Fluctuation in electrical hearing in a Morbus Meniere’s patient

Hast, Anne; Meßbacher, Maria-Elena; Liebscher, T; Hornung, Joachim; Hoppe, Ulrich

doi:10.1002/ccr3.4411

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…The phenomenon of fluctuating post-operative hearing in MD patients with prior ITG treatment shown in our study has already been reported by case reports [ 17 , 29 ]. The underlying mechanism for fluctuation in hearing in MD patients is still not clear.…”

Section: Discussionsupporting

confidence: 85%

Role of prior intratympanic gentamicin and corticosteroids therapy on speech understanding in patients with Menière's disease after cochlear implantation

Thangavelu,

Gillhausen,

Weiß

et al. 2024

Eur Arch Otorhinolaryngol

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Aim Intratympanic injection of corticosteroids (ITC) and gentamicin therapy (ITG) are widely used treatments for vertigo in Meniere’s disease (MD). Even though studies show good results after cochlea implantation (CI) in MD patients when compared to non-MD groups, there is no indication on the effect of ITC and ITG prior to CI on hearing after CI. This study compares the post-operative hearing of CI patients with and without MD and patients who have received ITG or ITC prior to CI. Methods In a retrospective case control study, adult patients with MD who received CI from 2002 till 2021 were compared to a matched control group of CI patients without MD. Patients with prior ITC/ITG were extracted from MD group. Pre-operative audiological results were measured and trends across post-operative monosyllabic word recognition score at 65 decibels (WRS65CI) at switch-on, 3–6 months, 1 year and last yearly value were analyzed across all groups. Results 28 MD ears were compared with 33 control ears. From MD ears 9 had received ITG and 6 ITC prior to CI. WRS65CI increased significantly with time within MD and control groups, but no difference in WRS65CI was found between these 2 groups. ITG ears showed fluctuating WRS65CI after CI with no change across time, while ITC ears showed significant increase in trend of WRS65CI values across time. Conclusion MD and non-MD patients showed comparable hearing results after CI. Prior ITC might positively influence hearing preservation after CI in MD patients whereas ITG group showed fluctuating hearing.

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Section: Discussionsupporting

confidence: 85%

Role of prior intratympanic gentamicin and corticosteroids therapy on speech understanding in patients with Menière's disease after cochlear implantation

Thangavelu,

Gillhausen,

Weiß

et al. 2024

Eur Arch Otorhinolaryngol

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“…Fluctuations in speech understanding with CI are to be expected in patients with persistent auditory fluctuations because of active disease. Although longterm care outcomes for inactive Menière's disease have been described as good [21], active Menière's still requires considerable clinical or individual resources [22,23]. The impact on WRS 65 (CI) and subjective hearing-related impairment might be substantial [21,22,24].…”

Section: Discussionmentioning

confidence: 99%

“…Although longterm care outcomes for inactive Menière's disease have been described as good [21], active Menière's still requires considerable clinical or individual resources [22,23]. The impact on WRS 65 (CI) and subjective hearing-related impairment might be substantial [21,22,24]. Previous studies have demonstrated that patients with active Menière's and fluctuating hearing have increased impedances and require continuous adjustments to the CI sound processor [25].…”

Section: Discussionmentioning

confidence: 99%

Investigation of Maximum Monosyllabic Word Recognition as a Predictor of Speech Understanding with Cochlear Implant

Czurda,

Wesarg,

Aschendorff

et al. 2024

JCM

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Background: The cochlear implant (CI) is an established treatment option for patients with inadequate speech understanding and insufficient aided scores. Nevertheless, reliable predictive models and specific therapy goals regarding achievable speech understanding are still lacking. Method: In this retrospective study, 601 cases of CI fittings between 2005 and 2021 at the University Medical Center Freiburg were analyzed. We investigated the preoperative unaided maximum word recognition score (mWRS) as a minimum predictor for post-interventional scores at 65 dB SPL, WRS65(CI). The WRS65(CI) was compared with the preoperative-aided WRS, and a previously published prediction model for the WRS65(CI) was reviewed. Furthermore, the effect of duration of hearing loss, duration of HA fitting, and etiology on WRS65(CI) were investigated. Results: In 95.5% of the cases, a significant improvement in word recognition was observed after CI. WRS65(CI) achieved or exceeded mWRS in 97% of cases. Etiology had a significant impact on WRS65(CI). The predicted score was missed by more than 20 percentage points in 12.8% of cases. Discussion: Our results confirmed the minimum prediction via mWRS. A more precise prediction of the expected WRS65(CI) is possible. The etiology of hearing loss should be considered in the indication and postoperative care to achieve optimal results.

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Fluctuation in electrical hearing in a Morbus Meniere’s patient

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 2 publications

References 6 publications

Role of prior intratympanic gentamicin and corticosteroids therapy on speech understanding in patients with Menière's disease after cochlear implantation

Role of prior intratympanic gentamicin and corticosteroids therapy on speech understanding in patients with Menière's disease after cochlear implantation

Investigation of Maximum Monosyllabic Word Recognition as a Predictor of Speech Understanding with Cochlear Implant

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