RESUMO
OBJECTIVE: Aural fullness in Ménière's disease and the predisposing and consequential factors were investigated and possible consequences of aural fullness on participation activity were explored. METHODS: 726 subjects of the Finnish Ménière Association replied to a questionnaire focusing on symptoms of Ménière's disease, sense of coherence, attitude, participation restriction, and general health-related quality of life (EQ-5D). In the analysis, the severity of the disease was controlled. RESULTS: 68% of the subjects had aural fullness and in 37% it was moderate or strong. Aural fullness was rated as the worst problem by 4.4% of the subjects. Females reported more aural fullness than males. Tinnitus, hyperacusis and balance problems were significant predictors of aural fullness. Aural fullness was associated with reduced quality of life and complaints such as vertigo attacks, balance problems and hearing loss. Analysis based on participation restriction indicated that severe aural fullness leads to social isolation. CONCLUSIONS: Largely, psychological factors and personal traits modify problems experienced by aural fullness. Relaxation was the only statistically significant method that alleviated aural fullness.
Assuntos
Hidropisia Endolinfática/complicações , Doença de Meniere/complicações , Qualidade de Vida/psicologia , Idoso , Hidropisia Endolinfática/psicologia , Feminino , Nível de Saúde , Humanos , Masculino , Doença de Meniere/psicologia , Pessoa de Meia-Idade , Inquéritos e QuestionáriosRESUMO
It has been known for some time that musical hallucinations occur in deaf patients. This has been ignored, as it has been believed that neurological and psychiatric causes predominate. However, despite specific appeals, no one with musical hallucinations and a lesion in the brain but not in the ear has been produced. The postulated otological basis is a hyperactive state of the ear, a slight endolymphatic hydrops or pre-Meniere's disease. The hallucinations probably develop out of rhythmic tinnitus. A review of all the very disparate states and diseases supposedly causing musical hallucinations shows that peripheral ear symptoms are always present. It therefore seems that they always have the same simple otological trigger.
