{Reference Type}: Journal Article
{Title}: The correlation of hearing prognosis and caloric test results in Meniere's disease: a follow up study.
{Author}: Sun Z;Zhang Y;Liu B;Duan J;Liu G;Zhou X;
{Journal}: Acta Otolaryngol
{Volume}: 144
{Issue}: 2
{Year}: 2024 Feb 4
{Factor}: 1.698
{DOI}: 10.1080/00016489.2024.2324136
{Abstract}: <B>UNASSIGNED: </B>Hearing loss is important in the diagnosis and treatment of Meniere's disease (MD). However, little is known about the factors associated with hearing changes in MD.<BR><B>UNASSIGNED: </B>This study aimed to investigate the correlation between hearing prognosis and caloric test (CT) results in MD.<BR><B>UNASSIGNED: </B>Ninety consecutive patients diagnosed with unilateral definite MD underwent pure tone audiometry (PTA) and CT at initial visits, and were re-tested PTA at the 6-month follow-up.<BR><B>UNASSIGNED: </B>Fifty-three of ninety MD patients (58.89%) had abnormal CT results. The change of PTA (cPTA = initial PTA-last PTA) was negatively correlated with canal paresis (CP) values (overall association p = 0.032 and non-linear association p = 0.413). Multivariate linear model showed that as the CP value changed from 0 to 1, the cPTA decreased by -13.31 dB (95% CI: -24.03, -2.6) (p = 0.016). Stratified analysis found that the association was present in MD patients of Stage 1 and 2 (p < 0.05) but not in patients of Stage 3 and 4 (p > 0.05).<BR><B>UNASSIGNED: </B>Elevated CP values may be linked to worse hearing outcomes in MD, especially in Stage 1 and 2 patients. Conducting a caloric test at the initial consultation may aid in assessing hearing regression in MD.