The American Academy of Otolaryngology-Head and Neck Surgery recognizes that Electrocochleography (ECoG) is a useful neurophysiologic test with medically indicated and evidence-supported applications in the evaluation of certain persons with suspected auditory and balance or dizziness disorders, especially in cochlear implant monitoring and auditory neuropathy spectrum disorder evaluation, though routine use in the setting of suspicion for Meniere’s disease is not recommended due to limited diagnostic accuracy for this condition.
Adopted 10/9/14
Revised 12/9/25
References:
- Basura GJ, Adams ME, Monfared A, et al. Clinical Practice Guideline: Ménière’s Disease. Otolaryngol Neck Surg. 2020;162(S2). doi:10.1177/0194599820909438
- Orimoto KY, Vartanyan M, O’Leary SJ. Systematic review of the diagnostic value of hydrops MRI in relation to audiovestibular function tests (electrocochleography, cervical vestibular evoked myogenic potential and caloric test). Eur Arch Otorhinolaryngol. 2023;280(3):947-962. doi:10.1007/s00405-022-07702-2
- Cooper J, Mittal J, Zalta M, et al. Bridging the gap: A systematic review of intraoperative electrocochleography during cochlear implantation and preservation of residual hearing. PLOS One. 2025;20(5):e0323493. doi:10.1371/journal.pone.0323493 4.
- Yin LX, Barnes JH, Saoji AA, Carlson ML. Clinical Utility of Intraoperative Electrocochleography (ECochG) During Cochlear Implantation: A Systematic Review and Quantitative Analysis. Otol Neurotol. 2021;42(3):363-371. doi:10.1097/MAO.0000000000002996
- De Siati RD, Rosenzweig F, Gersdorff G, Gregoire A, Rombaux P, Deggouj N. Auditory Neuropathy Spectrum Disorders: From Diagnosis to Treatment: Literature Review and Case Reports. J Clin Med. 2020;9(4):1074. doi:10.3390/jcm9041074
- Fontenot TE, Giardina CK, Teagle HF, et al. Clinical Role of Electrocochleography in Children with Auditory Neuropathy Spectrum Disorder. Int J Pediatr Otorhinolaryngol. 2017;99:120-127. doi:10.1016/j.ijporl.2017.05.026
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