AS THE BOUNDARIES of scientific medicine advance, so do the requirements for precision in measurement, both for the purpose of documentation and for comparison. There is no common ground for measurement in the multifacet symptom complex of Ménière's disease. Since subjective symptomatic analysis in this disease is valueless, in that vertigo, tinnitus, and aural pressure cannot be quantified, and since vestibular function tests give a wide range of results in this disease, one must agree with House1 that the only aspect of Ménière's disease that can be measured is hearing. The question to be answered is what aspects of hearing should be measured and how. Clinical observation during long term medical management of patients with this disease suggests that the fluctuating nature of hearing is best followed by serial measurements of speech discrimination, for this aspect of the auditory behavior of persons with Ménière's disease shows more marked variations
Clemis JD, Carver WF. Discrimination Scores for Speech in Ménière's Disease. Arch Otolaryngol. 1967;86(6):614–618. doi:10.1001/archotol.1967.00760050616004
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