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Diagnostic correlations between tinnitus and Menière's disease as determined by the computerized rotary chair

Published online by Cambridge University Press:  27 May 2011

Dennis G. Pappas
Affiliation:
(Birmingham, Alabama)

Extract

This paper is to attempt to show an objective correlation between the symptoms of tinnitus and the subsequent, if any, onset of symptoms consistent with those of Menière's disease. Tinnitus associated with Menière's disease is low frequency in quality and characterized as roaring and buzzing. The tinnitus and fluctuant hearing loss may precede the attack of vertigo by days, months, or even years (Hester, 1982). These correlations seem to center around the frequency of the tinnitus. Since pitch matching is tonal in character (McFadden, 1982), accuracy of this procedure is of questionable value. Pitch matching procedures are subject to octave errors—that is, settings for a match that are actually twice or one-half the frequency of the sound being matched (Vernon, 1982). Clinical historical judgement and pitch match testing were combined to identify the frequency of tinnitus below 4000 Hz, between 4000 and 8000 Hz, and above 8000 Hz. Clinical observations have led to the subjective conclusions that in many cases, but not all, tinnitus is the harbinger of Meniere's disease.

Type
Session III. Objective Evaluation: Quantitative Assessment and Measurement of Tinnitus; Clinical Experience (Chairman: Barbara Goldstein)
Copyright
Copyright © JLO (1984) Limited 1984

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References

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