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Auditory and Vestibular Research، جلد ۳۴، شماره ۴، صفحات ۳۴۷-۳۵۴
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| عنوان انگلیسی |
Cross-Sectional Analysis of Meniere’s Disease: Comparing the American Academy of Otolaryngology- Head and Neck Surgery Diagnostic Criteria with Vestibular Staging |
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| چکیده انگلیسی مقاله |
Background and Aim: This study compared the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) criteria for Meniere’s Disease (MD) with vestibular staging methods that address inner ear progression, a consideration not found in the AAOHNS criteria.
Methods: A cross-sectional study recruited patients with MD, aged 18 to 60, from June 8, 2022, to March 20, 2023; however, we excluded patients with problems such as difficulty rolling their eyes, difficulty turning their head, conductive or mixed hearing loss, cental nerves system disorders, retrocochlear lesions, pregnancy, and receiving psychotropic drugs. Furthermore, patients with a history of labyrinthitis, vestibular migraine, stroke, benign positional vertigo, or bilateral vestibulopathy within the past 6 months were excluded. All patients were tested with audiometry, vestibular evoked myogenic potential, caloric test, and video head impulse test. Two neuro-otologists assessed and classified patients with MD according to the AAO-HNS (1990 and 2020) criteria. Results: Forty-two patients were enrolled. The correlation between vestibular staging and both AAO-HNS (1990 and 2020) criteria was medium (p=0.02 and p<0.01, respectively). According to AAO-HNS 1995, 69% of definite MD cases were classified as stage C, whereas all probable MD cases and 30% of possible MD cases were categorized as stage B. Regarding AAO-HNS 2020, 70% of definite MD cases were classified as stage C, whereas 33.3% of probable MD cases were classified as stage B. Conclusion: Definite MD could predict pathology in the cochleo-sacculo-utricular and lateral canals (stage C), whereas probable MD could suggest that the lesion involved the cochleo-sacculo-utricular canal (stage B). Trial registration: This trial was registered at Thai Clinical Trials Registry on June 6, 2022 (TCTR20220606003). |
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| نویسندگان مقاله |
| Lapphawat Saelee
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| Pornthep Kasemsiri
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand AND Khon Kaen Ear Hearing and Balance Research Group, Khon Kaen University, Khon Kaen, Thailand
| Nichtima Chayaopas
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand AND Khon Kaen Ear Hearing and Balance Research Group, Khon Kaen University, Khon Kaen, Thailand
| Panida Thanawirattananit
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand AND Khon Kaen Ear Hearing and Balance Research Group, Khon Kaen University, Khon Kaen, Thailand
| Kwanchanok Yimtae
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand AND Khon Kaen Ear Hearing and Balance Research Group, Khon Kaen University, Khon Kaen, Thailand
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| نشانی اینترنتی |
https://avr.tums.ac.ir/index.php/avr/article/view/1411 |
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