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Cochlear hydrops (or cochlear Meniere's or cochlear endolymphatic hydrops) is a condition of the inner ear involving a pathological increase of fluid affecting the cochlea. This results in swelling that can lead to hearing loss or changes in hearing perception. It is a form of endolymphatic hydrops and related to Ménière's disease. Cochlear ...
Endolymphatic hydrops is a disorder of the inner ear. It consists of an excessive build-up of the endolymph fluid, which fills the hearing and balance structures of the inner ear. Endolymph fluid, which is partly regulated by the endolymph sac, flows through the inner ear and is critical to the function of all sensory cells in the inner ear.
In general, one ear will be somewhat worse than the other due to the prevailing wind direction of the area surfed [3] or the side that most often strikes the wave first. Common symptoms include recurrent otitis externa, obstructed sensation, conductive hearing loss, pain in the ear, and tinnitus. [1]
Since the inner ear is not directly accessible to instruments, identification is by patient report of the symptoms and audiometric testing. Of those who present to their doctor with sensorineural hearing loss, 90% report having diminished hearing, 57% report having a plugged feeling in ear, and 49% report having ringing in ear ().
This damage causes local pain and hearing loss. Tympanic rupture during a dive can allow water into the middle ear, which can cause severe vertigo from caloric stimulation. This may cause nausea and vomiting underwater, which has a high risk of aspiration of vomit or water, with possibly fatal consequences. [1]
Both eyes will turn toward the contralateral ear, with horizontal nystagmus (quick horizontal eye movements) to the ipsilateral ear. If the water is cold, relative to body temperature (30 °C or below), the endolymph falls within the semicircular canal, decreasing the rate of vestibular afferent firing. This situation mimics a head turn to the ...