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Safety and patient experience with transtympanic electrocochleography.
M Ng1, S Srireddy, D M Horlbeck
1Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1200 North State Street, Box 795, Los Angeles, CA 90033, U.S.A.
The Laryngoscope
|May 19, 2001
Summary
Transtympanic electrocochleography (t-ECOG) is a safe Meniere's disease diagnostic tool. This study found t-ECOG has infrequent complications and good patient acceptance, making it a tolerable procedure.
Area of Science:
- Otolaryngology
- Neurotology
Background:
- Transtympanic electrocochleography (t-ECOG) is a sensitive diagnostic tool for Meniere's disease due to its electrode placement on the cochlear promontory.
- Concerns exist regarding the invasive nature of t-ECOG compared to extratympanic methods.
Purpose of the Study:
- To evaluate the safety, complications, and patient experience associated with transtympanic electrocochleography (t-ECOG).
Main Methods:
- An observational study involving retrospective review of 205 patient charts for complications.
- A survey of 36 patients assessing subjective experiences, including pain and overall tolerability of t-ECOG.
Main Results:
- One case of persistent tympanic membrane perforation occurred, alongside two cases of otitis media and three instances of temporary ear pain.
- All surveyed patients found the t-ECOG procedure tolerable with minimal discomfort.
Conclusions:
- Transtympanic electrocochleography (t-ECOG) can be performed with a high degree of patient acceptance.
- Complications associated with t-ECOG are infrequent, supporting its use in diagnosing Meniere's disease.