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KMID : 0361020120550080476
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Korean Journal of Otolaryngology - Head and Neck Surgery
2012 Volume.55 No. 8 p.476 ~ p.481
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The Diagnosis Criteria of Meniere’s Disease and Related Objective Tests
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Song Jae-Jun
Koo Ja-Won
Kim Kyu-Sung
Byun Jae-Yong
Han Gyu-Cheol
Chae Sung-Won
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Abstract
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The etiology and pathophysiology of Meniere’s disease (MD) remain controversial and incompletely understood. Diagnosis of MD is decided according to the diagnostic criteria proposed by the American Academy of Otolaryngology-Head and Neck Surgery (AAO) (1995), which is based on clinical symptoms. It would be of great value to have an objective clinical test for the diagnosis of endolymphatic hydrops. Various tests like electrocochleography, vestibular evoke myogenic potential and cochlear hydrops analysis masking procedures have been applied for detecting endolymphatic hydrops. Any of single objective tests is not perfect for the diagnosis of MD. However, considering AAO guideline is not enough for the diagnosis, additive objective tests for MD become essential. We evaluated the objective tests for MD and also surveyed preferred tests among Korean otologic society members.
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KEYWORD
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Diagnosis, Guideline, Meniere’s disease
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