s disease. The gentamicin deadens the hair-like fibers that transmit balance information to the brain. Initially, the injections may cause…
CPT for ENT: Transtympanic Therapeutic Injections
Transtympanic therapeutic injections are a common procedure performed by otolaryngologists for various otologic conditions, such as sudden sensorineural hearing loss and severe cases of vertigo when observed in some patients with Meniere’s disease. A patient may use any variety of medications, and the patient…
Position Statement: Red Flags-Warning of Ear Disease
with the following “red flags”: Hearing loss with a positive history of ear infections, noise exposure, familial hearing loss, TB, syphilis, HIV, Meniere’s disease, autoimmune disorder, ototoxic medication use, otosclerosis, von Recklinghausen’s neurofibromatosis, Paget’s disease of bone, ear or head trauma related…
Clinical Indicators: Canalith Repositioning Procedures (CRPs)
vertigo History of head trauma (especially in younger aged individuals where idiopathic Benign Paroxysmal Positional Vertigo (BPPV) is less common) History of Meniere's disease History of vestibular neuritis No evidence of neck or back disorders that might contraindicate this maneuver 2. Procedure a) Neurotologic…
Clinical Indicators: Auditory Brainstem Response
History (One or more required) Asymmetric hearing loss Unilateral tinnitus Sudden hearing loss Suspected cerebellopontine angle tumor Suspected demyelinating disorder Suspected functional hearing loss Newborn or infant hearing screening Inability to obtain behavioral hearing level Chemotherapy Suspected auditory neuropathy Preoperative baseline: Posterior fossa surgery…
Position Statement: Vestibular Myogenic Potential (VEMP) Testing
The American Academy of Otolaryngology—Head and Neck Surgery recognizes that Vestibular Evoked Myogenic Potential (VEMP) testing is a useful neurophysiologic test and is medically indicated and appropriate in the evaluation of certain persons with suspected auditory and balance or dizziness disorders. Adopted 9/20…
