Vertiginous Episodes in Menière Disease following Transmyringeal Ventilation Tube Insertion: A Systematic Review on the Current State of Evidence
Introduction Menière disease (MD) is a disorder characterized by episodes of vertigo, sensorineural hearing loss, tinnitus and aural fullness. Objectives To assess the effect of ventilation tube insertion (VTI) on vertiginous episodes in patients (≥ 18 years old) with MD. Data...
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doaj-0fef20fea6ea49a5ad7df9441e4eef4b2021-07-30T05:00:38ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642021-07-012503e463e47010.1055/s-0040-1714131Vertiginous Episodes in Menière Disease following Transmyringeal Ventilation Tube Insertion: A Systematic Review on the Current State of EvidenceCasper Grønlund0Louise Devantier1Henriette Edemann Callesen2Dan Dupont Hougaard3Mina Nicole Händel4Jesper Hvass Schmidt5Frank Liviu-Adelin Guldfred6Bjarki Ditlev Djurhuus7Department of Ear, Nose, Throat and Maxillofacial Surgery, Zealand University Hospital, Koege, DenmarkDepartment of Oto-Rhino-Laryngology, Regional Hospital West Jutland, Holstebro, DenmarkThe Danish Health Authority, Copenhagen, DenmarkDepartment of Otolaryngology, Head & Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, DenmarkThe Danish Health Authority, Copenhagen, DenmarkDepartment of ORL, Head and Neck Surgery and Audiology, Odense University Hospital, Odense C, DenmarkEar, Nose and Throat Clinic, Faxe, DenmarkDepartment of Ear, Nose, Throat and Maxillofacial Surgery, Zealand University Hospital, Koege, DenmarkIntroduction Menière disease (MD) is a disorder characterized by episodes of vertigo, sensorineural hearing loss, tinnitus and aural fullness. Objectives To assess the effect of ventilation tube insertion (VTI) on vertiginous episodes in patients (≥ 18 years old) with MD. Data Synthesis A systematic literature search on randomized clinical trials (RCTs), nonrandomized trials and other systematic reviews was performed. The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach was used to assess the overall certainty of evidence. Two RCTs and four nonrandomized studies were identified. Data extraction was only possible for one RCT. Results showed that the number of patients with no vertigo attacks significantly increased following active treatment (relative risk 1.52; [95% confidence interval: 1.19–1.94]). The quality of evidence was rated as low. None of the nonrandomized trials included a proper control group, which hindered data extraction and quality assessment. Conclusion There are currently no RCTs that specifically assess the efficacy of VTI in patients with MD. Current limited data suggest a considerable positive effect on the number of vertiginous episodes in patients with MD. However, due to poor evidence, a fluctuating course and a substantial placebo-effect associated with MD-treatment, no solid conclusion(s) regarding the efficacy of VTI can be made. There is a need for high-quality RCTs.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1714131ventilation tube insertionmeniere diseasevertigodizzinesshearing |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Casper Grønlund Louise Devantier Henriette Edemann Callesen Dan Dupont Hougaard Mina Nicole Händel Jesper Hvass Schmidt Frank Liviu-Adelin Guldfred Bjarki Ditlev Djurhuus |
spellingShingle |
Casper Grønlund Louise Devantier Henriette Edemann Callesen Dan Dupont Hougaard Mina Nicole Händel Jesper Hvass Schmidt Frank Liviu-Adelin Guldfred Bjarki Ditlev Djurhuus Vertiginous Episodes in Menière Disease following Transmyringeal Ventilation Tube Insertion: A Systematic Review on the Current State of Evidence International Archives of Otorhinolaryngology ventilation tube insertion meniere disease vertigo dizziness hearing |
author_facet |
Casper Grønlund Louise Devantier Henriette Edemann Callesen Dan Dupont Hougaard Mina Nicole Händel Jesper Hvass Schmidt Frank Liviu-Adelin Guldfred Bjarki Ditlev Djurhuus |
author_sort |
Casper Grønlund |
title |
Vertiginous Episodes in Menière Disease following Transmyringeal Ventilation Tube Insertion: A Systematic Review on the Current State of Evidence |
title_short |
Vertiginous Episodes in Menière Disease following Transmyringeal Ventilation Tube Insertion: A Systematic Review on the Current State of Evidence |
title_full |
Vertiginous Episodes in Menière Disease following Transmyringeal Ventilation Tube Insertion: A Systematic Review on the Current State of Evidence |
title_fullStr |
Vertiginous Episodes in Menière Disease following Transmyringeal Ventilation Tube Insertion: A Systematic Review on the Current State of Evidence |
title_full_unstemmed |
Vertiginous Episodes in Menière Disease following Transmyringeal Ventilation Tube Insertion: A Systematic Review on the Current State of Evidence |
title_sort |
vertiginous episodes in menière disease following transmyringeal ventilation tube insertion: a systematic review on the current state of evidence |
publisher |
Thieme Revinter Publicações Ltda. |
series |
International Archives of Otorhinolaryngology |
issn |
1809-9777 1809-4864 |
publishDate |
2021-07-01 |
description |
Introduction Menière disease (MD) is a disorder characterized by episodes of vertigo, sensorineural hearing loss, tinnitus and aural fullness.
Objectives To assess the effect of ventilation tube insertion (VTI) on vertiginous episodes in patients (≥ 18 years old) with MD.
Data Synthesis A systematic literature search on randomized clinical trials (RCTs), nonrandomized trials and other systematic reviews was performed. The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach was used to assess the overall certainty of evidence. Two RCTs and four nonrandomized studies were identified. Data extraction was only possible for one RCT. Results showed that the number of patients with no vertigo attacks significantly increased following active treatment (relative risk 1.52; [95% confidence interval: 1.19–1.94]). The quality of evidence was rated as low. None of the nonrandomized trials included a proper control group, which hindered data extraction and quality assessment.
Conclusion There are currently no RCTs that specifically assess the efficacy of VTI in patients with MD. Current limited data suggest a considerable positive effect on the number of vertiginous episodes in patients with MD. However, due to poor evidence, a fluctuating course and a substantial placebo-effect associated with MD-treatment, no solid conclusion(s) regarding the efficacy of VTI can be made. There is a need for high-quality RCTs. |
topic |
ventilation tube insertion meniere disease vertigo dizziness hearing |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1714131 |
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