The intracochlear pressure cannot yet be evaluated in patients with certain audiological neuro-otological diseases. However, it seems to be of importance in the diagnosis and pathogenesis of Ménière's disease and related disorders. The present paper is aimed at introducing a setup to indirectly assess intracochlear and intracranial pressure changes and the design and philosophy of this technique. It is possible to describe a normal range of the measured values in healthy controls although large interindividual variations occur. In addition, the positional changes of the registered parameters enable assessment of the patency of the cochlear aquaeduct. This seems to be important in some diseases, such as stapes gusher.
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