To critically review the available evidence on the pathophysiology and diagnosis of Menière's disease and to provide consensus-based recommendations developed by a task force of the Brazilian Society of Otology and the Brazilian Academy of Neurotology.
✦ The floor
Discussion
Signed responses from readers of the wire.
Audiologists and otologists managing Ménière's disease should review these Brazilian consensus recommendations for updated pathophysiology framing and diagnostic criteria, particularly regarding endolymphatic hydrops (excess fluid buildup in the inner ear) models.
Consensus-based, society-endorsed diagnostic frameworks for Ménière's disease are critical for standardising clinical evaluation and reducing the variability that currently hampers both patient care and research comparability.
- 01Task force jointly convened by Brazilian Society of Otology and Brazilian Academy of Neurotology.
- 02Covers pathophysiology (how the disease develops) and diagnostic criteria for Ménière's disease.
- 03Published in Brazilian Journal of Otorhinolaryngology.
- 04Consensus-based methodology — not an evidence synthesis (systematic review).
- 05Relevant to clinicians who diagnose and manage Ménière's disease.
The task force provides consensus-based recommendations on Ménière's disease pathophysiology and diagnosis.
guidelinesupported- PMID
- 42874295
- DOI
- 10.1016/j.bjorl.2026.101926.
- Journal
- Brazilian Journal of Otorhinolaryngology
- Publication type
- review
- Evidence level
- 5
- Population
- Expert task force members; recommendations applicable to patients with suspected or confirmed Ménière's disease
- Intervention
- Consensus-based diagnostic and pathophysiology recommendations for Ménière's disease
Primary outcomes
Consensus recommendations on Ménière's disease pathophysiology; Consensus diagnostic criteria for Ménière's disease