Lehnhardt E
Arch Otorhinolaryngol. 1976 Sep 16;212(4):351-62. doi: 10.1007/BF00453684.
The question is, is there any relation between sudden deafness and Menière's disease? Total hearing loss without recovery is typical of viral infection. In cases of sudden deafness some hearing rest generally remains. It can be the first symptom of Menière's disease, like the first attacks of vertigo which may occur without deafness. Measurements of stapedius reflex threshold and Békésy audiogram, especially the difference between the impulse tone and continuous tone indicate an inner hair cell damage and are helpful in the diagnosis of sudden deafness. But pathological adaptations are seen in cases of sudden deafness and also in Menière's disease. A decrease in the distance between the hearing threshold and the reflex threshold is a further indication of inner ear damage. The independence of the stapedius reflex threshold up to a hearing loss of 60 dB seems to be an indication for the different function of both types of hair cells. the reflex is supposed to be dependent only on the presence of the inner hair cells because the reflex threshold increases as soon as an inner hair cell damage of about 60 dB occurs. Clinical and audiological findings reveal no differences in sudden deafness and Menière's disease.
问题在于，突发性耳聋与梅尼埃病之间是否存在关联？完全性听力丧失且无法恢复是病毒感染的典型症状。在突发性耳聋的病例中，通常会残留一定程度的听力。它可能是梅尼埃病的首发症状，就如同眩晕的首次发作可能在无耳聋的情况下出现一样。镫骨肌反射阈值和贝凯西听力图的测量，尤其是脉冲音和持续音之间的差异，表明存在内耳毛细胞损伤，有助于突发性耳聋的诊断。但在突发性耳聋以及梅尼埃病的病例中都可见到病理适应性改变。听力阈值与反射阈值之间距离的减小是内耳损伤的进一步指征。在听力损失达60分贝之前镫骨肌反射阈值的独立性似乎表明两种类型毛细胞的功能有所不同。据推测，该反射仅依赖于内毛细胞的存在，因为一旦发生约60分贝的内毛细胞损伤，反射阈值就会升高。临床和听力学检查结果显示，突发性耳聋和梅尼埃病并无差异。
