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Static Compliance of the Eardrum in Meniere Disease

Static Compliance of the Eardrum in Meniere Disease Abstract • A recent study1 compared the acoustic impedance values in the affected and unaffected ears of patients with unilateral Meniere disease, and suggested that the higher impedance measured in the affected ears was due to increased intralabyrinthine pressure (endolymphatic hydrops). The present study does not support these findings. This conclusion is based on the static compliance of 17 patients with unilateral Meniere disease, measured during the glycerin test. Glycerin, an osmotic diuretic, produces transient improvements in pure-tone threshold and/or speech discrimination in the affected ear only. Orally administered glycerin is thought to cause these improvements by reducing endolymphatic hydrops. We were unable to find any change in static compliance after glycerin ingestion. Also, no difference between the affected and unaffected ears, either before or after glycerin, was noted. Back to top Article Information Accepted for publication Sept 16, 1976. Reprint requests to Department of Otolaryngology, Washington University School of Medicine, 517 S Euclid Ave, St Louis, MO 63110 (Ms Herman). This study was supported in part by grant 5 RO1 NS10448-05 from the National Institutes of Health. References 1. Lloyd L, Rezen SV. An investigation into the use of impedance measurements in the diagnosis of Meniere's disease. Impedance Newsletters, American Electromedics Corporation. 4:3-5, 1975.Google Scholar 2. Klockhoff I, Lindblom U. Endolymphatic hydrops revealed by glycerol test: Preliminary report. Acta Otolaryngol. 61:459-462, 1966. PubMedGoogle ScholarCrossref 3. Feldman AS. Impedance Measurement and the Middle Ear, Part I. report 7. Maico Audiological Library Series, vol 9, 1971. 4. Zwislocki J. An acoustic method for clinical examination of the ear. J Speech Hear Res. 6:303-314, 1963. PubMedGoogle ScholarCrossref 5. Møller A. An experimental study of the acoustic impedance of the middle ear and its transmission properties. Acta Otolaryngol. 96:513-523, 1972. PubMedGoogle Scholar 6. Jerger J. Handbook of Clinical Impedance Audiometry. Dobbs Ferry, NY, American Electromedics Corporation, 1975. 7. Jerger J, Jerger S, Mauldin L. Studies in impedance audiometry: I. Normal and sensorineural ears. Arch Otolaryngol. 96:513-523, 1972. PubMedGoogle ScholarCrossref 8. Feldman AS. Impedance Measurement and the Middle Ear, Part II. report 8. Maico Audiological Library Series, vol 9, 1971. 9. Solis MP, Carver WF. Test-retest reliability of the Madsen Z070 impedance bridge. Read before the American Speech and Hearing Association convention, Washington, DC, November, 1975. 10. Alberti PW, Kristensen R. The Compliance of the Middle Ear: It's Accuracy in Routine Clinical Practice: Impedance Symposium, Rochester, Minn. Chicago, Zenith Hearing Instrument Corp, pp 159-167, 1972. 11. Macrae J. Acoustic neuromas and the acoustic impedance of the ear. J Speech Hear Disord. 38:345-353, 1973. PubMedGoogle ScholarCrossref 12. Zwislocki J. Theorie der Schneckenmechanik. Acta Otolaryngol. (suppl) 72:1948.Google Scholar 13. McCandless GA. Impedance in pathological ears of adults. Impedance Symposium, Rochester, Minn, pp 139-146, 1972. 14. Snyder JM. Changes in hearing associated with the glycerol test . Arch Otolaryngol. 93:155-160, 1971. PubMedGoogle ScholarCrossref 15. Arenberg IK, Stroud MH, Spector GJ, et al. The salt loading provocative glycerol test for the early diagnosis of auditory endolymphatic hydrops (Meniere's disease). Rev Laryngol. 95:709-719, 1974. PubMedGoogle Scholar 16. Arenberg IK, Herman LE, Swanson SN. Salt Loading Glycerol Test in Fluctuant Hearing Loss. Birmingham, Ala, Aesculapius, Publishers, 1976, to be published. 17. Klockhoff I, Lindblom U. Glycerol test and diuretic in Meniere's disease. in Pulec JL (ed) Meniere's Disease. Philadelphia, WB Saunders Co, 1968, pp 541-549.Google Scholar 18. Snyder JM. Extensive use of a diagnostic test for Meniere's disease. Arch Otolaryngol. 100:360-365, 1974. PubMedGoogle ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Static Compliance of the Eardrum in Meniere Disease

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References (18)

Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1977.00780190064005
Publisher site
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Abstract

