Res Vestib Sci.  2018 Sep;17(3):95-101. 10.21790/rvs.2018.17.3.95.

Incidence of Progression into Ménière Disease from Idiopathic Sudden Sensorineural Hearing Loss: Midterm Follow-up Study

Affiliations
  • 1Department of Otorhinolaryngology and Head & Neck Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Korea. skahn@gnu.ac.kr
  • 2Department of Otorhinolaryngology and Head & Neck Surgery, Gyeongsang National University Changwon Hospital, Changwon, Korea.
  • 3Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Abstract


OBJECTIVES
Ménière disease is a clinical syndrome characterized by the four major symptoms of episodic vertigo, sensorineural hearing loss, tinnitus, and aural fullness. Sensorineural hearing loss, especially low frequency, is the characteristic type of audiogram in Ménière's disease. However, it is difficult to distinguish idiopathic sudden sensorineural hearing loss (ISSNHL) with vertigo from the first attack of Ménière disease. The purpose of this study was to investigate the incidence of progression into Ménière Disease from low frequency ISSNHL.
METHODS
Two hundred eighty-three patients were included in this study. We classified the patients with ISSNHL according to the hearing loss in audiogram and analyzed how many of them actually progressed to Ménière disease based on diagnosis criteria.
RESULTS
Among the 240 patients, 37.1% (89 patients) were confirmed low frequency ISSNHL and 14.6% (13 patients) of them were diagnosed with Meniere disease.
CONCLUSIONS
This study showed that the progression from low frequency ISSNHL to Ménière disease was higher than other frequency ISSNHL, as in other studies.

Keyword

Sudden hearing loss; Sensorineural hearing loss; Ménière disease; Incidence

MeSH Terms

Diagnosis
Follow-Up Studies*
Hearing Loss
Hearing Loss, Sensorineural*
Hearing Loss, Sudden
Humans
Incidence*
Meniere Disease*
Tinnitus
Vertigo
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