There are a few references in the literature which state that acoustic
trauma or loud noise levels can cause Meniere's disease. However, the
review of the literature shows only soft evidence to support this
contention. Noise induced hearing loss (acoustic trauma) is commonly
seen in the general population. It is the most common cause of acquired hearing loss in
adults. Thus, it is not uncommon for some patients with Meniere's
disease to also have noise induced hearing loss. Articles which
report that Meniere's disease can be caused by Noise Induced Hearing
Loss also have reported the onset of Meniere's disease to be years after
the noise exposure. Paparella (1983) described this association
both in articles and text books. He reported three patients patients exposed to a sudden
intense exposure of noise who later developed Meniere's disease years later. View Abstract.
Ylikoski (1988) also reported Meniere's symptoms in 18 patients
exposed to implosive noise in the military. All 18 patients had
significant delay in symptoms between 6 and 29 years after the exposure.
Segal, Eviatar, et. al. (2003) reviewed the
records of 17,245 veterans who were disabled from acoustic trauma or noise
induced hearing loss. Only eleven of the 17,245 patients appeared to
have Meniere's disease. The average time of onset between the acute
acoustic trauma and Meniere's disease was 15.8 years. The incidence
was compatible with that of the general population. This article also give
an excellent review of the literature and the statistical errors other
authors have made in reaching their conclusions.
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