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Semin Hear 2001; 22(4): 405-414
DOI: 10.1055/s-2001-19113
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Possible Effects of Cochlear Hydrops and Related Phenomena

Paul Avan1 , John D. Durrant2 , Bela Buki3
  • 1Clermont-Ferrand University, Clermont, France
  • 2University of Pittsburgh, Pittsburgh, Pennsylvania
  • 3Krems Krankenhaus, Vienna, Austria
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Publication History

Publication Date:
18 December 2001 (online)

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ABSTRACT

There is some question in the literature concerning the effects of hydrops on otoacoustic emissions (OAEs), and the usefulness of OAE measurement in the differential diagnosis of Ménière's disease and related disorders remains unclear. It is reasonable to expect different effects in various cochlear pathologies, especially between those causing primarily low-frequency (LF) versus high-frequency (HF) hearing losses, as typically associated with putative fluid mechanical lesions versus hair cell damage, respectively. We report observations on distortion product OAEs in patients with LF and combinations of LF and HF losses and discuss problems of relating DPOAE output to the LF ``hydrops'' audiogram. We then describe effects specifically of intralabyrinthine pressure on OAEs, a possible factor in hydrops. It is clear from results in the literature and in our own clinics and laboratories that OAEs are sensitive to intralabyrinthine static pressure. These measures may or may not accurately reflect the hydrops hearing loss. The results are thus complex, doubtlessly reflecting the complexity and dynamics of diseases such as Ménière's. On the other hand, the effect of intralabyrinthine pressure per se is predictable and can be demonstrated to be rather predictable in humans.

KEYWORD

Otoacoustic emissions - cochlear function - hair cells - Ménière's disease - hydrops - intracochlear pressure - cerebrospinal fluid - middle-ear function - stapes

