명확한 메니에르병 환자에서 주파수별 순음역치 변동성과 임상 증상과의 관계

최기용; 김홍근; 김건우; 이민영; 정재윤

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자료유형: 학술저널

저자정보: 최기용 김홍근 김건우 이민영 정재윤

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제62권 제2호

발행연도: 2019.1

수록면: 89 - 94 (6page)

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Background and Objectives One of the characteristics of Meniere’s disease is pure tone threshold shift at low frequencies in the lesion; although, in some patients, more pure tone threshold shifts were also shown at mid or high frequencies. Authors speculated that the most varied pure tone frequency may be related with diversity of clinical symptoms and other characteristics. Subjects and Method We reviewed medical records of 85 patients who met the criteria of definite Meniere’s disease (1995 American Academy of Otolaryngology-Head and Neck Surgery). Patients were classified into 3 groups (high frequency, mid frequency, low frequency) depending on the frequency at which pure tone threshold changes encountered the most. The vestibular function tests and clinical characteristics were compared between the groups. Results Thirty-six patients (42.0%) showed pure tone threshold changes at 0.25 or 0.5 kHz (low frequency group). Twenty-five patients (30.0%) showed greatest pure tone threshold change at 1 or 2 kHz (mid frequency group). Twenty-four patients (28.0%) belonged to the high frequency group with most changes taking place not lower than 4 kHz. Frequency of vertigo attack, and duration of vertigo attack did not differ between the groups. Low frequency group showed more chance of tinnitus with statistical significance. Vestibular evoked myogenic potentials (VEMP) abnormality was more frequently encountered in the low frequency group. Conclusion This study shows that changes in the pure tone threshold is not confined to low frequencies in definite Meniere’s disease. Patients with pure tone threshold changes at low frequencies have more chance of tinnitus and abnormal cVEMP.

참고문헌 (20)

참고문헌 신청

Schuknecht HF / 1993 / Disorders of bone. Pathology of the Ear / Lea & Fcbiger

Stahle J / 1978 / Incidence of Ménière’s disease / Arch Otolaryngol 104(2):99~102

Savastano M / 2006 / Evolution of audiometric pattern in Meniere’s disease : long-term survey of 380 cases evaluated according to the 1995 guidelines of the American Academy of Otolaryngology-Head and Neck Surgery / J Otolaryngol 35(1):26~29

Stahle J / 1989 / Long-term progression of Menière’s disease / Am J Otol 10(3):170~173

Takumida M / 2006 / Ménière’s disease : a long-term follow-up study of bilateral hearing levels / Acta Otolaryngol 126(9):921~925

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