Immediate Restoration of Basal Sensorineural Hearing (Mb Meniere) Using a Pressure Chamber

Abstract

A new technique for the restoration of basal sensorineural hearing loss in Mb Meniere was described. Three cases with unilateral basal sensorineural hearing loss, fullness of the ear, and tinnitus were reported. In the acute stage of their disease the patients were treated in a pressure chamber where it was possible to increase or decrease the air pressure within the range ± 110 cm H₂O. The equilibration of middle ear pressures to surrounding air pressures was checked. Exposure to underpressure resulted in a rise of the hearing thresholds at low frequencies and relief of subjective symptoms. When the air pressure was increased the hearing thresholds were lowered and the sensation of tinnitus and fullness of the ear was accentuated. Changes in air pressure did not affect the healthy ear or the high frequencies in the diseased ear. Hearing improvement attained at exposure to underpressure seemed to remain at atmospheric pressure level. The investigation was performed on the hypothesis that a distended membranous labyrinth might cause a venous congestion of the vestibular aqueduct, resulting in impaired endolymph absorption in the endo-lymphatic sac. Possible effects of changes in environmental air pressure on the inner ear were discussed.