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Position Statement: Electrocochleography

Position Statement: Electrocochleography

The American Academy of Otolaryngology-Head and Neck Surgery recognizes that Electrocochleography (ECoG) is a useful neurophysiologic test and is medically indicated and appropriate in the evaluation of certain persons with suspected auditory and balance or dizziness disorders.

Adopted 10/9/14


  1. Chung WH, et al. Clinical Usefulness of Extratympanic Electrocochleography in the Diagnosis of Meniere’s Disease. Otol Neurotol 25:144-149, 2004
  2. Coats AC. Electrocochleography: Recording Technique and Clinical Applications. Seminars in Hearing 7:247-266,1986.
  3. Ge X, Shea JJ Jr. Transtympanic Electrocochleography: a 10-year experience. Otol Neurotol Sep;23(5):799-805,2002
  4. Gibson WPR, Arenberg IK. Electrocochleography (ECoG) in the Electrophysiologic Diagnosis of Endolymphatic Hydrops. In: : Dizziness and Balance Disorders. An Interdisciplinary Approach to Diagnostic Treatment and Rehabilitation. Arenberg IK (Ed.). Kugler Publications, Amsterdam/New York, 1993:477-485.
  5. Kitahara, M., T. Takeda, et al. Electrocochleography in the diagnosis of Meniere’s disease. Meniere’s disease. Pathogenesis, diagnosis and treatment. . Vosteen KH, Schuknecht H and P. C. e. al. New York, Thieme-Stratton: 163-169,1981.

Important Disclaimer Notice (Updated 7/31/14)
Position statements are approved by the American Academy of Otolaryngology—Head and Neck Surgery or Foundation (AAO-HNS/F) Boards of Directors and are typically generated from AAO-HNS/F committees. Once approved by the Academy or Foundation Board of Directors, they become official position statements and are added to the existing position statement library. In no sense do they represent a standard of care. The applicability of position statements, as guidance for a procedure, must be determined by the responsible physician in light of all the circumstances presented by the individual patient. Adherence to these clinical position statements will not ensure successful treatment in every situation. As with all AAO-HNS/F guidance, this position statement should not be deemed inclusive of all proper treatment decisions or methods of care, nor exclusive of other treatment decisions or methods of care reasonably directed to obtaining the same results. Position statements are not intended to and should not be treated as legal, medical, or business advice.

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