Cochlear potentials in clinical audiology

Cochlear potentials in clinical audiology
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DOI:
10.1159/000259251
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发表时间:
1997-09-01
影响因子:
1.6
通讯作者:
Krishnan, G
Krishnan, G
中科院分区:
医学3区
文献类型:
--
作者:
Ferraro, JA;Krishnan, G

文献摘要

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通过耳蜗电图 (ECochG) 记录人类耳蜗和听觉神经电位已成为各种临床应用的宝贵工具。本综述巩固了目前在临床环境中使用耳蜗电位和 ECochG 的研究,并确定了需要进一步研究的几个领域,讨论的方法主题包括对 ECochG 记录方法的回顾(即经鼓室与鼓室外)以及与刺激选择相关的问题(滴答声与音调爆发),对耳蜗电位当前应用的回顾主要集中于 ECochC 在梅尼埃病的识别和治疗中的使用疾病/内淋巴积水(MD/ELH)。还介绍了 ECochG 的其他用途(例如术中监测、ABR 波 I 增强、听力敏感性估计)。提出了一些建议,以最大限度地提高 ECochC 在 MD/ELH 诊断中的预测价值。
The recording of cochlear and auditory nerve potentials in humans via Electrocochleography (ECochG) has emerged as a valuable tool for a variety of clinical applications. This review consolidates current research on the use of cochlear potentials and ECochG in the clinical setting and identifies several areas in need of additional study, Methodological topics discussed include a review of ECochG recording approaches (i.e. transtympanic versus extratympanic) and issues related to choice of stimuli (clicks versus tonebursts), The review of current applications for cochlear potentials focuses primarily on the use of ECochC in the identification and treatment of Meniere's disease/endolymphatic hydrops (MD/ELH). Other uses for ECochG also are presented (e.g. intraoperative monitoring, enhancement of ABR wave I, estimation of hearing sensitivity), Several suggestions are offered to maximize the predictive value of ECochC ill the diagnosis of MD/ELH.