{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T04:07:43Z","timestamp":1789186063277,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n M\u00e9ni\u00e8re's disease (MD) is a complex inner ear disorder defined by endolymphatic hydrops and a triad of episodic vertigo, fluctuating hearing loss, and tinnitus. Despite AAO\u2010HNS diagnostic guidelines, disease heterogeneity and lack of treatment consensus persist.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n \n This study conducts a tri\u2010decade scoping review (1994\u20132024) to evaluate the\n MD<\/jats:styled-content>\n evidence base, shifts in management, and methodological rigor regarding\n AAO<\/jats:styled-content>\n \u2010\n HNS<\/jats:styled-content>\n and\n CONSORT<\/jats:styled-content>\n compliance.\n <\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n A systematic search of PubMed, CINAHL, and Cochrane (2014\u20132024) identified English\u2010language RCTs and prospective cohorts involving adults. Studies were graded via the Oxford CEBM system, with guideline compliance analyzed using IBM SPSS v29.0. A scoping review framework was adopted to map the \u201cQuality Paradox\u201d between evidence hierarchy and reporting standards.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n From 1344 publications, 257 studies met inclusion criteria. While research volume surged\u2014with Level 2 studies quadrupling (\n p<\/jats:italic>\n \u2009<\u20090.01) and Level 3 studies tripling (\n p<\/jats:italic>\n \u2009<\u20090.05)\u2014reporting standards significantly declined. Adherence to AAO\u2010HNS diagnostic and treatment\u2010outcome criteria dropped to 73% and 34%, respectively. Clinically, management shifted toward preservation\u2010focused interventions, including hydrops\u2010visualizing MRI, intratympanic steroids over gentamicin, and increased cochlear implantation, alongside a decline in positive\u2010pressure device use.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The\n MD<\/jats:styled-content>\n evidence base increasingly favors non\u2010ablative, patient\u2010centered interventions. However, the validity of these advancements is threatened by a significant decline in reporting compliance. To safeguard the evidence base, journals must enforce standardized reporting as a nonnegotiable prerequisite for publication.\n <\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n N\/A.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.70596","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:48:52Z","timestamp":1777463332000},"page":"4482-4488","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["M\u00e9ni\u00e8re's Disease: A Tri\u2010Decade Scoping Review of Treatment Trends and Evidence Quality"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4381-216X","authenticated-orcid":false,"given":"Ofir","family":"Zavdy","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, University Health Network, Toronto General Hospital University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teeraya","family":"Piyajarawong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University Health Network, Toronto General Hospital University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seamus","family":"Boyle","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University Health Network, Toronto General Hospital University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4284-9793","authenticated-orcid":false,"given":"Ross","family":"O'Shea","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University Health Network, Toronto General Hospital University of Toronto Toronto Ontario 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