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Effect of hearing loss in electrocochleographic investigation of endolymphatic hydrops using tone-pip and click stimuli

Published online by Cambridge University Press:  29 June 2007

M. Koyuncu ,
S. M. Mason  and
C. Shinkwin
M. Koyuncu
Affiliation:
Department of Otolaryngology, University Hospital, Queen's Medical Centre, Nottingham, UK.
S. M. Mason*
Affiliation:
Department of Medical Physics, University Hospital, Queen's Medical Centre, Nottingham, UK.
C. Shinkwin
Affiliation:
Department of Otolaryngology, University Hospital, Queen's Medical Centre, Nottingham, UK.
*
Dr S. M. Mason, Medical Physics Department, Queen's Medical Centre, Nottingham NG7 2UH, UK.
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Abstract

Extratympanic electrocochleography (ECochG) was performed on 37 patients referred to the Evoked Potential Clinic with suspected Ménière's disease. The patients were classified according to their hearing impairment and audiometric configuration. Click and tone-pip stimuli with tone frequencies of 1 and 4 kHz were presented at a rate of 10 per second. Amplitude, latency and general waveform characteristics of the summation potential (SP) and action potential (AP) were analysed for each averaged response with respect to the level and configuration of the hearing loss. The highest incidence of abnormal percentage SP was in patients with average hearing loss in the range of 40–64 dB HL using the click stimulus. In low tone hearing loss, hydrops was identified from an enhanced SP in significantly more patients using the click and 4 kHz tone-pip than the 1 kHz stimulus. Measurement of the width of the 1 kHz tone-pip response waveform was abnormal in some patients even though the click and 4 kHz responses were normal. The optimum stimulus for identification of hydrops from an enhanced SP is dependent on the level and configuration of the hearing loss.

Keywords

Ménière's diseaseAudiometryevoked responseelectrocochleographyHearing losssensorineural
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 2 , February 1994 , pp. 125 - 130
Copyright
Copyright © JLO (1984) Limited 1994

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References

Campbell, K. C. M., Savage, M. M., Harker, L. A. (1992 a) Electrocochleography in the presence and absence of perilymphatic fistula. Annals of Otology, Rhinology, Laryngology 101: 403–407.CrossRefGoogle ScholarPubMed
Campbell, K. C. M., Harker, L. A., Abbas, P. J. (1992 b) Interpretation of electrocochleography in Ménière's disease and normal subjects. Annals of Otology, Rhinology, Laryngology 101: 496–500.CrossRefGoogle ScholarPubMed
Coats, A. F. (1981) The summating potential and Ménière's disease. I: Summating potential amplitude in Ménière and non-Ménière ears. Archives of Otolaryngology 107: 199–208.CrossRefGoogle ScholarPubMed
Coats, A. C. (1986) Electrocochleography recording techniques and clinical applications. Seminars in Hearing 7: 247–266.CrossRefGoogle Scholar
Dallos, P., Schoeny, Z. G., Cheatham, M. A. (1972) Cochlear summating potential. Acta Oto-Laryngologica 302: 6–45.Google Scholar
Eggermont, J. J. (1979) Summation potentials in Ménière's disease. Archives of Otolaryngology 222: 63–75.Google ScholarPubMed
Eliacher, I., Keels, E., Wolfson, R. J. (1973) Basic audiometric findings in Ménière's disease. Otolaryngological Clinics of North America 6: 41–51.CrossRefGoogle Scholar
Ferraro, J. A., Best, L. G., Arenberg, I. K. (1983) The use of electrocochleography in the diagnosis, assessment and monitoring of endolymphatic hydrops. Otolaryngological Clinics of North America 16: 69–82.CrossRefGoogle ScholarPubMed
Ferraro, J. A., Arenberg, I. K., Hassanein, R. S. (1985) Electrocochleography and symptoms of inner ear dysfunction. Archives of Otolaryngology 111: 71–74.CrossRefGoogle ScholarPubMed
Gibson, W. P. R., Moffat, D. A., Ramsden, R. T. (1977) Clinical electrocochleography in the diagnosis and management of Ménière's disorder. Audiology 16: 389–401.CrossRefGoogle Scholar
Gibson, W. P. R., Prasher, D. K. (1983) Electrocochleography and its role in the diagnosis assessment and monitoring of endolymphatic hydrops. Otolaryngological Clinics of North America 16: 59–68.CrossRefGoogle Scholar
Gibson, W. P. R., Prasher, D. K., Kilkenny, G. P. G. (1983) Diagnostic significance of transtympanic electrocochleography in Ménière's disease. Annals of Otology, Rhinology, Laryngology 92: 155–159.CrossRefGoogle ScholarPubMed
Goin, D. W., Staller, S. J., Asher, D. L., Mischke, R. E. (1982) Summating potential in Ménière's disease. Laryngoscope 92: 1383–1389.CrossRefGoogle ScholarPubMed
Goodman, A. C. (1965) New observations on changes in hearing in the temporal course of Ménière's disease. Annals of Otology, Rhinology, Laryngology 74: 991–1010.CrossRefGoogle ScholarPubMed
Green, J. D., Blum, D. J., Harner, S. G. (1991) Longitudinal follow-up of patients with Ménière's disease. Otolaryngology - Head and Neck Surgery 104: 783–788.CrossRefGoogle ScholarPubMed
Katz, J. (1978). Handbook of Clinical Audiology: Pure Tone Air Conduction Testing. (Green, D. S., ed.), Ch. 9, Williams and Williams Co., Baltimore, USA, pp 99–109.Google Scholar
Kitahara, M., Takeda, T., Yazawa, T. (1981) Electrocochleography in the diagosis of Ménière's disease. In Ménière's Disease, Pathogenesis, Diagnosis and Treatment, (Volsten, K. H., ed.), Thieme-Stratton Inc., New York, pp 163–169.Google Scholar
Kumagami, H., Nishida, H., Baba, M. (1982) Electrocochleographic study of Ménière's disease. Archives of tolaryngology 108: 284–288.CrossRefGoogle ScholarPubMed
Mason, S. M., Singh, C. B., Brown, P. M. (1980) Assessment of noninvasive electrocochleography. Journal of Laryngology and Otology 94: 707–718.CrossRefGoogle ScholarPubMed
Mori, N., Asai, H., Sakagami, M., Matsunaga, T. (1987) Comparison of summating potential in Ménière's disease between trans-and extratympanic electrocochleography. Audiology 26: 348–355.CrossRefGoogle ScholarPubMed
Ohashi, T., Ochi, K., Okada, T., Takeyama, I. (1991) Long-term following of electrocochleography in Ménière's disorder. Oto-Rhino-Laryngology 53: 131–136.Google Scholar
Terkildsen, K., Osterhammel, P., Huis In't Veld, F. (1975) Electrocochleography with a far-field technique. Scandinavian Audiology 2: 141–148.Google Scholar