Classification of Patients with Ménière’s Disease Using Otoacoustic Emissions

Huffelen, W. M. van; Mateijsen, N. J. M.; Wit, H. P.

doi:10.1159/000013810

Cited by 16 publications

(13 citation statements)

References 27 publications

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“…The use of OAEs in the assessment of patients with Meniere's disease has been well documented [11]. In patients with tinnitus, OAEs are not easily detectable or are abnormal at the tinnitus frequency region, even in patients with normal hearing.…”

Section: Discussionmentioning

confidence: 99%

Role of Transient Evoked Otoacoustic Emission Beyond Screening of Hearing Impairment: A Study of 400 Cases

Meena

Babu

et al. 2012

Indian J Otolaryngol Head Neck Surg

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The primary purpose of this study was to investigate the potential role of transient-evoked Otoacoustic emissions (TEOAEs) beyond screening for hearing impairment in different middle/inner ear disorders in 3-65 years age group. Because TEOAEs are present in ears with normal cochlear and middle ear function and typically are absent or reduced in ears with cochlear and/or middle ear disorders of even mild degree. This was a prospective study of four hundred cases. Out of these 364 cases were having problems related to otology and 36 were healthy volunteers who attended the department of otorhinolaryngology of our institute. All the cases were kept in different eight groups and then subjected to Otoacoustic emission testing with the 'GSI AUDIO screener' equipment installed in our ENT department. The data obtained in all groups were analyzed and conclusion was made. TEOAEs is a reliable, simple and cost effective screening technique for hearing disorders with sensitivity varying from 72 to 96.42 % among the study groups and 88 % in composite group comprising all study groups.

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Section: Discussionmentioning

confidence: 99%

Role of Transient Evoked Otoacoustic Emission Beyond Screening of Hearing Impairment: A Study of 400 Cases

Meena

Babu

et al. 2012

Indian J Otolaryngol Head Neck Surg

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“…Using invasive measurements is difficult to perform because of the vulnerability of the human inner ear. The changes in OAE levels in ears with Menière's disease have been proposed as being potentially useful indicators, for clinical monitoring of labyrinth function [29][30][31]. The DPOAE signals provide an original way to estimate the time constant by noninvasive technique.…”

Section: Discussionmentioning

confidence: 99%

The Estimation of the Time Constant of the Human Inner Ear Pressure Change by Noninvasive Technique

Traboulsi

Poumarat

Chazal

et al. 2009

Modelling and Simulation in Engineering

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We propose a noninvasive method to estimate the time constant. The calculation of this factor permits us to understand the pressure variations of the inner ear and also predict the behavior of the flow resistance of the cochlear aqueduct. A set of mathematical relationships incorporating the intralabyrinthine pressure, the intracranial pressure, and the time constant was applied. The modeling process describes the hydrodynamic effects of the cerebrospinal fluid in the intralabyrinthine fluid space, where the input and output of the created model are, respectively, the sinusoidal variation of the respiration signal and the distortion product of otoacoustic emissions. The obtained results were compared with those obtained by different invasive techniques. A long time constant was detected each time when the intracranial pressure increased; this phenomenon is related to the role of the cochlear aqueduct described elsewhere. The interpretation of this model has revealed the ability of these predictions to provide a greater precision for hydrodynamic variation of the inner ear, consequently the variation of the dynamic process of the cerebrospinal fluid.

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“…It has been suggested that OAEs and, in particular, distortion product otoacoustic emissions (DPOAEs), may determine the important information about which cochlear regions have been involved in the irst phase of MD characterized by recurrent hydropic crisis [25,26]. Considering that the acoustic energy has to cross the middle ear structures twice, OAE response may be reduced or even suppressed due to imperfections of the middle ear transmission mechanism.…”

Section: Oaes and MDmentioning

confidence: 99%

“…In this context, one expects that the OAE responses should be atenuated at low or at high frequencies. There are a few reports in the literature showing the exact opposite [36]. In a study by van Hufelen et al [36], MD cases were classiied into 4 groups.…”

Section: Dpoaes and MDmentioning

confidence: 99%

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OAEs and Meniere Disease

Hatzopoulos¹,

Ciorba²,

Corazzi³

et al. 2017

Up to Date on Meniere's Disease

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Otoacoustic emissions (OAEs) are responses originating from the inner ear. Clinically they are evoked by diferent families of acoustic stimuli, such as transient acoustic clicks, tone pips, and pure tones. Upon stimulation, the acoustic energy is transformed in the middle ear at acoustic pressure acting upon the stapes footplate. The pressure wave inside the cochlea stimulates the OAE generators and a reverse acoustic energy (the OAE response) propagates from the inner ear, through the stapes and the middle ear structures, to the tympanic membrane. Considering that the acoustic energy has to cross the middle ear structures twice, the functional status of the middle ear can inluence or atenuate considerably the OAE response. In this context, any vestibular alteration can inluence the middle ear mechanics (mainly the middle ear impedance) and consequently the OAE response characteristics. The data in the literature indicate that OAEs are very sensitive to changes in the intracranial pressure. These pressure alterations during the Meniere's hydrops phase are expressed as changes in the intralabyrinthine pressure. Other studies have presented data supporting the assumption that OAEs can adequately monitor middle ear changes induced by the presentation of the glycerol test. The data in the literature suggest that OAEs can monitor the progress of Meniere's disease using reliable indices.

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Classification of Patients with Ménière’s Disease Using Otoacoustic Emissions

Cited by 16 publications

References 27 publications

Role of Transient Evoked Otoacoustic Emission Beyond Screening of Hearing Impairment: A Study of 400 Cases

Role of Transient Evoked Otoacoustic Emission Beyond Screening of Hearing Impairment: A Study of 400 Cases

The Estimation of the Time Constant of the Human Inner Ear Pressure Change by Noninvasive Technique

OAEs and Meniere Disease

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