Document Detail


Electrocochleographic effects of ear canal pressure change in subjects with Menière's disease.
MedLine Citation:
PMID:  8915416     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study examined the relationship between objective changes in electrocochleographic (ECochG) parameters and subjective changes in symptoms in a group of patients with Menière's disease/endolymphatic hydrops (MD/ELH) after application of positive and negative atmospheric pressure changes to the sealed ear canal. Our goals were to further examine the therapeutic effects of atmospheric pressure change on the treatment of MD/ELH, as reported by a series of Swedish studies, and to examine the utility of ECochG for monitoring these effects. By combining a clinical immittance unit and an evoked potential unit, ECochG responses were obtained from the tympanic membrane while different atmospheric pressures were applied indirectly to the middle ear via the external ear canal. For comparison, ECochG responses at various atmospheric pressures also were obtained for otologically normal subjects. For the MD/ELH group, there was a significant (p < 0.01) reduction in the abnormal summating potential/action potential (SP/AP) amplitude ratio, although the amplitude ratios did not become "normal." There was no significant effect of ear canal pressure change on ECochG components for the normative subjects. Although these findings were encouraging regarding the therapeutic effects of overpressure, they were not accompanied with changes in MD/ELH symptoms.
Authors:
R F Storms; J A Ferraro; B S Thedinger
Related Documents :
10648336 - A pilot study of pharyngeal pulse oximetry with the laryngeal mask airway: a comparison...
6611936 - Tracheal size and shape: effects of change in intraluminal pressure.
17245036 - Clinical significance of stapedioplasty biomechanics: swimming, diving, flying after st...
857606 - Middle ear pressure during and after prolonged nasotracheal and/or nasogastric intubation.
16616226 - Analysis of parameters associated with hypotension requiring vasopressor support after ...
2826046 - Improved hemodynamic function during hypoxia with carbicarb, a new agent for the manage...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of otology     Volume:  17     ISSN:  0192-9763     ISO Abbreviation:  Am J Otol     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-03-18     Completed Date:  1997-03-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7909513     Medline TA:  Am J Otol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  874-82     Citation Subset:  IM    
Affiliation:
Hearing and Speech Department, University of Kansas Medical Center, Kansas City, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Atmospheric Pressure*
Audiometry, Evoked Response*
Audiometry, Pure-Tone
Ear, External / physiology*
Endolymphatic Hydrops / physiopathology
Female
Hearing Loss, Sensorineural / complications,  diagnosis
Humans
Male
Meniere Disease / diagnosis*,  physiopathology
Middle Aged
Random Allocation
Reflex, Acoustic
Tympanic Membrane

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Advantages and disadvantages expected and realized by pediatric cochlear implant recipients as repor...
Next Document:  Characteristics of six otologic diseases involving vertigo.