Transtympanic Electrocochleography for the Diagnosis of Ménière's Disease

نویسندگان

  • Jeremy Hornibrook
  • Catherine Kalin
  • Emily Lin
  • Greg A. O'Beirne
  • John Gourley
چکیده

This paper evaluated the diagnostic power of electrocochleography (ECochG) in detecting Ménière's disease (MD) as compared with two subjective assessment methods, including the clinical guidelines provided by the American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing Equilibrium and the Gibson score. A retrospective study of 250 suspected MD cases was conducted. The agreement between the three assessment methods was found to be relatively high, with a total reliability being higher than 70%. Participants who tested "positive" with ECochG exhibited a higher occurrence rate of asymmetric hearing threshold as well as the four MD symptoms, namely, vertigo, hearing loss, tinnitus, and aural fullness. The "positive" ECochG group also showed a high correlation between the ECochG measures in response to stimuli at adjacent frequency ranges, suggesting that the interfrequency ECochG correspondence may be sensitive to the presence of endolymphatic hydrops and thus may serve as a useful diagnostic marker for MD.

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TRANSTYMPANIC ELECTROCOCHLEOGRAPHY FOR EVALUATION OF MENIERE\'S DISEASE

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عنوان ژورنال:

دوره 2012  شماره 

صفحات  -

تاریخ انتشار 2012