Multifrequency Admittancemetry in Ménière's Disease: A Preliminary Study for a New Diagnostic Test

Franco-Vidal, V.; Legarlantezec, Cécile; Blanchet, Harold; Convert, Cyril; Torti, Florinda; Darrouzet, V.

doi:10.1097/01.mao.0000178136.81729.7c

Cited by 43 publications

(49 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Multi-frequency tympanometry (MFT), which enables the impedance of the conduction system of the middle ear to be measured in a wide frequency range from 0.2 to 2 kHz, can also be employed for the diagnosis of MD and EH. Using MFT, a conductance range of 2 kHz at a 235 daPa threshold was found to be wider in patients with symptomatic MD compared to control, with a diagnostic sensitivity and specificity 53.6% and 95%, respectively (19). Recent studies show a relationship between the results obtained from MFT and MD, but they reveal that the results are not sufficient for diagnostic accuracy (19).…”

Section: Multi-frequency Tympanometrymentioning

confidence: 99%

“…Using MFT, a conductance range of 2 kHz at a 235 daPa threshold was found to be wider in patients with symptomatic MD compared to control, with a diagnostic sensitivity and specificity 53.6% and 95%, respectively (19). Recent studies show a relationship between the results obtained from MFT and MD, but they reveal that the results are not sufficient for diagnostic accuracy (19). The sensitivity and specificity of MFT in the diagnosis of EH is at a moderate level, which is similar to those of electrocochleography (ECoG) and vestibular-evoked myogenic potential (VEMP) tests.…”

Section: Multi-frequency Tympanometrymentioning

confidence: 99%

See 1 more Smart Citation

Validity and Reliability of the Diagnostic Tests for Ménière's Disease

Günerı

Çakır

Mutlu

2016

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

Ménière's disease is defined as an idiopathic syndrome characterized by endolymphatic hydrops. Various tests and measurement methods have been employed for the diagnosis of Ménière's disease. These include audiological, vestibular, radiological, clinical, and biochemical tests. However, the lack of a definitive or gold standard diagnostic test sometimes complicates the process of diagnosis. Hence, the clinician should be well-experienced in deciding when to perform a test and how to interpret the results of the test. Furthermore, having the knowledge of the validity and reliability of these tests plays a critical role. This review particularly emphasizes on remarking the validity and reliability of each test performed for the diagnosis of Ménière's disease and discussing the results according to the up-to-date literature.

show abstract

Section: Multi-frequency Tympanometrymentioning

confidence: 99%

Section: Multi-frequency Tympanometrymentioning

confidence: 99%

Validity and Reliability of the Diagnostic Tests for Ménière's Disease

Günerı

Çakır

Mutlu

2016

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…The admittance (Y) of the system is a two-dimensional quantity and is a vector sum of conductance (G) and susceptance (B). For quantitative measurement criteria, we adopted the width of the double peaks in magnitude of Y tympanometry (Y width) instead of the double peaks in G tympanometry (G width) [Franco-Vidal et al, 2005], since the G width was much smaller than the Y width (170.7 ± 68.5 daPa in Y width and 95.6 ± 52.6 daPa in G width; p < 0.01) and the Y width was more stable to record. The rate of M-form shapes observed in Y tympanometry (92%; 55 of 60 ears) was comparable with that observed in G tympanometry (88%; 52 of 60 ears).…”

Section: Multifrequency Tympanometrymentioning

confidence: 99%

Diagnostic Usefulness of Multifrequency Tympanometry for Ménière’s Disease

Sugasawa¹,

Iwasaki²,

Fujimoto³

et al. 2013

Audiol Neurotol

View full text Add to dashboard Cite

Multifrequency tympanometry (MFT) is the measurement of the impedance of the middle ear transmission system at a wide range of frequencies from 200 Hz to 2 kHz. A potential use of MFT as a new diagnostic tool for detecting endolymphatic hydrops has recently been reported. However, its clinical usefulness for diagnosing Ménière’s disease (MD) remains unclear. To evaluate the clinical usefulness of MFT as a new qualitative and diagnostic test for MD, we performed MFT in 70 patients with unilateral or bilateral MD and in 29 normal control subjects. The width of double peaks in the admittance tympanograms (Y width) at 2 kHz and the resonance frequency (RF) were analyzed, and receiver operating characteristic (ROC) curves were constructed. The Y width in MD-affected ears was significantly greater than that in control ears (p < 0.001). The RF in MD-affected ears was significantly lower than that in control ears (p < 0.01). Neither the Y width nor RF had a significant relationship with hearing levels or the results of caloric and vestibular myogenic potential testings. The area under the ROC curve was 0.71 for the Y width and 0.66 for the RF. At the optimal cutoff points, the sensitivity and specificity of the Y width were 47.3 and 86.8%, respectively, and those of the RF were 41.3 and 84.2%, respectively. These results indicated that MFT is significantly associated with the presence of MD, but its diagnostic accuracy is only modest. MFT is a simple, noninvasive test, which should be considered as a complementary test in the diagnosis of MD.

show abstract

“…RF is the most useful parameter measured by multi-frequency tympanometry, with the published data showing a relative consistency in normal adults. The mean RF is around 950 Hz, ranging from 650 to 1,400 Hz [3,[8][9][10][11][12][13][14][15][16][17][18][19][20] (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Multi-Frequency Tympanometry: Clinical Applications for the Assessment of the Middle Ear Status

Iacovou

Vlastarakos

Ferekidis³

et al. 2012

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

The aim of the present paper was to review the current knowledge on multi-frequency tympanometry and explore its role as a diagnostic tool in various otologic conditions. Literature review in Medline and other database sources. Prospective controlled, prospective comparative, and prospective cohort studies, animal studies, retrospective studies and systematic reviews. Multi-frequency tympanometry provides more accurate and detailed information about the middle ear dynamics than standard tympanometry. Otosclerosis and rheumatoid arthritis characteristically increase the resonant frequency (RF) of the middle ear. Ossicular chain discontinuity, atelectatic tympanic membrane, and otitis media with effusion typically decrease the RF of the middle ear. Multifrequency tympanometry can also assess the stage of rheumatoid arthritis in the presence of middle ear involvement. The RF can be affected by the mechanical impedance of the cochlea, and multi-frequency tympanometry can be helpful in the diagnostic workup of LVAS. Multi-frequency tympanometry can be a useful tool to predict the diagnosis of various middle ear pathologies preoperatively, due to the ensuing changes in the RF of the mechano-acoustic system of the middle ear, which can be accurately determined when this methodology is applied.

show abstract

Multifrequency Admittancemetry in Ménière's Disease: A Preliminary Study for a New Diagnostic Test

Abstract: Width of conductance at 2 kHz seems to be a sensitive, simple diagnostic test in Ménière's disease. It would also be of great interest in studying Ménière's disease bilaterality.

Cited by 43 publications

References 12 publications

Validity and Reliability of the Diagnostic Tests for Ménière's Disease

Validity and Reliability of the Diagnostic Tests for Ménière's Disease

Diagnostic Usefulness of Multifrequency Tympanometry for Ménière’s Disease

Multi-Frequency Tympanometry: Clinical Applications for the Assessment of the Middle Ear Status

Contact Info

Product

Resources

About