Research Article

Acceptable Noise Level in Unilateral Ménière’s Disease

Abstract

Background and Aim: Noise tolerance and performance in noisy environments are influential factors of hearing aid use in people with hearing loss. One of the causes of hearing loss is Meniere’s disease (MD), which affects speech perception in noise. Acceptable noise level (ANL) is a test that measures the maximum tolerated background noise level (BNL) while listening to the running speech. Since the effect of MD on ANL needs further study, the present study aims to examine the ANL test results in people with unilateral MD, and compare the results between the two ears.
Methods: This cross sectional study conducted on 33 individuals with unilateral MD (21 females and 12 males) aged 32–60 years who had the disease for at least one year, who participated in this study. Their most comfortable level (MCL), BNL, and ANL in both ears were then evaluated.
Results: The mean MCL and BNL were significantly different between the two ears, where they were higher in the affected ear than in the contralateral ear. There was also a significant difference in the ANL results between the two ears. In the affected ear, a statistically significant relationship was reported between the ANL and the average hearing thresholds at frequencies of 250, 500, and 1000 Hz.
Conclusion: MD affects the ANL in the affected ear and causes a deterioration in its level and speech perception in noise.

[1] Baloh RW. Prosper Meniere and his disease. Arch Neurol. 2001;58(7):1151-6. [DOI:10.1001/archneur.58.7.1151]
[2] Gibson WPR. Meniere’s disease. Adv Otorhinolaryngol. 2019;82:77-86. [DOI:10.1159/000490274]
[3] Baloh RW. Meniere’s disease. University of California at Los Angeles, 2017. Available from: http://www.upandrunningnetworks.com/files/C86_3.pdf
[4] Hornibrook J. Saccular otoconia as a cause of Ménière’s disease: hypothesis based on two theories. J Laryngol Otol. 2018;132(9):771-4. [DOI:10.1017/S0022215118001366]
[5] Sando I, Orita Y, Hirsch BE. Pathology and pathophysiology of Meniere’s disease. Otolaryngol Clin North Am. 2002;35(3):517-28. [DOI:10.1016/S0030-6665(02)00020-8]
[6] Møller MN, Kirkeby S, Vikesa J, Nielsen FC, Cayé‐Thomasen P. The human endolymphatic sac expresses natriuretic peptides. Laryngoscope. 2017;127(6):E201-8. [DOI:10.1002/lary.26074]
[7] Basura GJ, Adams ME, Monfared A, Schwartz SR, Antonelli PJ, Burkard R, et al. Clinical practice guideline: Ménière’s disease. Otolaryngol Head Neck Surg. 2020;162(2_suppl):S1-55. [DOI:10.1177/0194599820909438]
[8] Liu Y, Yang J, Duan M. Current status on researches of Meniere’s disease: a review. Acta Otolaryngol. 2020;140(10):808-12. [DOI:10.1080/00016489.2020.1776385]
[9] Perez-Carpena P, Lopez-Escamez JA. Current understanding and clinical management of Meniere’s disease: a systematic review. Semin Neurol. 2020;40(1):138-50. [DOI:10.1055/s-0039-3402065]
[10] Huppert D, Strupp M, Brandt T. Long-term course of Meniere’s disease revisited. Acta Otolaryngol. 2010;130(6):644-51. [DOI:10.3109/00016480903382808]
[11] House JW, Doherty JK, Fisher LM, Derebery MJ, Berliner KI. Meniere’s disease: prevalence of contralateral ear involvement. Otol Neurotol. 2006;27(3):355-61. [DOI:10.1097/00129492-200604000-00011]
[12] Rosenberg S, Silverstein H, Flanzer J, Wanamaker H. Bilateral Menière’s disease in surgical versus nonsurgical patients. Am J Otol. 1991;12(5):336-40.
[13] Salvinelli F, Trivelli M, Greco F, Casale M, Miele A, Lamanna F, et al. Unilateral endolymphatic hydrops: what about the contralateral ear? Rev Laryngol Otol Rhinol (Bord). 2002;123(2):71-5.
[14] Salvinelli F, Trivelli M, Greco F, Silvestrini M, Fernandez E, Pallini R. Menierè’s disease: is it a bilateral disease? Eur Rev Med Pharmacol Sci. 1999;3(3):129-33.
[15] Nabelek AK, Tucker FM, Letowski TR. Toleration of background noises: Relationship with patterns of hearing aid use by elderly persons. J Speech Hear Res. 1991;34(3):679-85. [DOI:10.1044/jshr.3403.679]
[16] Nabelek AK, Freyaldenhoven MC, Tampas JW, Burchfield SB, Muenchen RA. Acceptable noise level as a predictor of hearing aid use. J Am Acad Audiol. 2006;17(9):626-39. [DOI:10.3766/jaaa.17.9.2]
[17] Freyaldenhoven MC, Smiley DF. Acceptance of background noise in children with normal hearing. J Educ Audiol. 2006;13:27-31.
[18] Freyaldenhoven MC, Fisher Smiley D, Muenchen RA, Konrad TN. Acceptable noise level: reliability measures and comparison to preference for background sounds. J Am Acad Audiol. 2006;17(9):640-8. [DOI:10.3766/jaaa.17.9.3]
