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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 38(12); 1995 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1995;38(12): 1867-73.
Effect of Urea Dehydration on the Electrocochleography in Normal Ears
Cheong Sam Lee, MD, and Yong Soo Yim, MD
Department of Otolaryngology, College of Medicine, Kosin University, Pusan, Korea
요소에 의한 탈수가 정상 이(耳)의 고막외 전기와우도에 미치는 영향
이정삼 · 임용수
고신대학교 의과대학 이비인후과학교실
ABSTRACT

The ratio of the amplitudes of summating potential(SP) to action potential(AP), commonly referred to as the SP/AP ratio, has been suggested as a diagnostic tool for Meniere’s disease. It was confirmed in many studies that an abnormally large SP in Meniere’s disease causes an abnormally increased SP/AP ratio of electrocochleogram(ECoG). Recent studies in patients with Meniere’s disease and in animal models of endolymphatic hydrops have demonstrated a decrease in SP toward normal and a reduction of the SP/AP ratio after glycerol dehydration. However, the lack of control data for normal individuals makes it difficult to interpret small changes in SP/AP ratio in patients with endolymphatic hydrops. This study was, therefore, undertaken to evaluate changes in electrochochleogram of normal subjects in reponse to a dehydration induced by urea administration. Fourty five volunteers without otologic disease were tested three-times with extratympanic ECoG. The SP and AP were measured at a 95 dB HL of click stimulus. The results are as follows : 1) The SP/AP ratio was not significantly different between the male and female subjects both in the baseline and dehydration conditions. 2) There was no difference in the SP/AP ratio between the right and left ears of the same subject. 3) In the left ears of 35 males, the dehydration SP/AP ratio at 60 and 90 minutes after urea administration were lower than the baseline SP/AP ratio. 4) The SP/AP ratio tended to decrease as the serum osmolality increased in 24 males.

Keywords: ECoGDehydrationUreaSerum osmolalitySP/AP ratio.
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