Ménière'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-HNS diagnostic guidelines, disease heterogeneity and lack of treatment consensus persist....

Treatment evidence for Ménière's disease remains highly variable in quality; audiologists and ENT colleagues should interpret guideline recommendations cautiously until higher-quality RCTs close the evidence gaps identified.

Scoping the three-decade evidence landscape for Ménière's disease directly exposes gaps that should guide future trial design and temper over-confident clinical guidelines.

1. 01Scoping review spans 30 years of Ménière's disease treatment research.
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