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Ménière's disease is an unexplained peripheral vestibular disease with endolymphatic hydrops as the main pathological features. Pathogenesis and pathophysiology mechanism are not clear at present. Summarizing the advances of epidemiology, pathophysiology and clinical manifestations is conducive to clinicians' understanding and in-depth study of the disease. DOI: 10.3969/j.issn.1672-6731.2019.02.002