title: Hearing loss and tinnitus in Meniere's disease.
abstract: OBJECTIVE
  To characterize hearing loss, tinnitus and associative factors in Meniere's disease.
  
  
  METHODS
  From our vertigo database consisting of 1356 patients, we retrieved 243 patients with Meniere's disease (MD).
  
  
  RESULTS
  Hearing loss was the initial symptom in 13% of cases. Altogether 64% (n=133) of the patients stated that their hearing was reduced during the vertigo attack. The hearing deteriorated more likely during the vertigo attack if the vertigo attack was very intense [r(206)=0.19]. Tinnitus was the initial symptom in 5% of cases. The tinnitus was mild in 38% (n=90), moderate in 32% (n=76) and severe in 30% (n=72) of patients. The intensity of tinnitus correlated with the occurrence of drop attacks [r(237)=0.29], vertigo provoked by head positioning [r(235)=0.25], by physical activity [r(230)=0.33], or by pressure changes [r(239)=0.27].
  
  
  CONCLUSIONS
  Prolonged disease causes deterioration of hearing. Intense tinnitus is common in MD and is more often seen in late stage of the disease.
authors.affiliation: Department of Otolaryngology, Helsinki University Hospital, PB 220, 00029 Hus, Helsinki, Finland. mari.havia@kolumbus.fi
authors.forename: M
authors.initials: M
authors.lastname: Havia
authors.forename: E
authors.initials: E
authors.lastname: Kentala
authors.forename: I
authors.initials: I
authors.lastname: Pyykkö
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D018450:Disease Progression; D005260:Female; D034381:Hearing Loss / Q000503:physiopathology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008575:Meniere Disease / Q000175:diagnosis / Q000503:physiopathology*; D008875:Middle Aged; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013997:Time Factors; D014012:Tinnitus / Q000503:physiopathology*; D014717:Vertigo / Q000503:physiopathology*