![Sample our Medicine, Dentistry, Nursing & Allied Health journals, sign in here to start your FREE access for 14 days]({"type":"image" , "src" : "/sda/5944/TOC-Subject-Sample-2021-Medicine-Dentistry-Nursing-Allied-Health.jpg"})
Abstract
Background
Unexplained aural fullness, after excluding external or middle ear diseases and vertigo, is not easily diagnosed.
Aim
The aim of this study is to determine the vestibular evoked myogenic potential (VEMP) and electrocochleography (ECochG) abnormal rates in patients with unexplained aural fullness, and analyzed the relationship between unexplained aural fullness and endolymphatic hydrops (EH).
Material and Methods
The VEMP and EcochG abnormal rates in 54 patients with unexplained aural fullness and 21 healthy volunteers, and the VEMP and EcochG abnormal rates in the four hearing loss groups were compared. The distribution of abnormal of VEMP and EcochG in age, sex or hearing loss groups were investigated.
Results
The VEMP abnormal rate in patients was greater than that in healthy volunteers (p = .000). The abnormal rate of VEMP was greater than the EcochG in patients (p = .003). The VEMP abnormal rate was greater than the EcochG in patient with low-tone or high-tone hearing loss (p = .008).
Conclusion and significance
Abnormal of VEMP in a significant proportion of patients with unexplained aural fullness maybe indicative of EH, and EH was more likely to involve the utricle or saccule in patients with low- or high-tone hearing loss.
Chinese Abstract
背景：在排除外耳或中耳疾病和眩晕后, 不明原因耳闷是不容易诊断的。
目的：本研究的目的是确定不明原因耳胀患者的前庭诱发肌源性电位（VEMP）和耳蜗电图（ECochG）的异常率, 并分析不明原因耳闷与内淋巴积水（EH）之间的关系。
材料与方法：比较54例不明原因耳闷患者和21名健康志愿者的VEMP和EcochG异常率, 以及4个听力损失组的VEMP和EcochG异常率。调查了VEMP和EcochG异常在年龄、性别或听力损失组中的分布情况。
结果：患者的 VEMP 异常率高于健康志愿者的（p =.000）。患者的 VEMP 异常率高于 他们的EcochG异常率 (p = .003)。低音或高音听力损失患者的 VEMP 异常率高于他们的 EcochG异常率 (p = .008)。
结论和意义：很大一部分不明原因的耳闷患者的VEMP异常可能提示EH。EH更可能涉及低音或高音听力损失患者的椭圆囊或球囊。
Disclosure statement
No potential conflict of interest was reported by the author(s).