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Titre : | Evidence for a left ear bias in incidence of Menieres disease (2023) |
Auteurs : | Faten S. Obeidat, Auteur ; Alia A. Alghwiri, Auteur ; Anas J. Mansieh, Auteur ; Wala Aqrabawi, Auteur ; Steven Lewis Bell, Auteur |
Type de document : | Article |
Dans : | International Journal of Audiology IJA (Vol. 62, n° 9, Septembre 2023) |
Article en page(s) : | p. 8936-899 |
Note générale : | https://doi-org.ezproxy.vinci.be/10.1080/14992027.2022.2120553 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adulte ; Audiométrie tonale ; Electrocochléographie ; Études rétrospectives ; Maladie de Ménière ; Membrane du tympanAutres descripteurs Asymetrie |
Résumé : |
Objective
To explore a side of lesion differences in Menieres disease (MD). Design A retrospective review (20192021) was conducted of patients with definite MD, as defined by 2015 Bárány Society diagnostic criteria. Testing information included pure tone audiometry, tympanometry, and extra-tympanic electrocochleography (ECochG). Normative ECochG data from healthy subjects determined the 95% cut-off value for clinical abnormality. Study sample 107 patients with definite MD were included in the study and 40 healthy controls. Results The review identified 75 patients with unilateral MD and 32 patients with bilateral MD according to their clinical histories. 79% of unilateral cases were found to have MD on the L ear. 94% of bilateral MD cases had L ears more affected than R ears. Objective ECochG testing indicated a greater incidence of elevated SP/AP area curve and amplitude ratios in L ears. On binomial testing, all results indicate a highly significant bias of MD to the L side. Conclusions Unilateral MD appears more common on the L side than the R, suggesting that the disease process underlying MD is not symmetrical. MD also appears more common in females than males. It appears that there is a physiological asymmetry in the progression/cause of MD. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.tandfonline.com/doi/full/10.1080/14992027.2022.2120553 |