title: Is there a relation between acoustic trauma or noise-induced hearing loss and a subsequent appearance of Ménière's Disease? An epidemiologic study of 17245 cases and a review of the literature.
abstract: OBJECTIVE
  To explore whether acute acoustic trauma or noise-induced hearing loss may cause the later development of Ménière's Disease.
  
  
  METHODS
  Retrospective search of a military medical data bank.
  
  
  METHODS
  Medical records of 17245 Israel Defense Force veterans who were recognized as being disabled as a result of acoustic trauma or noise-induced hearing loss.
  
  
  METHODS
  Eleven cases of late-onset Ménière's Disease were retrieved from these files.
  
  
  METHODS
  Documented symptoms and audiograms.
  
  
  RESULTS
  Eleven of the 17425 veterans appeared to have typical Ménière's Disease. Their symptoms included attacks of vertigo, lasting between half an hour and a few hours and no more than 24 hours; the sensation of aural fullness; and tinnitus accompanied by a fluctuating or permanent low-tone hearing loss. Four of the 11 patients had a documented previous noise-induced hearing loss, and the remaining 7 had experienced acute acoustic trauma. The Ménière's Disease was bilateral in three cases. The average period between the first documented hearing loss and the onset of Ménière's Disease was 15.8 years (standard deviation, +/- 6.6 years). This yielded a prevalence of 1.9:100000 of Ménière's Disease in a population with acoustic trauma or noise-induced hearing loss-a figure comparable to that in the general population.
  
  
  CONCLUSIONS
  No support was found for the hypothesis that Ménière's Disease may be causally related to previous acoustic trauma or noise-induced hearing loss.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Assaf Harofeh Medical Center affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel.
authors.forename: Samuel
authors.initials: S
authors.lastname: Segal
authors.forename: Ephraim
authors.initials: E
authors.lastname: Eviatar
authors.forename: Leonard
authors.initials: L
authors.lastname: Berenholz
authors.forename: Alexander
authors.initials: A
authors.lastname: Kessler
authors.forename: Nathan
authors.initials: N
authors.lastname: Shlamkovitch
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001327:Autoimmune Diseases / Q000150:complications; D001927:Brain Diseases / Q000150:complications; D006259:Craniocerebral Trauma / Q000150:complications; D005260:Female; D006317:Hearing Loss, Noise-Induced / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D006967:Hypersensitivity / Q000150:complications; D008297:Male; D008575:Meniere Disease / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D009622:Noise / Q000009:adverse effects*; D010040:Otosclerosis / Q000150:complications; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013997:Time Factors; D014777:Virus Diseases / Q000150:complications