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Tinnitus and Ménière’s Disease

  • Yu-Lan Mary YingEmail author
  • Moises A. Arriaga
Chapter
  • 4.2k Downloads

Keypoints

  1. 1.

    Ménière’s disease is characterized by a triad of symptoms: fluctuating hearing loss, attacks of vertigo, and tinnitus. Some authors have included aural fullness.

     
  2. 2.

    Patients often seek treatment for the severe vertigo attacks, but may have had other otologic symptoms for some time prior to the onset of vertigo.

     
  3. 3.

    Tinnitus that occurs in Ménière’s disease is best characterized as a low pitched, narrow band of noise, resembling a “roaring sound.”

     
  4. 4.

    The tinnitus may change with the fluctuations in hearing loss, and tinnitus increases as hearing loss worsens with the progression of the disease.

     
  5. 5.

    During the active phase of Ménière’s disease, the vertigo can be debilitating and dominating the symptoms.

     
  6. 6.

    As the disease stabilizes, the tinnitus can become a serious and a severe problem.

     
  7. 7.

    It is believed that endolymphatic hydrops (imbalance in volume of the fluid systems of the inner ear) is the cause of the symptoms of Ménière’s disease, but there is still uncertainty regarding many aspects of the pathology of the disease.

     

Keywords

Tinnitus Cochlear implants Promontory stimulation Treatment 

Abbreviations

AAO-HNS

American Academy of Otolaryngology – Head and Neck Surgery

DHI

Dizziness Handicap Inventory

HHIA

Hearing Handicap Inventory for Adults

PA

Pure tone average

THI

Tinnitus Handicap Inventory

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Otolaryngology – Head and Neck SurgeryBaylor College of Medicine, Neurosensory CenterHoustonUSA

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