Incidence of progression Into Ménière’s Disease from idiopathic sudden sensorineural hearing loss : Mid-term follow up study

Lee, Byeong; Seo, Jin; Park, Hyun; Lee, Hyun; Hur, Dong; Ahn, Seong

Research in Vestibular Science > Accepted Articles

Byeong Min Lee¹, Jin Hyun Seo¹, Hyun Woo Park¹, Hyun Jin Lee³, Dong Gu Hur³, Seong Ki Ahn⁴

¹Department of Otorhinolaryngology and Head & Neck Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, jinju, Korea
²Institute of Health Sciences, Gyeongsang National University, Jinju, Korea
³Department of Otorhinolaryngology and Head & Neck Surgery, Gyeongsang National University Changwon Hospital, Changwon, Korea
⁴Department of Otorhinolaryngology and Head & Neck Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Jinju, Korea

Correspondence

Seong Ahn ,Tel: 055-750-8178, Fax: 055-759-0613, Email: skahn@gnu.ac.kr

Received: July 9, 2018; Accepted: August 28, 2018. Published online: August 28, 2018.

ABSTRACT

Objective:   Ménière's disease is a clinical syndrome characterized by the four major symptoms of episodic vertigo, sensorineural hearing loss, tinnitus and aural fullness. Sensorineural hearing loss, especially low frequency, is the characteristic type of audiogram in Ménière's disease. However, it is difficult to distinguish idiopathic sudden sensorineural hearing loss (ISSNHL) with vertigo from the first attack of Ménière's disease. The purpose of this study was to investigation the incidence of progression into Ménière’s Disease from low frequency ISSNH.
Method:   Two-hundred eighty-three patients were included in this study. We classified the patients with ISSNHL according to the hearing loss in audiogram and analyzed how much of them actually progressed to Ménière's disease based on diagnosis criteria.
Results:   Among the 240 patients, 37.1%(89 patients) were confirmed low frequency ISSNHL and 14.6% (13 patients) of them were diagnosed with Meniere's disease.
Conclusion:   This study showed that the progression from low frequency ISSNHL to Ménière's disease was higher than other frequency ISSNHL, as in other studies.

Keywords: Hearing loss, sudden; Hearing loss, sensorineural; Meniere's disease; Incidence