Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/331
Title: A review of electrocochleography: instrumentation settings and meta-analysis of criteria for diagnosis of endolymphatic hydrops
Authors: Wuyts, Floris
Van de Heyning, Paul
Van Spaendonck, M. P.
MOLENBERGHS, Geert 
Issue Date: 1997
Source: Acta Otolaryngologica Stockholm, 117(S526), p. 14-20
Abstract: This paper reviews the literature on instrumentation settings used for transtympanic (TT-ECOG) an extratympanic electrocochleography (ET-ECOG). There is wide variation regard to the applied stimulus, the settings and interpretation of ECOG results. For most physicians, the presence of endolymphatic hydrops is indicated either by the summating/action potential (SP/AP) ratio for click stimuli or the SP amplitude after tone bursts. Different upper limits have been proposed to discriminate hydropic from non-hydropic ears. Based upon a meta-analysis and classification criteria obtained from multivariate statistics, the authors propose that an SP/AP ratio with click stimulation > 0.35 using TT-ECOG, or > 0.42 using ET-ECOG, is indicative of hydrops. With tone burst stimulation set at a repetition rate of 30-40 stimuli per second, a SP of < -2 microV using TT-ECOG for at least one frequency within the range 0.5-8.0 kHz is considered pathologic.
Keywords: electrocochleography; endolymphatic hydrops; meta-analysis; insirurnentation settings
Document URI: http://hdl.handle.net/1942/331
Link to publication/dataset: https://www.researchgate.net/publication/278740252_A_review_of_electrocochleography_instrumentation_setting_and_meta-analysis_of_criteria_for_diagnosis_of_endolymphatic_hydrops
ISSN: 0365-5237
DOI: 10.3109/00016489709124014
Rights: (C) 1997 Scandinavian University Press
Type: Journal Contribution
Appears in Collections:Research publications

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