OBJECTIVE: The objective of this study was to assess vestibular functions in patients with chronic suppurative otitis media (CSOM) with and without sensorineural hearing loss. STUDY DESIGN: This was a prospective case study performed at a tertiary referral university hospital. Sixty patients with CSOM were included, and patients with a history of head trauma, diabetes, hypertension, previous ear surgery, use of ototoxic drugs, neurological deficits and suspected fistulae were excluded. PATIENTS AND METHODS: The patients underwent basic audiological evaluation, and clinical and instrumental vestibular evaluation. The incidence and extent of vestibular dysfunction in patients with CSOM were analyzed. RESULTS: A total of 42 males and 16 females with a mean age of 29.5 years were included in this study. Forty ears had tubotympanic disease and 19 had cholesteatoma. There were 14 ears with sensorineural hearing loss. A positive history of vertigo was reported in 53.5% of the cases. Rotatory chair abnormalities were found in 70% of the cases, caloric hypofunction was found in 61.6%, and vestibular myogenic evoked potentials were abnormal in 25%. The only positive correlation with vestibular dysfunction was the duration of disease. CONCLUSIONS: The vestibular system is significantly affected in cases with CSOM. Both semicircular canals and the saccule are affected. All patients with long-standing CSOM should be evaluated for vestibular dysfunction irrespective of their hearing levels.
OBJECTIVE: The objective of this study was to assess vestibular functions in patients with chronic suppurative otitis media (CSOM) with and without sensorineural hearing loss. STUDY DESIGN: This was a prospective case study performed at a tertiary referral university hospital. Sixty patients with CSOM were included, and patients with a history of head trauma, diabetes, hypertension, previous ear surgery, use of ototoxic drugs, neurological deficits and suspected fistulae were excluded. PATIENTS AND METHODS: The patients underwent basic audiological evaluation, and clinical and instrumental vestibular evaluation. The incidence and extent of vestibular dysfunction in patients with CSOM were analyzed. RESULTS: A total of 42 males and 16 females with a mean age of 29.5 years were included in this study. Forty ears had tubotympanic disease and 19 had cholesteatoma. There were 14 ears with sensorineural hearing loss. A positive history of vertigo was reported in 53.5% of the cases. Rotatory chair abnormalities were found in 70% of the cases, caloric hypofunction was found in 61.6%, and vestibular myogenic evoked potentials were abnormal in 25%. The only positive correlation with vestibular dysfunction was the duration of disease. CONCLUSIONS: The vestibular system is significantly affected in cases with CSOM. Both semicircular canals and the saccule are affected. All patients with long-standing CSOM should be evaluated for vestibular dysfunction irrespective of their hearing levels.
Authors: Rafael da Costa Monsanto; Patricia Schachern; Michael M Paparella; Sebahattin Cureoglu; Norma de Oliveira Penido Journal: Hear Res Date: 2017-05-26 Impact factor: 3.208
Authors: Jing Zou; Markus Hannula; Superb Misra; Hao Feng; Roberto Hanoi Labrador; Antti S Aula; Jari Hyttinen; Ilmari Pyykkö Journal: J Nanobiotechnology Date: 2015-01-27 Impact factor: 10.435
Authors: Andrea Castellucci; Cecilia Botti; Margherita Bettini; Ignacio Javier Fernandez; Pasquale Malara; Salvatore Martellucci; Francesco Maria Crocetta; Martina Fornaciari; Francesca Lusetti; Luigi Renna; Giovanni Bianchin; Enrico Armato; Angelo Ghidini Journal: Front Neurol Date: 2021-03-29 Impact factor: 4.003
Authors: Andreza Tomaz; Rafael da Costa Monsanto; Flavia Salvaterra Cusin; Ana Luiza Papi Kasemodel; Norma de Oliveira Penido Journal: Braz J Otorhinolaryngol Date: 2020-10-16