Abstract • A recent study1 compared the acoustic impedance values in the affected and unaffected ears of patients with unilateral Meniere disease, and suggested that the higher impedance measured in the affected ears was due to increased intralabyrinthine pressure (endolymphatic hydrops). The present study does not support these findings. This conclusion is based on the static compliance of 17 patients with unilateral Meniere disease, measured during the glycerin test. Glycerin, an osmotic diuretic, produces transient improvements in pure-tone threshold and/or speech discrimination in the affected ear only. Orally administered glycerin is thought to cause these improvements by reducing endolymphatic hydrops. We were unable to find any change in static compliance after glycerin ingestion. Also, no difference between the affected and unaffected ears, either before or after glycerin, was noted. Back to top Article Information Accepted for publication Sept 16, 1976. Reprint requests to Department of Otolaryngology, Washington University School of Medicine, 517 S Euclid Ave, St Louis, MO 63110 (Ms Herman). This study was supported in part by grant 5 RO1 NS10448-05 from the National Institutes of Health. References 1. Lloyd L, Rezen SV. An investigation into the use of impedance measurements in the diagnosis of Meniere's disease. Impedance Newsletters, American Electromedics Corporation. 4:3-5, 1975.Google Scholar 2. Klockhoff I, Lindblom U. Endolymphatic hydrops revealed by glycerol test: Preliminary report. Acta Otolaryngol. 61:459-462, 1966. PubMedGoogle ScholarCrossref 3. Feldman AS. Impedance Measurement and the Middle Ear, Part I. report 7. Maico Audiological Library Series, vol 9, 1971. 4. Zwislocki J. An acoustic method for clinical examination of the ear. J Speech Hear Res. 6:303-314, 1963. PubMedGoogle ScholarCrossref 5. Møller A. An experimental study of the acoustic impedance of the middle ear and its transmission properties. Acta Otolaryngol. 96:513-523, 1972. PubMedGoogle Scholar 6. Jerger J. Handbook of Clinical Impedance Audiometry. Dobbs Ferry, NY, American Electromedics Corporation, 1975. 7. Jerger J, Jerger S, Mauldin L. Studies in impedance audiometry: I. Normal and sensorineural ears. Arch Otolaryngol. 96:513-523, 1972. PubMedGoogle ScholarCrossref 8. Feldman AS. Impedance Measurement and the Middle Ear, Part II. report 8. Maico Audiological Library Series, vol 9, 1971. 9. Solis MP, Carver WF. Test-retest reliability of the Madsen Z070 impedance bridge. Read before the American Speech and Hearing Association convention, Washington, DC, November, 1975. 10. Alberti PW, Kristensen R. The Compliance of the Middle Ear: It's Accuracy in Routine Clinical Practice: Impedance Symposium, Rochester, Minn. Chicago, Zenith Hearing Instrument Corp, pp 159-167, 1972. 11. Macrae J. Acoustic neuromas and the acoustic impedance of the ear. J Speech Hear Disord. 38:345-353, 1973. PubMedGoogle ScholarCrossref 12. Zwislocki J. Theorie der Schneckenmechanik. Acta Otolaryngol. (suppl) 72:1948.Google Scholar 13. McCandless GA. Impedance in pathological ears of adults. Impedance Symposium, Rochester, Minn, pp 139-146, 1972. 14. Snyder JM. Changes in hearing associated with the glycerol test . Arch Otolaryngol. 93:155-160, 1971. PubMedGoogle ScholarCrossref 15. Arenberg IK, Stroud MH, Spector GJ, et al. The salt loading provocative glycerol test for the early diagnosis of auditory endolymphatic hydrops (Meniere's disease). Rev Laryngol. 95:709-719, 1974. PubMedGoogle Scholar 16. Arenberg IK, Herman LE, Swanson SN. Salt Loading Glycerol Test in Fluctuant Hearing Loss. Birmingham, Ala, Aesculapius, Publishers, 1976, to be published. 17. Klockhoff I, Lindblom U. Glycerol test and diuretic in Meniere's disease. in Pulec JL (ed) Meniere's Disease. Philadelphia, WB Saunders Co, 1968, pp 541-549.Google Scholar 18. Snyder JM. Extensive use of a diagnostic test for Meniere's disease. Arch Otolaryngol. 100:360-365, 1974. PubMedGoogle ScholarCrossref

Journal

Archives of Otolaryngology – American Medical Association

Published: Feb 1, 1977

Keywords: meniere disease,tympanic membrane,static lung compliance,glycerol,endolymphatic hydrops,osmotic diuretics,ear,sound impedance

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