title: Diagnostic efficiency of the cochlear hydrops analysis masking procedure in Ménière's disease.
abstract: OBJECTIVE
  To determine whether cochlear hydrops analysis masking procedure (CHAMP) has diagnostic value in patients with definite Ménière's disease (MD) comparing the diagnostic validity index of CHAMP with those of electrocochleography (ECoG).
  
  
  METHODS
  A prospective study.
  
  
  METHODS
  Tertiary referral center.
  
  
  METHODS
  One hundred eight patients were classified into 3 groups: the "definite MD" group (MD group, n = 47); the "non-MD" group (n = 41) of other vestibular diseases including vestibular neuritis, and benign paroxysmal positional vertigo; and the control group (n = 20), which included patients without dizziness.
  
  
  METHODS
  CHAMP and extratympanic ECoG were performed in all patients.
  
  
  METHODS
  Sensitivity, specificity, and definitions of abnormal values were less than 0.3 ms in latency delay (0.5 kHz high pass noise [HPN]-click alone) and less than 0.95 in compound amplitude ratio (click alone-0.5 kHz HPN/click alone) in CHAMP and 0.4 for the summating potential/action potential ratio in ECoG.
  
  
  RESULTS
  The mean latency delay and amplitude ratio of CHAMP in the MD group significantly differed from these values for other groups, whereas the mean summating potential/action potential ratio of ECoG did not. In ECoG, sensitivity was as low as 21%, specificity was 97%, and diagnostic accuracy was 62%. Sensitivity, specificity, and diagnostic accuracy of CHAMP were 64%, 98%, and 80%, respectively, in latency delay and 91%, 83%, and 88%, respectively, in amplitude ratio. The sensitivity and diagnostic accuracy of CHAMP were significantly higher than the corresponding values for ECoG.
  
  
  CONCLUSIONS
  CHAMP is more valuable in detection of definite MD than extratympanic ECoG.
authors: Department of Otorhinolaryngology, College of Medicine, Konyang University, Daejon, Republic of Korea.
authors: Jong Bin
authors: JB
authors: Lee
authors: Seong Jun
authors: SJ
authors: Choi
authors: Keehyun
authors: K
authors: Park
authors: Hun Yi
authors: HY
authors: Park
authors: Jung Joo
authors: JJ
authors: Hong
authors: Eun
authors: E
authors: Hwang
authors: Ho Jin
authors: HJ
authors: Lee
authors: Chan Ho
authors: CH
authors: Kim
authors: Yun-Hoon
authors: YH
authors: Choung
mesh_terms: D000328:Adult; D000368:Aged; D001300:Audiometry, Evoked Response; D004244:Dizziness / Q000175:diagnosis; D018159:Endolymphatic Hydrops / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000175:diagnosis*; D008875:Middle Aged; D011446:Prospective Studies; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014717:Vertigo / Q000175:diagnosis