{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T01:43:18Z","timestamp":1785807798364,"version":"3.56.0"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T00:00:00Z","timestamp":1659571200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122001773_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>The heterogeneity of M\u00e9ni\u00e8re's disease is presently defined by a variety of subtypes. This study introduced three different subtypes of unilateral M\u00e9ni\u00e8re's disease based on the evolution of vertigo crises from their inception.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001773_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>A longitudinal descriptive study of 327 unilateral M\u00e9ni\u00e8re's disease patients was performed. In a subgroup of patients followed from the onset of the disease, 3 subtypes of unilateral M\u00e9ni\u00e8re's disease were defined according to the vertiginous crises suffered during the first 10 years of the disorder.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001773_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Data was available for 87 patients with unilateral M\u00e9ni\u00e8re's disease from the start of their disease (26.6 per cent of the original sample). These patients were grouped into three models according to their symptomatic evolution. Model 3 was associated with a worse hearing prognosis, a greater number of Tumarkin's otolithic crises and the need for surgery. Model 1 presented less hearing loss.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001773_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Unilateral M\u00e9ni\u00e8re's disease models based on the evolution of vertiginous crises present differences according to aspects such as hearing loss, vertiginous crisis, Tumarkin's otolithic crisis and the need for surgery.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122001773","type":"journal-article","created":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T08:12:03Z","timestamp":1659600723000},"page":"629-636","source":"Crossref","is-referenced-by-count":7,"title":["A longitudinal study of unilateral M\u00e9ni\u00e8re's disease and clinical evolutionary 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