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Aural fullness and transtympanic ventilation tubes in Ménière's disease: a scoping review

Published online by Cambridge University Press:  07 June 2019

C Sevilla ,
J Goody ,
D M Baguley  and
A V Kasbekar
C Sevilla*
Affiliation:
School of Medicine, University of Nottingham, UK
J Goody
Affiliation:
School of Medicine, University of Nottingham, UK
D M Baguley
Affiliation:
Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, UK NIHR Biomedical Research Centre, University of Nottingham, UK Nottingham Audiology Services, Nottingham University Hospitals NHS Trust, UK
A V Kasbekar
Affiliation:
Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, UK NIHR Biomedical Research Centre, University of Nottingham, UK Department of Otorhinolaryngology, Head and Neck Surgery, Nottingham University Hospitals NHS Trust, UK
*
Author for correspondence: Mr Christian Sevilla, 40 Castle Gardens, Nottingham NG7 1HH, UK E-mail: cksevilla1109@googlemail.com
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Abstract

Background

Ménière's disease often presents with aural fullness, for reasons that are currently not well understood. Transtympanic ventilation tube insertion has been historically used for the management of this symptom, though the nature and mechanism of effectiveness is unclear.

Objective

To give an overview of the data available on the effects of ventilation tube insertion on aural fullness in Ménière's disease.

Methods

The databases PubMed, Embase, Medline, Scopus, Web of Science, Central and Google Scholar were searched to identify relevant records. Records were subsequently analysed and data extracted.

Results

Only two studies directly measured the effect of ventilation tube insertion on aural fullness, while three others measured it as a placebo to assess another treatment. Considerable heterogeneity was found amongst the studies, including conflicting conclusions.

Conclusion

There is a paucity of evidence investigating the effect of grommet insertion on aural fullness in Ménière's disease. This work directs future research into this topic.

Keywords

OtolaryngologyEaracheMeniere DiseaseMiddle Ear VentilationEndolymphatic Hydrops
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 6 , June 2019 , pp. 450 - 456
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr C Sevilla takes responsibility for the integrity of the content of the paper

