Hearing assessment in Menière's disease

Belinchon, Antonio; Pérez-Garrigues, Herminio; Tenias, Jose María; López, Alberto José

doi:10.1002/lary.21335

Cited by 50 publications

(39 citation statements)

References 16 publications

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“…Deterioration of hearing levels are seen initially in the low frequencies especially in patients with unilateral disease [10]. Paparella [11] showed aural fullness in MD is 74.1%.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Audio Vestibular Profile of Meniere’s Disease in a Tertiary Care Centre in India

Selvakumar

Balraj

Kurien

et al. 2011

Indian J Otolaryngol Head Neck Surg

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The aims of this study are to determine the frequency of patients presenting with Meniere's Disease(MD) in an Indian setting, using the American Academy of Otolaryngology-Head and Neck Surgery (AAO) diagnostic criteria, and to describe the clinical and audio vestibular profiles of these patients. The study was based on prospective case series design in the settings of a tertiary referral hospital. The study included all consecutive patients aged between 5 and 75 years presenting with the history of hearing loss, vertigo, tinnitus and or aural fullness as participants, satisfying inclusion and exclusion criteria for MD (AAO 1995) recruited over a 12 month period. Main outcome measures comprised the evaluation of epidemiological profile, clinical features, and results of audio vestibular investigations like Pure Tone Audiometry with and without glycerol, Impedance Audiometry, Electrocochleography (ECohG), Distortion Product Otoacoustic Emission and Electronystagmography (ENG). The results of the study are as follows: The frequency of MD was 15.6%, being commoner in males than females (2.6:1) and occurring more in the age group 40-49 years among males and 30-39 years among females. High frequency tinnitus was commoner than low frequency tinnitus. Extra tympanic ECohG had a positive predictive value of 76% for endolymphatic hydrops. ENG was useful for demonstrating canal paresis pattern of nystagmus in 61%. Indian patients with MD commonly present to tertiary care at the functional level scale of 3. The results of this study revealed that the frequency of MD is not as low in the Indian ENT setting as earlier believed. There is a high chance of missing cases in the routine ENT outpatient clinic setting unless a structured proforma incorporating the AAO 1995 diagnostic criteria is used.

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“…Deterioration of hearing levels are seen initially in the low frequencies especially in patients with unilateral disease [10]. Paparella [11] showed aural fullness in MD is 74.1%.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Audio Vestibular Profile of Meniere’s Disease in a Tertiary Care Centre in India

Selvakumar

Balraj

Kurien

et al. 2011

Indian J Otolaryngol Head Neck Surg

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“…Patients suffering from Ménière's disease typically (but not necessarily) develop initial LF hearing loss (e.g. Belinchon et al 2011), hinting that structures involved in LF sound processing are impaired by the unknown pathophysiological processes behind Ménière's disease, at least in the early stages of the disease. The BP can only be evoked with LF sound (e.g.…”

Section: Hearing Threshold Changes After Lf Sound Stimulationmentioning

confidence: 99%

Multiple Indices of the ‘Bounce’ Phenomenon Obtained from the Same Human Ears

Drexl

Überfuhr

Weddell

et al. 2013

JARO

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Loud low-frequency sounds can induce temporary oscillatory changes in cochlear sensitivity, which have been termed the 'bounce' phenomenon. The origin of these sensitivity changes has been attributed to slow fluctuations in cochlear homeostasis, causing changes in the operating points of the outer hair cell mechanoelectrical and electro-mechanical transducers. Here, we acquired three objective and subjective measures resulting in a comprehensive dataset of the bounce phenomenon in each of 22 normal-hearing human subjects. We analysed the level and phase of cubic and quadratic distortion product otoacoustic emissions and the auditory thresholds before and after presentation of a low-frequency stimulus (30 Hz sine wave, 120 dB SPL, 90 s) as a function of time. In addition, the perceived loudness of temporary, tinnitus-like sensations occurring in all subjects after cessation of the low-frequency stimulus was tracked over time. The majority of the subjects (70 %) showed a significant, biphasic change of quadratic, but not cubic, distortion product otoacoustic emissions of about 3-4 dB. Eighty-six percent of the tested subjects showed significant alterations of hearing thresholds after low-frequency stimulation. Four different types of threshold changes were observed, namely monophasic desensitisations (the majority of cases), monophasic sensitisations, biphasic alterations with initial sensitisation and biphasic alterations with initial desensitisation. The similar duration of the three bounce phenomenon measures indicates a common origin. The current findings are consistent with the hypothesis that slow oscillations of homeostatic control mechanisms and associated operating point shifts within the cochlea are the source of the bounce phenomenon.

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“…Cochlear MD is considered to be a fluctuating progressive neurosensory hearing loss [according to our own previous studies, mainly at low frequencies; Belinchon et al, 2011] associated with auditory pressure without vestibular symptoms or signs. Vestibular MD is characterized by the appearance of episodic vertigo and instability combined with pressure in one or both ears.…”

Section: Introductionmentioning

confidence: 99%

Evolution of Symptoms in Ménière’s Disease

Belinchon

Pérez-Garrigues

Tenias³

2011

Audiol Neurotol

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Objective: To investigate the sequence and correlation of symptoms of Ménière’s disease (MD) depending on their order of manifestation. Methods: Descriptive, longitudinal study of the symptoms in 237 tertiary hospital patients who had been diagnosed with definite MD according to the criteria of the American Academy of Otolaryngology. Patients were followed for 1–31 years. Results: Disease began with the three classic symptoms in only 40% of the patients. We recorded the mean, median and maximum time needed to complete the symptoms as well as the time elapsed in some patients from disease onset in one ear to bilateral involvement. Conclusions: We reckon that this study may be of great help in ruling out a diagnosis of MD when the patient presents with only one or two symptoms of the triad. Furthermore, regarding the planning of treatment, the time interval between unilateral and bilateral involvement (5–7 years) is very important since bilateral involvement has great repercussions on treatment, especially surgical treatment.

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Hearing assessment in Menière's disease

Cited by 50 publications

References 16 publications

Clinical and Audio Vestibular Profile of Meniere’s Disease in a Tertiary Care Centre in India

Clinical and Audio Vestibular Profile of Meniere’s Disease in a Tertiary Care Centre in India

Multiple Indices of the ‘Bounce’ Phenomenon Obtained from the Same Human Ears

Evolution of Symptoms in Ménière’s Disease

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