NGHIÊN CỨU TỔNG QUAN LUẬN ĐIỂM CÁC PHƯƠNG PHÁP CHẨN ĐOÁN BỆNH MÉNIÈRE

Abstract

Background: Ménière’s disease is a disease of the inner ear, which is characterized by increased endolymph volume and pressure, causing episodes of vertigo, hearing loss, tinnitus and aural fullness. Diagnosis is mainly based on clinical features and audiogram, so it is complicated and may be confused with other disorders. Objectives: To review current methods of diagnosing Ménière’s disease and application of these methods in clinical practice. Subjects and methods: Articles published in peer-reviewed journals written in English from January 2016 to December 2021, searched on Pubmed and Sciencedirect databases, using keywords related to diagnosis of Ménière’s disease. Results: Out of 333 articles found, 29 articles that met the selection criteria were included in this study. Diagnostic methods include 3 Tesla MRI (n=19), VEMP (n=12), caloric test (n=8), vHIT (n=5), ECochG (n=1), OAE (n=1) and glycerol test (n=1). Conclusions: 3 Tesla MRI with contrast injection is the most used method to detect enlarged membranous labyrinth. Functional exploration mainly aims to assess vestibular function, meanwhile little research on cochlear dysfucntion