References

1Goebel, JA. 2015 Equilibrium Committee Amendment to the 1995 AAO-HNS Guidelines for the Definition of Meniere's Disease. Otolaryngol Head Neck Surg 2016;154:403–4Google Scholar
2Naganawa, S, Nakashima, T. Visualization of endolymphatic hydrops with MR imaging in patients with Meniere's disease and related pathologies: current status of its methods and clinical significance. Jpn J Radiol 2014;32:191–204Google Scholar
3Salt, AN, Plontke, SK. Endolymphatic hydrops: pathophysiology and experimental models. Otolaryngol Clin North Am 2010;43:971–83Google Scholar
4Levo, H, Kentala, E, Rasku, J, Pyykko, I. Aural fullness in Meniere's disease. Audiol Neurootol 2014;19:395–9Google Scholar
5Vass, Z, Shore, SE, Nuttall, AL, Miller, JM. Endolymphatic hydrops reduces retrograde labeling of trigeminal innervation to the cochlea. Exp Neurol 1998;151:241–8Google Scholar
6Flores, EN, Duggan, A, Madathany, T, Hogan, AK, Marquez, FG, Kumar, G et al. A non-canonical pathway from cochlea to brain signals tissue-damaging noise. Curr Biol 2015;25:606–12Google Scholar
7Liu, C, Glowatzki, E, Fuchs, PA. Unmyelinated type II afferent neurons report cochlear damage. Proc Natl Acad Sci U S A 2015;112:14723–7Google Scholar
8Park, MS, Lee, HY, Kang, HM, Ryu, EW, Lee, SK, Yeo, SG. Clinical manifestations of aural fullness. Yonsei Med J 2012;53:985–91Google Scholar
9Smith, WK, Sankar, V, Pfleiderer, AG. A national survey amongst UK otolaryngologists regarding the treatment of Meniere's disease. J Laryngol Otol 2005;119:102–5Google Scholar
10Harcourt, J, Barraclough, K, Bronstein, AM. Meniere's disease. BMJ 2014;349:g6544Google Scholar
11Thomsen, J, Bonding, P, Becker, B, Stage, J, Tos, M. The non-specific effect of endolymphatic sac surgery in treatment of Meniere's disease: a prospective, randomized controlled study comparing “classic” endolymphatic sac surgery with the insertion of a ventilating tube in the tympanic membrane. Acta Otolaryngol 1998;118:769–73Google Scholar
12Montandon, P, Guillemin, P, Hausler, R. Prevention of vertigo in Meniere's syndrome by means of transtympanic ventilation tubes. ORL J Otorhinolaryngol Relat Spec 1988;50:377–81Google Scholar
13Ogawa, Y, Otsuka, K, Hagiwara, A, Inagaki, A, Shimizu, S, Nagai, N et al. Clinical study of tympanostomy tube placement for patients with intractable Meniere's disease. J Laryngol Otol 2015;129:120–5Google Scholar
14Park, J, Chen, Y, Westhofen, M. Meniere's disease and middle ear pressure – vestibular function after transtympanic tube placement. Acta Otolaryngol 2009;129:1408–13Google Scholar
15Sugawara, K, Kitamura, K, Ishida, T, Sejima, T. Insertion of tympanic ventilation tubes as a treating modality for patients with Meniere's disease: a short- and long-term follow-up study in seven cases. Auris Nasus Larynx 2003;30:25–8Google Scholar
16Kimura, RS, Hutta, J. Inhibition of experimentally induced endolymphatic hydrops by middle ear ventilation. Eur Arch Otorhinolaryngol 1997;254:213–18Google Scholar
17Syed, I, Aldren, C. Meniere's disease: an evidence based approach to assessment and management. Int J Clin Pract 2012;66:166–70Google Scholar
18Arksey, H, O'Malley, L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005;8:19–32Google Scholar
19Dayal, P. Observations on the use of grommets in Meniere's disease. Indian J Otolaryngol 1971;23:119–23Google Scholar
20Densert, B, Densert, O, Arlinger, S, Sass, K, Ödkvist, L. Immediate effects of middle ear pressure changes on the electrocochleographic recordings in patients with Meniere's disease: a clinical placebo-controlled study. Am J Otol 1997;18:726–33Google Scholar
21Odkvist, LM, Arlinger, S, Billermark, E, Densert, B, Lindholm, S, Wallqvist, J. Effects of middle ear pressure changes on clinical symptoms in patients with Meniere's disease – a clinical multicentre placebo-controlled study. Acta Otolarngol Suppl 2000;543:99–101Google Scholar
22Postema, R, Kingma, C, Wit, H, Albers, F, Van Der Laan, B. Intratympanic gentamicin therapy for control of vertigo in unilateral Meniere's disease: a prospective, double-blind, randomized, placebo-controlled trial. Acta Otolaryngol 2008;128:876–80Google Scholar
23Lall, M. Meniere's disease and the grommet (a survey of its therapeutic effects). J Laryngol Otol 1969;83:787–91Google Scholar
24OCEBM Levels of Evidence Working Group. The Oxford Levels of Evidence 2: Oxford Centre for Evidence-Based Medicine. In: https://www.cebm.net/index.aspx?o=5653 [13 January 2019]Google Scholar
25Burns, PB, Rohrich, RJ, Chung, KC. The levels of evidence and their role in evidence-based medicine. Plast Reconstr Surg 2011;128:305–10Google Scholar
26Yardley, L, Dibb, B, Osborne, G. Factors associated with quality of life in Meniere's disease. Clin Otolaryngol Allied Sci 2003;28:436–41Google Scholar
27Belinchon, A, Perez-Garrigues, H, Tenias, JM, Lopez, A. Hearing assessment in Meniere's disease. Laryngoscope 2011;121:622–6Google Scholar
28Probst, P, Grummich, K, Harnoss, JC, Hüttner, FJ, Jensen, K, Braun, S et al. Placebo-controlled trials in surgery: a systematic review and meta-analysis. Medicine (Baltimore) 2016;95;e3516Google Scholar
29RCS Policy Unit. Position Statement: use of placebo surgery in surgical research. Bulletin of the Royal College of Surgeons of England 2016;98:80–1Google Scholar