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Research in Vestibular Science > Volume 10(1); 2011 > Article
Research in Vestibular Science 2011;10(1): 19-25.
메니에르병에서 Cochlear Hydrops Analysis Masking Procedure 검사의 진단적 유용성
, , , , , 이주상1, 박은선1,2, 홍성광1, 이정학2, 이효정1, 김형종1
한림대학교성심병원 이비인후-두경부외과학교실1, 한림국제대학원대학교 청각학과2
Diagnostic Value of Cochlear Hydrops Analysis Masking Procedure in Meniere's Disease in Comparison with Electrocochleography
Ju Sang Lee, Eun Sun Park, Sung Kwang Hong, Jung Hak Lee, Hyo Jeong Lee, Hyung Jong Kim
1Department of Otolaryngology-Head and Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. hyojlee@hallym.ac.kr
2Department of Audiology, Hallym Institute of Advanced International Studies, Chuncheon, Korea.
Background and Objectives:   Patients with Meniere’s disease often present with a great variety of symptoms, especially at the onset of the disease. However, there is no single test that is definitive for making the diagnosis of Meniere’s disease. Recently, a new diagnostic test, the cochlear hydrops analysis masking procedure (CHAMP) was introduced as a test for endolymphatic hydrops. The aim of this study is to evaluate the diagnostic value of CHAMP test in Meniere’s disease in comparison with that of electrocochleography.
Materials and Methods:  
The CHAMP test and electrocochleography were simultaneously performed in 14 cases of definite Meniere’s disease and 8 normal healthy volunteers (16 ears). Positive criteria were defined as being more than 0.35 in summating potential/action potential (SP/AP) ratio, 0.3 ms or less in latency delay and 0.95 or less in complex amplitude ratio. Measured parameters from each test were compared between the groups, and sensitivity and specificity of each test in diagnosing Meniere’s disease were calculated.
There was no significant difference in the SP/AP ratio of electrocochleography between the Meniere’s disease and control groups. In CHAMPtest, the latency delay was shorter and the complex amplitude ratio was smaller (p<0.001). While taking positive results from both test parameters, the sensitivity and specificity of CHAMP test were 85.7% and 87.5%, respectively.
The CHAMP seems to be a clinically useful tool in diagnosing Meniere’s disease and might be better than electrocochleography to detect endolymphatic hydrops.
Keywords: Cochlear hydrops analysis masking procedure; Auditory evoked potentials; Meniere disease; Endolymphatic hydrops
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