{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:37:13Z","timestamp":1777426633415,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,3,16]],"date-time":"2018-03-16T00:00:00Z","timestamp":1521158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe the course of Meniere\u2019s disease with noninvasive treatment during the first few years after initial diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of consecutive patients with newly diagnosed definite Meniere\u2019s disease between 2013 and 2016 and a minimum follow-up of 1 year. Patients received a written plan for low sodium, water therapy, and treatment with a diuretic and\/or betahistine. Subjects were screened and treated for vestibular migraine as needed. Vertigo control and hearing status at most recent follow-up were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-four subjects had an average follow up of 24.3 months. Thirty-four percent had Meniere\u2019s disease and vestibular migraine, and 84% had unilateral Meniere\u2019s disease. Seventy-five percent had vertigo well controlled at most recent follow-up, with only noninvasive treatments. Age, gender, body mass index, presence of vestibular migraine, bilateral disease, and duration of follow-up did not predict noninvasive treatment failure. Worse hearing threshold at 250 Hz and lower pure tone average (PTA) at the time of diagnosis did predict failure. Fifty-two percent of ears had improved PTA at most recent visit, 20% had no change, and 28% were worse<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Encountering excellent vertigo control and stable hearing after a new diagnosis of Meniere\u2019s disease is possible with noninvasive treatments. Worse hearing status at diagnosis predicted treatment failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489418763224","type":"journal-article","created":{"date-parts":[[2018,3,16]],"date-time":"2018-03-16T07:37:06Z","timestamp":1521185826000},"page":"331-337","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Newly Diagnosed Meniere\u2019s Disease: Clinical Course With Initiation of Noninvasive Treatment Including an Accounting of Vestibular Migraine"],"prefix":"10.1177","volume":"127","author":[{"given":"Firas","family":"Sbeih","sequence":"first","affiliation":[{"name":"University of Central Florida College of Medicine, Orlando, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5226-1403","authenticated-orcid":false,"given":"Florian","family":"Christov","sequence":"additional","affiliation":[{"name":"University of Chicago Section of Otolaryngology-Head & Neck Surgery and Universitaetsklinikum Essen, Department of ENT-HNS, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4503-5544","authenticated-orcid":false,"given":"Michael B.","family":"Gluth","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology-Head & Neck Surgery and Bloom Otopathology Laboratory, University of Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,16]]},"reference":[{"key":"bibr1-0003489418763224","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61161-7"},{"key":"bibr2-0003489418763224","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31816927f0"},{"key":"bibr3-0003489418763224","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000036903.22461.39"},{"key":"bibr4-0003489418763224","doi-asserted-by":"publisher","DOI":"10.1097\/mao.0b013e31815c2abb"},{"key":"bibr5-0003489418763224","doi-asserted-by":"publisher","DOI":"10.3233\/VES-2012-0453"},{"key":"bibr6-0003489418763224","doi-asserted-by":"publisher","DOI":"10.1177\/1756285611401647"},{"key":"bibr7-0003489418763224","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70102-8"},{"key":"bibr8-0003489418763224","unstructured":"Migraine diet: a natural approach to migraines. http:\/\/www.pcrm.org\/health\/health-topics\/a-natural-approach-to-migraines. 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