J Am Acad Audiol 2006; 17(01): 045-068
DOI: 10.3766/jaaa.17.1.6
Articles
American Academy of Audiology. All rights reserved. (2006) American Academy of Audiology

Electrocochleography in the Evaluation of Patients with Ménière's Disease/Endolymphatic Hydrops

John A. Ferraro
,
John D. Durrant
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Publikationsdatum:
07. August 2020 (online)

Electrocochleography (ECochG) has evolved as an important tool in the diagnosis/assessment/monitoring of Ménière's disease/endolymphatic hydrops (MD/ELH). This manuscript provides an update on the use of ECochG for these purposes. The material presented includes descriptions of the components of the electrocochleogram; ECochG recording approaches and parameters; how to prepare for an exam, including subject/patient considerations; construction and placement of a tympanic membrane recording electrode; and interpretation the electrocochleogram. Various approaches aimed at improving ECochG's sensitivity and specificity to MD/ELH also are described. These approaches go beyond simple measurement of the now-conventional summating potential (SP)/action potential (AP) magnitude ratio to include the SP magnitude to tonebursts, the SP/AP area ratio, and the AP latency difference to clicks of opposing polarity.