REFERENCES

  • 1 Harris F P, Probst R. Transiently evoked otoacoustic emissions in patients with Ménière's disease.  Acta Otolaryngol . 1992;  112 36-44
    PubMedGoogle Scholar
  • 2 Martin G K, Ohlms L A, Franklin D J, Harris F P, Lonsbury-Martin B L. Distortion product emissions in humans. III. Influence of sensorineural hearing loss.  Ann Otol Rhinol Laryngol . 1990 (Suppl);  147 30-42
    PubMedGoogle Scholar
  • 3 Ohlms L A, Lonsbury-Martin B L, Martin G K. Acoustic distortion products: separation of sensory from neural dysfunction in sensorineural hearing loss in human beings and rabbits.  Otolaryngol Head Neck Surg . 1991;  104 159-174
    PubMedGoogle Scholar
  • 4 Probst R. Otoacoustic emissions: an overview. In: Pfaltz CR, ed. New Aspects of Cochlear Mechanics and Inner Ear Pathophysiology Basel: Karger 1996: 1-91
    Google Scholar
  • 5 Horner K, Cazals Y. Distortion products in early stage experimental hydrops in the guinea pig.  Hear Res . 1989;  43 71-79
    CrossrefPubMedGoogle Scholar
  • 6 Gorga M P, Neely S T, Ohlrich B. From laboratory to clinic: a large scale study of distortion product otoacoustic emissions in ears with normal hearing and ears with hearing loss.  Ear Hear . 1997;  18 440-455
    PubMedGoogle Scholar
  • 7 Bonfils P, Avan P. Distortion-product otoacoustic emissions: values for clinical use.  Arch Otolaryngol . 1992;  118 1069-1076
    PubMedGoogle Scholar
  • 8 Horner K C. Old theme and new reflections: hearing impairment associated with endolymphatic hydrops.  Hear Res . 1991;  52 147-156
    CrossrefPubMedGoogle Scholar
  • 9 Robinette M S, Durrant J D. Contributions of evoked otoacoustic emissions in differential diagnosis of retrocochlear disorders. In: Robinette MS, Glattke TJ, eds. Otoacoustic Emissions: Clinical Applications New York: Thieme 1997: 205-232
    Google Scholar
  • 10 Starr A, Picton T W, Sininger Y. Auditory neuropathy.  Brain . 1996;  119 741-753
    CrossrefPubMedGoogle Scholar
  • 11 Kubo T, Sakashita T, Kusuki M, Nakai Y. Frequency analysis of evoked otoacoustic emissions in Ménière's disease.  Acta Otolaryngol Suppl (Stockh) . 1995;  519 275-281
    PubMedGoogle Scholar
  • 12 van Huffelen M W, Mateijsen N J, Wit H P. Classification of patients with Ménière's disease using otoacoustic emissions.  Audiol Neurootol . 1998;  3 419-430
    CrossrefPubMedGoogle Scholar
  • 13 Cianfrone G, Ralli G, Fabbricatore M, Altissimi G, Nola G. Distortion product otoacoustic emissions in Ménière's disease.  Scand Audiol . 2000;  29 111-119
    PubMedGoogle Scholar
  • 14 Inoue Y, Kanzaki J, O-Uchi T. Clinical application of transiently evoked otoacoustic emissions after glycerol administration for diagnosis of sensorineural hearing loss.  Auris Nasus Larynx . 1997;  24 143-149
    CrossrefPubMedGoogle Scholar
  • 15 Haginomori S I, Makimoto K, Tanaka H, Araki M, Takenaka H. Spontaneous otoacoustic emissions in humans with endolymphatic hydrops.  Laryngoscope . 2001;  111 96-101
    PubMedGoogle Scholar
  • 16 Scholz G, Mrowinski D, Hensel J. Phase-dependent suppression of transient evoked and distortion product otoacoustic emissions by a low- frequency tone.  Audiology . 1999;  38 271-275
    PubMedGoogle Scholar
  • 17 Durrant J D, Dallos P. Modification of DIF summating potential components by stimulus biasing.  J Acoust Soc Am . 1974;  56 562-570
    CrossrefPubMedGoogle Scholar
  • 18 Andrews J C, Bohmer A, Hoffman L F. The measurement and manipulation of endolymphatic pressure in experimental endolymphatic hydrops.  Laryngoscope . 1991;  101 661-668
    PubMedGoogle Scholar
  • 19 Andrews J C, Bohmer A, Hoffman L, Strelioff D. Auditory threshold and inner ear pressure: measurements in experimental endolymphatic hydrops.  Am J Otol . 2000;  21 652-656
    PubMedGoogle Scholar
  • 20 Wit H P, Thalen E O, Albers F W. Dynamics of inner ear pressure release, measured with a double-barreled micropipette in the guinea pig.  Hear Res . 1999;  132 131-139
    CrossrefPubMedGoogle Scholar
  • 21 Durrant J D, Lovrinic J H. Bases of Hearing Science.  3rd ed. Baltimore: Williams & Wilkins; 1995
    Google Scholar
  • 22 Zwislocki J J. Analysis of the middle ear function. Part I: Input impedance.  J Acoust Soc Am . 1962;  34 1514-1523
    PubMedGoogle Scholar
  • 23 Lutman M E, Martin A M. Development of an electroacoustic analogue model of the middle ear and acoustic reflex.  J Sound Vibr . 1979;  64 133-157
    CrossrefPubMedGoogle Scholar
  • 24 Trine M B, Hirsch J E, Margolis R H. The effect of middle ear pressure on transient evoked otoacoustic emissions.  Ear Hear . 1993;  14 401-407
    CrossrefPubMedGoogle Scholar
  • 25 Carlborg B, Densert B, Densert O. Functional patency of the cochlear aqueduct.  Ann Otol . 1982;  91 209-215
    PubMedGoogle Scholar
  • 26 Gopen Q, Rosowski J J, Merchant S N. Anatomy of the normal human cochlear aqueduct with functional implications.  Hear Res . 1997;  107 9-22
    CrossrefPubMedGoogle Scholar
  • 27 Casselbrant M. Indirect determination of variations in the inner ear pressure in man, an experimental study.  Acta Otolaryngol Suppl (Stockh) . 1979;  362 7-57
    PubMedGoogle Scholar
  • 28 Marchbanks R J. A new system for measuring tympanic membrane displacement.  Hear Aid J . 1982;  35 14-17
    PubMedGoogle Scholar
  • 29 Reid A, Marchbanks R J, Burge D M. The relationship between intracranial pressure and tympanic membrane displacement.  Br J Audiol . 1990;  24 123-129
    PubMedGoogle Scholar
  • 30 Froehlich P, Ferber C, Remond J. Lack of association between transiently-evoked otoacoustic emission amplitude and experimentation-linked factors (repeated acoustic stimulation, cerebrospinal fluid pressure, supine and sitting positions, alertness level).  Hear Res . 1994;  75 184-190
    CrossrefPubMedGoogle Scholar
  • 31 Büki B, Avan P, Lemaire J J, Dordain M, Chazal J, Ribari O. Otoacoustic emissions: a new tool for monitoring intracranial pressure changes through stapes displacements.  Hear Res . 1996;  94 125-139
    CrossrefPubMedGoogle Scholar
  • 32 Büki B, Chomicki A, Dordain M. Middle ear influence on otoacoustic emissions. II: Contributions of posture and intracranial pressure.  Hear Res . 2000;  140 202-211
    CrossrefPubMedGoogle Scholar
  • 33 Owens J J, McCoy M J, Lonsbury-Martin B L, Martin G K. Influence of otitis media on evoked otoacoustic emissions in children.  Semin Hear . 1992;  13 53-64
    PubMedGoogle Scholar
  • 34 Pang X D, Peake W T. How do contractions of the stapedius muscle alter the acoustic properties of the ear?. In: Allen JB, Hall JL, Hubbard A, Neely S, Tubis A, eds. Peripheral Auditory Mechanics Berlin: Springer-Verlag 1985: 36-43
    Google Scholar
  • 35 de Kleine E, Wit H P, van Dijk P, Avan P. The behavior of spontaneous emissions during and after postural changes.  J Acoust Soc Am . 2000;  107 3308-3316
    CrossrefPubMedGoogle Scholar
  • 36 de Kleine E, Wit H P, Avan P, van Dijk P. The behavior of evoked otoacoustic emissions during and after postural changes [abstract].  Abstr Assoc Res Otolaryngol Midwinter Meet . 2001;  24 40
    PubMedGoogle Scholar
  • 37 Avan P, Büki B, Maat B, Dordain M, Wit H P. Middle-ear influence on otoacoustic emissions. I: Noninvasive investigation of the human transmission apparatus and comparison with model results.  Hear Res . 2000;  140 189-201
    CrossrefPubMedGoogle Scholar
  • 38 Wlodyka J. Studies on cochlear aqueduct patency.  Ann Otol Rhinol Laryngol . 1978;  87 22-27
    PubMedGoogle Scholar
  • 39 Phillips A J, Marchbanks R J. Effects of posture and age on tympanic membrane displacement measurements.  Br J Audiol . 1989;  23 279-284
    PubMedGoogle Scholar
  • 40 Durrant J D, Yetiser S. DPOAEs in hydrops-related and other low-frequency hearing loss.  ASHA . 1993;  35(10) (Abst) 139
    PubMedGoogle Scholar
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