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DOI: 10.1055/s-0043-1767677
Speech Perception in Ménière Disease
Funding The author(s) received funding from FAPESP.
Abstract
Introduction Ménière disease (MD) affects the inner ear, comprising the cochlea and semicircular canals. Symptoms include severe incapacitating vertigo, nausea, vomit, aural fullness, and sensorineural hearing loss – in which speech discrimination and intelligibility are impaired and can be quantified with speech audiometry.
Objective To investigate the influence of the stimuli presentation level in speech audiometry and the quality of life in adults with and without a diagnosis of MD.
Method Two groups were formed with nine individuals each – one with and the other without MD. The Speech Recognition Percentage Index was researched with stimuli presented above the self-reported comfort level or 5 dB below the discomfort level. Dizziness Handicap and Tinnitus Handicap Inventories were administered to individuals with tinnitus and vertigo complaints.
Results Speech recognition was better in the study group with higher presentation levels, as 75% of the sample improved their performance. The presence of vertigo significantly impacted the quality of life of individuals in the study group.
Conclusion Speech recognition improves with higher presentation levels. Also, MD impacts the quality of life, especially regarding limitations caused by vertigo.
Publikationsverlauf
Eingereicht: 25. August 2022
Angenommen: 11. Dezember 2022
Artikel online veröffentlicht:
05. September 2023
© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Magnan J, Özgirgin ON, Trabalzini F. et al. European Position Statement on Diagnosis, and Treatment of Meniere's Disease. J Int Adv Otol 2018; 14 (02) 317-321
- 2 Comitê em Audição e Equilíbrio da Academia Americana de Otorrinolaringologia. Guidelines for the diagnosis and evaluation of therapy in Ménière's disease. Otolaryngol Head Neck Surg 1996; Jun;114(6):835–6; author reply 836–7.
- 3 Merchant SN, Adams JC, Nadol Jr JB. Pathophysiology of Meniere's syndrome: are symptoms caused by endolymphatic hydrops?. Otol Neurotol 2005; 26 (01) 74-81
- 4 Nakashima T, Pyykkö I, Arroll MA. et al. Meniere's disease. Nat Rev Dis Primers 2016; 2: 16028
- 5 Espinosa-Sanchez JM, Lopez-Escamez JA. Menière's disease. Handb Clin Neurol 2016; 137: 257-277
- 6 Mateijsen DJ, Van Hengel PW, Van Huffelen WM, Wit HP, Albers FW. Pure-tone and speech audiometry in patients with Menière's disease. Clin Otolaryngol Allied Sci 2001; 26 (05) 379-387
- 7 American Speech-Language-Hearing Association. (1988). Determining threshold level for speech [Guidelines]. Available from www.asha.org/policy.
- 8 Guthrie LA, Mackersie CL. A comparison of presentation levels to maximize word recognition scores. J Am Acad Audiol 2009; 20 (06) 381-390
- 9 Posner J, Ventry IM. Relationships between comfortable loudness levels for speech and speech discrimination in sensorineural hearing loss. J Speech Hear Disord 1977; 42 (03) 370-375
- 10 Castro ASO, Gazzola JM, Natour J, Ganança FF. [Brazilian version of the dizziness handicap inventory]. Pro Fono 2007; 19 (01) 97-104
- 11 Ferreira PEA, Cunha F, Onishi ET, Branco-Barreiro FCA, Ganança FF. Tinnitus handicap inventory: adaptação cultural para o Português brasileiro. Pró-Fono R Atual Cient 2005; 17 (03) 303-310
- 12 Nondahl DM, Cruickshanks KJ, Wiley TL, Klein R, Klein BE, Tweed TS. Prevalence and 5-year incidence of tinnitus among older adults: the epidemiology of hearing loss study. J Am Acad Audiol 2002; 13 (06) 323-331
- 13 Hoffman HJ, Reed GW. . Tinnitus: theory and management. 2004; pp 16-41
- 14 Azevedo AA, Figueiredo RR, Penido NO. Tinnitus and event related potentials: a systematic review. Braz J Otorhinolaryngol 2020; Jan-Feb; 86 (01) 119-126
- 15 Jastreboff PJ, Hazell JW. A neurophysiological approach to tinnitus: clinical implications. Br J Audiol 1993; 27 (01) 7-17
- 16 Kaltenbach JA. Tinnitus: Models and mechanisms. Hear Res 2011; 276 (1-2): 52-60
- 17 Maihoub S, Tamás L, Molnár A, Szirmai A. Usefulness of Ultrasound-Computer-Craniocorpography in Unilateral Ménière's Disease. Biomed Hub 2019; 4 (02) 1-7
- 18 Ganança FF, Perracini MR, Ganança CF. . Reabilitação dos Distúrbios do Equilíbrio Corporal. Lemos Editorial. 2002; p. 16.
- 19 Costa HO, Neto OM. Diretriz sobre vertigem. Rev. Assoc. Med. Bras 2003; 49 (01) 11-12
- 20 Corvaro C. . Otoemissões Acústicas Evocadas na Doença de Ménierè [monografia]. São Paulo: Universidade Federal de São Paulo - UNIFESP; 2021.
- 21 Chaves AG, Boari L, Lei Munhoz MS. The outcome of patients with Ménières disease. Braz J Otorhinolaryngol (Engl Ed) 2007; 73 (03) 346-350
- 22 Clemis JD, Carver WF. Discrimination scores for speech in Ménière's disease. Arch Otolaryngol 1967; 86 (06) 614-618
- 23 Ullrich K, Grimm D. Most comfortable listening level presentation versus maximum discrimination for word discrimination material. Audiology 1976; 15 (04) 338-347
- 24 Romero Sánchez I, Pérez Garrigues H, Rodríguez Rivera V. [Clinical characteristics of tinnitus in Ménière's disease]. Acta Otorrinolaringol Esp 2010; 61 (05) 327-331
- 25 Rocha GSR, Vargas MM, Gomes MZ. Quality of life in individuals with tinnitus with and without hearing loss. Rev CEFAC [Internet] 2017 Nov;19(Rev. CEFAC, 2017 19(6)):764–72. Available from: https://doi.org/10.1590/1982-021620171965917