Electrocochleography for Ménière's disease: is it reliable?,

Introduction: Endolymphatic hydrops, the histopathological substrate of Ménière's disease, is an almost universal finding in postmortem studies of patients with this disease. The cause of hydrops is still unknown, as is the mechanism by which it causes progressive dysfunction of the sensory org...

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Main Authors: Pauliana Lamounier, Débora Aparecida Gobbo, Thiago Silva Almeida de Souza, Carlos Augusto Costa Pires de Oliveira, Fayez Bahmad Jr.
Format: Article
Language:English
Published: Elsevier 2014-12-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942014000600527&lng=en&tlng=en
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author Pauliana Lamounier
Débora Aparecida Gobbo
Thiago Silva Almeida de Souza
Carlos Augusto Costa Pires de Oliveira
Fayez Bahmad Jr.
author_facet Pauliana Lamounier
Débora Aparecida Gobbo
Thiago Silva Almeida de Souza
Carlos Augusto Costa Pires de Oliveira
Fayez Bahmad Jr.
author_sort Pauliana Lamounier
collection DOAJ
description Introduction: Endolymphatic hydrops, the histopathological substrate of Ménière's disease, is an almost universal finding in postmortem studies of patients with this disease. The cause of hydrops is still unknown, as is the mechanism by which it causes progressive dysfunction of the sensory organs of inner ear. The fluctuating course of the disease complicates the interpretation of certain tests, such as electrocochleography; thus, for some authors its diagnostic value is questionable. Objective: The aim of this study was to analyze the clinical applicability of electrocochleography in the diagnosis of hydrops. It is a valuable tool, but still generates conflicting opinions among otolaryngologists. Methods: Systematic review of the literature on electrocochleography in patients diagnosed with endolymphatic hydrops. Results: A total of 34 articles regarding the use of electrocochleography in patients with hydrops, from the year 2000 onwards, were selected. Of these, 15 were excluded from the review as they were not observational studies. Only one cross-sectional study addressing the clinical use of electrocochleography by otolaryngologists was included. Conclusion: Electrocochleography is a valuable tool in the diagnosis of hydrops, as it is a non-invasive, easy to handle procedure, which offers new techniques to increase the sensitivity of the test, and thereby assists otolaryngologists in the management of Ménière's disease.
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spelling doaj.art-c42207db26054296a5e653c2ef9aa9512022-12-21T19:53:37ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86862014-12-0180652753210.1016/j.bjorl.2014.08.010S1808-86942014000600527Electrocochleography for Ménière's disease: is it reliable?,Pauliana LamounierDébora Aparecida GobboThiago Silva Almeida de SouzaCarlos Augusto Costa Pires de OliveiraFayez Bahmad Jr.Introduction: Endolymphatic hydrops, the histopathological substrate of Ménière's disease, is an almost universal finding in postmortem studies of patients with this disease. The cause of hydrops is still unknown, as is the mechanism by which it causes progressive dysfunction of the sensory organs of inner ear. The fluctuating course of the disease complicates the interpretation of certain tests, such as electrocochleography; thus, for some authors its diagnostic value is questionable. Objective: The aim of this study was to analyze the clinical applicability of electrocochleography in the diagnosis of hydrops. It is a valuable tool, but still generates conflicting opinions among otolaryngologists. Methods: Systematic review of the literature on electrocochleography in patients diagnosed with endolymphatic hydrops. Results: A total of 34 articles regarding the use of electrocochleography in patients with hydrops, from the year 2000 onwards, were selected. Of these, 15 were excluded from the review as they were not observational studies. Only one cross-sectional study addressing the clinical use of electrocochleography by otolaryngologists was included. Conclusion: Electrocochleography is a valuable tool in the diagnosis of hydrops, as it is a non-invasive, easy to handle procedure, which offers new techniques to increase the sensitivity of the test, and thereby assists otolaryngologists in the management of Ménière's disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942014000600527&lng=en&tlng=enHidropisia endolinfáticaDoença de MénièreAudiometria de resposta evocada
spellingShingle Pauliana Lamounier
Débora Aparecida Gobbo
Thiago Silva Almeida de Souza
Carlos Augusto Costa Pires de Oliveira
Fayez Bahmad Jr.
Electrocochleography for Ménière's disease: is it reliable?,
Brazilian Journal of Otorhinolaryngology
Hidropisia endolinfática
Doença de Ménière
Audiometria de resposta evocada
title Electrocochleography for Ménière's disease: is it reliable?,
title_full Electrocochleography for Ménière's disease: is it reliable?,
title_fullStr Electrocochleography for Ménière's disease: is it reliable?,
title_full_unstemmed Electrocochleography for Ménière's disease: is it reliable?,
title_short Electrocochleography for Ménière's disease: is it reliable?,
title_sort electrocochleography for meniere s disease is it reliable
topic Hidropisia endolinfática
Doença de Ménière
Audiometria de resposta evocada
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942014000600527&lng=en&tlng=en
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