[19] Nabelek AK. Acceptance of background noise may be key to successful fittings. Hear J. 2005;58(4):10-5. [DOI:10.1097/01.HJ.0000286602.38611.56]
[20] Plyler PN, Alworth LN, Rossini TP, Mapes KE. Effects of speech signal content and speaker gender on acceptance of noise in listeners with normal hearing. Int J Audiol. 2011;50(4):243-8. [DOI:10.3109/14992027.2010.545082]
[21] Rogers DS, Harkrider AW, Burchfield SB, Nabelek AK. The influence of listener’s gender on the acceptance of background noise. J Am Acad Audiol. 2003;14(7):372-82; quiz 401. [DOI:10.1055/s-0040-1715756]
[22] Harkrider AW, Smith SB. Acceptable noise level, phoneme recognition in noise, and measures of auditory efferent activity. J Am Acad Audiol. 2005;16(8):530-45. [DOI:10.3766/jaaa.16.8.2]
[23] Tampas JW, Harkrider AW. Auditory evoked potentials in females with high and low acceptance of background noise when listening to speech. J Acoust Soc Am. 2006;119(3):1548-61. [DOI:10.1121/1.2167147]
[24] Harkrider AW, Tampas JW. Differences in responses from the cochleae and central nervous systems of females with low versus high acceptable noise levels. J Am Acad Audiol. 2006;17(9):667-76. [DOI:10.3766/jaaa.17.9.6]
[25] Franklin Jr CA, Thelin JW, Nabelek AK, Burchfield SB. The effect of speech presentation level on acceptance of background noise in listeners with normal hearing. J Am Acad Audiol. 2006;17(2):141-6. [DOI:10.3766/jaaa.17.2.6]
[26] Franklin Jr CA, Nabelek AK, Burchfield SB. Acceptance of background noise as a function of speech presentation level. J Acoust Soc Am. 2003;113(4):2288. [DOI:10.1121/1.4780611]
[27] Freyaldenhoven MC, Plyler PN, Thelin JW, Hedrick MS. The effects of speech presentation level on acceptance of noise in listeners with normal and impaired hearing. J Speech Lang Hear Res. 2007;50(4):878-85. [DOI:10.1044/1092-4388(2007/062)]
[28] Recker KL, Edwards BW. The effect of presentation level on normal-hearing and hearing-impaired listeners’ acceptable speech and noise levels. J Am Acad Audiol. 2013;24(1):17-25. [DOI:10.3766/jaaa.24.1.3]
[29] Jonas Brännström K, Olsen SØ. The acceptable noise level and the pure-tone audiogram. Am J Audiol. 2017;26(1):80-7. [DOI:10.1044/2016_AJA-16-0033]
[30] Aghsoleimani M, Jalilvand H, Mahdavi ME, Nazeri AR, Kamali M. The acceptable noise level benefit from directionality for listeners with severe hearing loss. Clin Exp Otorhinolaryngol. 2018;11(3):166-73. [DOI:10.21053/ceo.2017.01375]
[31] Olsen SØ, Lantz J, Brännström KJ, Nielsen LH. Acceptable noise level in Danish adult subjects diagnosed with unilateral Ménière’s disease. Hear Balance Commun. 2013;11(1):17-23. [DOI:10.3109/21695717.2013.769349]
[32] Ahmadi A, Fatahi J, Keshani A, Jalilvand H, Modarresi Y, Jalaie S. [Developing and evaluating the reliability of acceptable noise level test in Persian language]. J Rehab Med. 2015;4(2):109-17. Persian.
[33] Ahmadi R, Jalilvand H, Mahdavi ME, Ahmadi F, Akbarzade Baghban AR. The effects of hearing aid digital noise reduction and directionality on acceptable noise level. Clin Exp Otorhinolaryngol. 2018;11(4):267-74. [DOI:10.21053/ceo.2018.00052]
[34] Akaberi K, Jalilvand H, Mahdavi ME, Nazeri AR, Tabatabaee SM. Assessment of acceptable noise level in unilateral hearing aid users. Aud Vestib Res. 2020;29(1):48-53. [DOI:10.18502/avr.v29i1.2369]
[35] Jalilvand H, Pourbakht A, Jalaie S. The relationship between hearing aid frequency response and acceptable noise level in patients with sensorineural hearing loss. Adv Biomed Res. 2015;4:256. [DOI:10.4103/2277-9175.170681]
[36] Green Jr JD, Blum DJ, Harner SG. Longitudinal followup of patients with Meniere’s disease. Otolaryngol Head Neck Surg. 1991;104(6):783-8. [DOI:10.1177/019459989110400603]
[37] Thomas K, Harrison MS. Long-term follow up of 610 cases of Meniere’s disease. Proc R Soc Med. 1971;64(8):853-7. [DOI:10.1177/003591577106400823]
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IssueVol 31 No 1 (2022) QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/avr.v31i1.8129
Keywords
Meniere’s disease acceptable noise level perception in noise speech intelligibility

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How to Cite
1.
Nasiri E, Jalilvand H, Yazdani N, Akbarzadeh Baghban A. Acceptable Noise Level in Unilateral Ménière’s Disease. Aud Vestib Res. 2021;31(1):11-16.