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Summary
Details are given of a new integrated system for staging the two major components of Ménière's disease, hearing and vertigo, which can also be used for any inner ear disease, without a specific diagnosis. All that is required is a good history and a pure tone audiometer. The composite system consists of a complete cochlear profile for each ear showing the degree of hearing loss, tinnitus and aural pressure and a complete vertigo-disability profile, where vertigo, imbalance, and disability are individually assessed and staged on the basis of a concise descriptive approach to the various components of inner ear disease. The staging system for vertigo is new, simple and practical and based on the vertigogram. Staging vertigo can be modified as clinical experience warrants. It is suggested that the profiles can provide a simple and effective means by which all clinicians can classify and quantify in a few lines the various components of any inner ear disorder, and an effective basis for comparison of results among various clinicians.