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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(04): e613-e619
DOI: 10.1055/s-0043-1767677
Original Research

Speech Perception in Ménière Disease

Patricia Craveiro Fernandes 
1   Departament of Phonoaudiology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
,
Bruno Takegawa 
2   Department of Speech Therapy, Universidade Federal de São Paulo, Escola Paulista de Medicina – UNIFESP, São Paulo, SP, Brazil
,
Fernando Freitas Ganança 
3   Department of Otorhinolaryngology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
,
Daniela Gil 
1   Departament of Phonoaudiology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
› Author Affiliations Funding The author(s) received funding from FAPESP.
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Abstract

Introduction Ménière disease (MD) affects the inner ear, comprising the cochlea and semicircular canals. Symptoms include severe incapacitating vertigo, nausea, vomit, aural fullness, and sensorineural hearing loss – in which speech discrimination and intelligibility are impaired and can be quantified with speech audiometry.

Objective To investigate the influence of the stimuli presentation level in speech audiometry and the quality of life in adults with and without a diagnosis of MD.

Method Two groups were formed with nine individuals each – one with and the other without MD. The Speech Recognition Percentage Index was researched with stimuli presented above the self-reported comfort level or 5 dB below the discomfort level. Dizziness Handicap and Tinnitus Handicap Inventories were administered to individuals with tinnitus and vertigo complaints.

Results Speech recognition was better in the study group with higher presentation levels, as 75% of the sample improved their performance. The presence of vertigo significantly impacted the quality of life of individuals in the study group.

Conclusion Speech recognition improves with higher presentation levels. Also, MD impacts the quality of life, especially regarding limitations caused by vertigo.

Keywords

meniere's disease - tinnitus - vertigo - hearing - speech discrimination tests


Publication History

Received: 25 August 2022

Accepted: 11 December 2022

Article published online:
05 September 2023

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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