title: Predictive value of electrocochleography for determining hearing outcomes in Ménière's disease.
abstract: OBJECTIVE
  To evaluate the clinical effectiveness of performing electrocochleography (ECoG) at the initial visit in predicting hearing outcomes.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Tertiary hospital.
  
  
  METHODS
  Ninety patients with unilateral, definite Ménière's disease.
  
  
  METHODS
  The summating potential (SP)/action potential (AP) ratio was obtained using ECoG at the initial visits. An SP/AP ratio greater than 0.34 was considered abnormal.
  
  
  METHODS
  Audiogram types, hearing fluctuations, hearing thresholds at the initial and last visits, hearing changes, caloric response, and treatment outcomes were analyzed in subjects with normal and abnormal ECoGs. Correlation analyses between the SP/AP ratio at the initial visit, hearing thresholds at each visit, and hearing changes were performed.
  
  
  RESULTS
  The mean follow-up period was 22.6 months. Abnormal ECoGs were found in 50 (55.6%) of the 90 subjects. No significant differences regarding audiogram types, hearing fluctuations, caloric response, or treatment outcomes were observed between subjects with normal and abnormal ECoGs. Ipsilateral SP/AP ratios at the initial visit were correlated with both hearing thresholds at the initial (r = 0.347, p < 0.001) and last (r = 0.435, p < 0.001) visits. Furthermore, there was a significant correlation between SP/AP ratio and hearing change during follow-up (r = 0.280, p = 0.008). After stratification by initial hearing level, Stage 1 and 2 subjects (hearing threshold, 0-40 dB) with abnormal ECoGs at the initial visit showed a decrease in hearing over time compared with those with normal ECoGs (p = 0.008).
  
  
  CONCLUSIONS
  A high SP/AP ratio at the initial visit may be used as a predictor of poor hearing outcomes in subjects with Ménière's disease, especially with initial hearing Stage 1 and 2.
authors.affiliation: Department of Otorhinolaryngology - Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
authors.forename: Il Joon
authors.initials: IJ
authors.lastname: Moon
authors.forename: Ga Young
authors.initials: GY
authors.lastname: Park
authors.forename: Jeesun
authors.initials: J
authors.lastname: Choi
authors.forename: Yang-Sun
authors.initials: YS
authors.lastname: Cho
authors.forename: Sung Hwa
authors.initials: SH
authors.lastname: Hong
authors.forename: Won-Ho
authors.initials: WH
authors.lastname: Chung
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001300:Audiometry, Evoked Response; D001301:Audiometry, Pure-Tone; D001309:Auditory Threshold / Q000502:physiology; D002150:Caloric Tests; D003051:Cochlea / Q000502:physiology; D003627:Data Interpretation, Statistical; D005072:Evoked Potentials, Auditory / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing / Q000502:physiology*; D006311:Hearing Disorders / Q000145:classification / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008575:Meniere Disease / Q000150:complications* / Q000175:diagnosis*; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014432:Tympanic Membrane / Q000502:physiology; D014717:Vertigo / Q000175:diagnosis / Q000209:etiology; D055815:Young Adult